The importance of learning refusal skills primarily aligns with option C: to avoid situations in which alcohol is present and remain alcohol-free. Refusal skills empower individuals to say no effectively and confidently, especially in situations where they may be pressured to engage in behaviors, like drinking alcohol, that they wish to avoid.
While understanding peer pressure (option A) is also important, refusal skills are specifically about how to respond to that pressure. Additionally, while feeling accepted (option B) can be a concern for many, learning refusal skills doesn't inherently compromise one's values or beliefs, and it should ideally lead to a stronger sense of self-acceptance. Lastly, option D is not accurate; practicing refusal skills can actually enhance self-esteem and reinforce personal values.