" Soul " is the dramatic Season 5 finale of Showtime’s dark comedy-drama Nurse Jackie , which originally aired on June 16, 2013 . The episode centers on the massive milestone of Jackie Peyton's (played by Edie Falco) one-year anniversary of sobriety . While the hospital staff prepares to celebrate her success, her personal life is simultaneously fracturing under intense emotional weight . ⭐ Key Plot Points The Battle for Sobriety
: Dr. Carrie Roman faces a harsh peer review regarding her first few months of residency . While Akalitus pushes to fire her, Cooper delivers a strong defense, and Carrie surprisingly exhibits real vulnerability about her lack of self-confidence . Nurse Jackie - Season 5Eps10
: Despite standing in front of her friends and declaring, "I am an addict and today, I am sober for one year," the episode ends with a shocking twist . Right before the party, Jackie takes a single OxyContin pill that she had secretly hidden inside her wedding band, ending her year of sobriety in a heartbreaking moment of relapse . Patient Care Above All " Soul " is the dramatic Season 5