The Patient Has Been Diagnosed with Substance Dependence

The patient has been diagnosed with substance dependence. The patient has been using Bennies for the last three years. Which patient statements should the nurse attribute to substance dependence?

A) "I am so tired and I feel so down about everything that is happening around me."
B) "I really tried to cut down my use, but I fail miserably every time."
C) "The only thing I care about right now is getting my fix."
D) "I have to use a lot more right now to get the same high as I did before."
E) "I have a great job where I work fulltime as a mechanical engineer, so that part of my life is very fulfilling."