A client with a family history of alcohol problems states nothing can be done. What is the best nursing response?

• A. "You're right; it's much harder to become a recovering person."
• B. "This is just an excuse for you so you don't have to work on becoming sober."
• C. "Sometimes, nothing can be done, but you may be the exception in this family."
• D. "Alcohol problems can occur in families, but you can decide to take the steps to become and stay sober."

Answer: (D)

The response that emphasizes the client's ability to make choices about their recovery is the most supportive and empowering. By acknowledging that while alcohol problems can run in families, the statement also reinforces the idea that the client has autonomy over their own actions and decisions regarding sobriety. This approach encourages hope and instills a sense of agency in the client, which is essential for promoting self-efficacy in their recovery journey.

In conversations about substance abuse, it’s important to balance understanding the genetic or familial links to addiction while simultaneously reinforcing the idea that individuals can break the cycle. This response invites the client to consider their potential for change, framing their situation not as a predetermined outcome but as one that includes the possibility of personal success.