A client reports the client has been experiencing increased stress at work. The client has been managing the stress by drinking 2-3 glasses of wine per evening. Despite the nurse recommending that drinking alcohol is not an effective way to manage the stress, the client reports it is unlikely that the client will be able to stop. Which statement explains why this will be difficult for the client?
a. A few glasses of wine each night is not necessarily a problem.
b. Drinking alcohol is more socially acceptable than taking medications.
c. The client is probably physically dependent on alcohol.
d. The client has no adaptive coping mechanisms.

D). The client has no adaptive coping mechanisms.

Explanation:

As per the question, option D i.e. 'The client has no adaptive coping mechanisms' is the statement which reflects the reason why it would be difficult for the client.

Clients learn to lessen the stress or anxiety they experience in either functional or ways that are dysfunctional. Firstly, the nurse discovers the techniques or methods which the client has employed in past and assist the client to recognize maladaptive coping strategies like social withdrawal and improve the techniques by substituting them with adaptive techniques which would suit the client's spiritual as well as personal and cultural values that are most helpful to him. The nurse must not ask the client to give up the coping mechanisms(even maladaptive ones) without proposing other adaptive procedures(mechanisms). Therefore, option D is the correct answer.

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