What should the nurse do when a client with a substance use disorder asks personal questions during a counseling session?

When a client with a substance use disorder asks personal questions during a counseling session, the most appropriate response is to explain that the session is designated to focus on the client. This approach maintains the therapeutic boundaries essential for effective counseling, ensuring that the client's needs are prioritized. It reinforces the purpose of the session, which is to facilitate the client’s exploration of their issues, feelings, and behaviors related to their substance use.

By explaining that the time is meant for the client, the nurse also emphasizes the importance of maintaining a safe and structured environment for counseling, where the client can feel validated and supported while discussing their challenges. This strategy also helps to set clear boundaries, which can be essential in building a trusting therapeutic relationship.

Redirecting the conversation or sharing personal details may shift focus away from the client's needs and detract from the therapeutic process. Ending the session prematurely could leave the client feeling dismissed or invalidated, which is counterproductive to the goals of counseling.