Registered Psychiatric Nurses of Canada Examination (RPNCE) Practice test

What approach is most effective when dealing with an individual who continues substance use despite knowing the risks?

1. Alternatives for safer drug use

2. Encouragement for complete abstinence

3. Monitoring and frequent drug testing

4. Reassurance that it is a personal choice

The correct answer is: Alternatives for safer drug use

The choice of alternatives for safer drug use is effective in recognizing the reality of a person’s behavior while still promoting harm reduction strategies. This approach acknowledges that some individuals may not be ready or willing to quit substances entirely and instead focuses on reducing the risks associated with their continued use. Providing alternatives or safer methods can include education about safer consumption practices, access to clean supplies, and information about overdose prevention. This method respects the individual's autonomy while steering them toward safer practices, thereby reducing potential harm related to substance use. In contrast, other approaches may not align as effectively with the needs and readiness of the individual. Encouraging complete abstinence may ignore the current circumstances and readiness for change, often leading to resentment or disengagement. Monitoring and frequent drug testing could foster an environment of distrust rather than support, while reassurance that it is a personal choice might trivialize their struggles without providing actionable paths toward safer use or recovery.