A hospitalized client has participated in substance abuse therapy group sessions. Which statement by the client would best indicate that the client has assimilated session topics, understood coping response styles, and processed information effectively for self-use?

In option 4 the client is expressing real concern and ambivalence about discharge from the hospital. The client demonstrates an ability to perceive reality in the appraisal regarding the lifestyle changes that will have to be initiated, as well as the fact that the client will have to work hard and develop new friends and meeting places. With the defense mechanism of denial, the person denies reality. There can be varying degrees of this denial. In option 1 the client is concrete and procedure oriented; again, the client verbalizes denial. Option 2 identifies denial. In option 3 the client is relying heavily on others, and the client's locus of control is external.