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. The client follows all rules: Following rules does not necessarily correlate with the use of coping mechanisms during stress. Clients may adhere to rules for various reasons unrelated to their coping strategies, such as desire for approval or fear of consequences, so this statement may not accurately reflect the client's behavior.
B. The client prefers to sit quietly: Preferring to sit quietly may indicate avoidance or withdrawal rather than an active use of coping mechanisms. Clients who effectively utilize coping strategies during stress are more likely to engage in constructive activities rather than remain passive, making this option less likely.
C. The client adapts well to change: The ability to verbalize the use of coping mechanisms suggests that the client has developed skills to manage stress and adapt to new situations. This adaptability often reflects a higher level of resilience and can indicate that the client is equipped to handle change positively, which can enhance their interactions with others.
D. The client prefers solitary activities to group activities: A preference for solitary activities may suggest avoidance or social withdrawal rather than the effective use of coping mechanisms. Clients who employ adaptive coping strategies are often more willing to engage in social interactions and group activities, which can foster support and connection during stressful times.

A. Antisocial personality disorder: This disorder is characterized by a disregard for societal rules and the rights of others. Clients with antisocial personality disorder may refuse to follow instructions and demonstrate a lack of respect for rules, indicating a pattern of behavior consistent with this diagnosis.
B. Schizotypal personality disorder: Individuals with schizotypal personality disorder typically exhibit eccentric behaviors, social anxiety, and odd beliefs but are not primarily characterized by a blatant disregard for rules or authority. Their behavior is more focused on social discomfort than defiance of rules.
C. Narcissistic personality disorder: While clients with narcissistic personality disorder may believe they are above the rules and display entitlement, their behavior is often driven by a need for admiration and self-importance rather than outright defiance of rules.
D. Histrionic personality disorder: Individuals with histrionic personality disorder typically seek attention and may be dramatic in their expressions. However, their behaviors are more focused on emotionality and attention-seeking rather than a direct refusal to follow rules or instructions.