A nurse is caring for a client who reports frequent social use of alcohol. The client tells the nurse that they have been reprimanded at work for being late several times after they had been out late drinking. Which of the following statements by the client might indicate that the client has developed a substance use disorder?

A. “I have lost 15 pounds! I just don’t want to eat lately.”: Significant weight loss and a loss of appetite can indicate the development of a substance use disorder, as these symptoms may reflect the prioritization of alcohol consumption over proper nutrition. The client’s decreased interest in eating raises concerns about potential alcohol misuse or dependence. B. “I have been hanging out with friends who are my support system.”: Engaging with a supportive social network is generally a positive indicator and can assist in recovery. Having supportive friends does not indicate a substance use disorder and may even help the client address their drinking behavior. C. “I am so focused right now. I have a lot of goals.”: A focused and ambitious mindset reflects a positive attitude towards life and managing responsibilities. This perspective does not suggest substance use disorder and may indicate effective coping and life management, despite issues with alcohol. D. “I am taking art lessons to relieve stress.”: Participating in art lessons demonstrates a constructive approach to managing stress through creativity. This behavior indicates healthy coping mechanisms and does not suggest a substance use disorder.