A nurse is caring for a client who has a recent diagnosis of alcohol use disorder. Which of the following statements made by the client indicates acceptance of the diagnosis?

Choice A reason: Denying the severity of drinking reflects denial, a common defense mechanism in alcohol use disorder. This statement indicates a lack of insight into the condition’s impact, blocking acceptance and engagement in treatment, as the client minimizes the problem’s physiological and social consequences. Choice B reason: Refusing support groups suggests resistance to treatment, not acceptance. Alcohol use disorder recovery benefits from peer support, which enhances accountability and coping. This statement reflects avoidance, indicating the client has not fully acknowledged the diagnosis or need for intervention. Choice C reason: Attributing the diagnosis to spousal upset externalizes responsibility, indicating denial or minimization. Acceptance requires recognizing the personal impact of alcohol use disorder, including physiological dependence and social consequences, rather than blaming external factors for the diagnosis. Choice D reason: Acknowledging the need for help reflects acceptance, a critical stage in the transtheoretical model of change. This statement indicates insight into the chronic nature of alcohol use disorder, recognizing its impact on health and the necessity of intervention, facilitating engagement in treatment.