A nurse in a substance use disorder clinic is explaining the alcohol recovery process to a client's family. Which of the following should the nurse identify as the first step toward successful recovery from alcohol use disorder?

A. Acknowledging an inability to control drinking is the first and most essential step in recovery from alcohol use disorder. This reflects acceptance of the problem and loss of control, which is the foundation of recovery programs such as 12-step models. Without recognition of the disorder, the client is unlikely to engage meaningfully in treatment or behavioral change. B. Incorporating spirituality is an important component of some recovery programs, particularly 12-step programs; however, this occurs after the individual first admits the problem. It is not the initial step in recovery. C. Agreeing to take an alcohol deterrent medication (such as disulfiram) can be helpful in supporting abstinence, but pharmacologic therapy is not the first step. Acceptance of the disorder must occur before medication adherence can be effective. D. Forming a support network is crucial for maintaining sobriety, but it comes after the individual recognizes and accepts the problem. Support systems reinforce recovery but do not replace personal acknowledgment of addiction.