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?

Introduction: Alcohol use disorder is a chronic relapsing brain disease characterized by an impaired ability to stop or control alcohol use. The initial phase of recovery involves overcoming maladaptive denial, which is essential for the client to engage in the behavioral and pharmacological interventions required for long-term sobriety. A. Agreeing to a prescription for an alcohol use deterrent, such as disulfiram or naltrexone, is a secondary step in the recovery process. While pharmacological adjuncts are highly effective for maintaining abstinence, they cannot be successfully implemented until the client is motivated by an internal recognition of their disease. B. Forming a close support network is a vital component of the maintenance phase of recovery. Peer support, such as that found in Alcoholics Anonymous, provides social reinforcement for abstinence. However, social support is ineffective if the client does not first admit that their alcohol consumption has become unmanageable. C. Acknowledging an inability to control drinking is scientifically recognized as the primary step in recovery. Based on the 12-step model and motivational interviewing, the client must break through the psychological defense mechanism of denial. Admitting powerlessness over the substance is the prerequisite for all subsequent therapeutic growth. D. Incorporating spirituality is a common element in many recovery programs, helping clients find meaning and purpose beyond their addiction. While it supports long-term emotional resilience and prevents relapse, it is not the initial clinical step required to start the detoxification and rehabilitation process for alcohol dependence