A nurse is assessing a client who has a new diagnosis of alcohol use disorder. Which of the following client statements should the nurse expect if the client is in denial about their diagnosis?

Choice A reason: This statement reflects insight and acknowledgment of the impact alcohol has had on the client’s life. It does not indicate denial but rather a level of awareness that is necessary for initiating change. Choice B reason: This statement is classic denial. The client minimizes the problem and overestimates their ability to control the behavior without assistance. Denial is a defense mechanism commonly seen in substance use disorders, where the individual refuses to acknowledge the severity or consequences of their condition. Choice C reason: This statement shows ambivalence rather than denial. The client is skeptical about the effectiveness of reducing alcohol intake but does not reject the idea that alcohol is problematic. This may indicate a stage of contemplation in the change process. Choice D reason: This statement reflects guilt and recognition of the negative consequences of alcohol use on relationships. It suggests emotional awareness and a desire to change, not denial.