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. Paranoia: Paranoia is classified as a positive symptom of schizophrenia. It involves the presence of irrational fears and beliefs that others are plotting against the individual, which signifies an addition of abnormal thoughts or behaviors.
B. Distorted beliefs: Distorted beliefs, such as delusions, are also considered positive symptoms. They represent an alteration in thought processes and an addition of false beliefs that are not grounded in reality.
C. Confusion: Confusion may arise from various factors, including cognitive disturbances or acute psychotic episodes, but it is not classified as a negative symptom. It typically reflects disorganized thinking rather than a deficiency in emotional or behavioral responses.
D. Lack of emotions: A lack of emotions, also known as flat affect, is a clear example of a negative symptom of schizophrenia. Negative symptoms are characterized by a reduction or absence of normal emotional responses, which can impact the individual's ability to express feelings and engage socially.

A. "A relapse plan explains how you can be hospitalized if needed.": Focusing on hospitalization addresses only a narrow aspect of the plan. While hospitalization may be an option, the primary goal is to manage symptoms effectively before reaching that point.
B. "A relapse plan addresses your living, housing, and working needs.": While living conditions and employment are important in treatment, they do not specifically explain the purpose of a relapse plan. The plan is more focused on recognizing and managing symptoms of schizophrenia.
C. "A relapse plan describes how you use coping strategies for living in the community.": Coping strategies are essential, but this response does not capture the full purpose of a relapse plan. The plan primarily focuses on identifying warning signs and outlining steps to take when symptoms worsen, rather than just coping mechanisms.
D. "A relapse plan helps your recovery by recognizing symptoms of schizophrenia and provides steps to follow if symptoms are getting worse.": Highlighting the importance of recognizing early warning signs and having a strategy for symptom management emphasizes the necessity of the relapse plan for maintaining stability and preventing crises in the community.