The nurse sees a client with coronary artery disease 3 months after stenting. The client states ...

The nurse sees a client with coronary artery disease 3 months after stenting.
 
  The client states he is
  doing great.. He indicates he has read of the benefits of alcohol on coronary artery disease and has
  incorporated this theory into his lifestyle. When asked describe his lifestyle, he mentions he arises at
  9 AM, has a bloody Mary, works at his computer until lunch and again after lunch, enjoys a couple
  of Manhattans before dinner, has a good dinner with some red wine and then finishes the bottle of
  wine during the evening. The nurse can make the assessment that the client is
  a. at risk for substance abuse disorder.
  b. grieving for lost abilities.
  c. self-medicating for anxiety.
  d. using protective denial.