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. Ask the provider for a PRN prescription for restraints: Restraints should only be used as a last resort when there is an imminent risk of harm to the client or others. In this situation, it is essential to first attempt to manage the client's anxiety and behavior through de-escalation strategies and appropriate interventions.
B. Administer diazepam when the client exhibits anxiousness: Diazepam can help manage anxiety and agitation, which is crucial for the client's safety and comfort. Monitoring for signs of anxiety allows for timely intervention with the prescribed medication.
C. Place the client in a room near the nurse's station: Keeping the client close to the nurse's station allows for increased monitoring and ensures that staff can respond quickly if the client's behavior escalates. This helps maintain safety for both the client and others on the unit.
D. Determine if the client is experiencing command hallucinations: Assessing for command hallucinations is important, especially given the client's recent aggressive behavior. Understanding the presence of such hallucinations can guide the treatment plan and safety measures.
E. Establish clear limits for expected behaviors: Setting clear expectations for behavior helps the client understand acceptable conduct and promotes a safer environment. This can be particularly important for clients with paranoid personality disorder who may struggle with interpersonal relationships.

A. Borderline personality disorder: While individuals with borderline personality disorder may exhibit impulsive and aggressive behaviors, their aggression is often related to intense emotional reactions and fear of abandonment. This does not directly align with the context of aggressive behavior in a public setting without underlying emotional distress.
B. Antisocial personality disorder: This disorder is characterized by a pervasive pattern of disregard for the rights of others, impulsivity, and aggressive behavior. The client's aggressive behavior in a bar setting is consistent with the traits associated with antisocial personality disorder, as individuals with this disorder may engage in confrontational or violent actions without remorse.
C. Histrionic personality disorder: Histrionic personality disorder involves excessive emotionality and attention-seeking behavior, but it is not typically characterized by aggression or violent outbursts. Individuals with this disorder may be dramatic but do not commonly display the kind of aggression described.
D. Narcissistic personality disorder: Individuals with narcissistic personality disorder may exhibit arrogance and a sense of entitlement, but aggression in a public setting is not a primary characteristic of this disorder. Aggressive behaviors are more commonly associated with antisocial personality disorder.