How should a nurse respond to a client expressing intentions to misuse oxycodone?

In cases where a client expresses intentions to misuse a substance like oxycodone, the priority is to assess the severity of the situation, particularly regarding the client's safety. Inquiring whether the client is considering self-harm or suicide is critical, as it directly addresses any potential risk to their life. This response opens a dialogue that can help the nurse evaluate the client's mental state, identify any underlying issues contributing to the misuse of the medication, and ensure that appropriate interventions and support are provided.

This approach emphasizes the importance of safety and the need for immediate assessment of suicidal ideation, which is a vital step in managing clients at risk. Engaging in this conversation can lead to necessary referrals for mental health support or additional resources to help the client cope with their pain or emotional distress more effectively and safely.