A nurse is caring for a client who presents to an outpatient treatment center seeking help for gambling. After performing an intake assessment, the nurse should identify which of the following statements by the client as a sign of a gambling addiction?
"I have had bipolar disorder for over 10 years."
"My parents are my support system."
“I can't sleep at night. I have insomnia."
"My wife left me. I lost my job and had to file for bankruptcy."
The Correct Answer is D
A. "I have had bipolar disorder for over 10 years." While mental health conditions can co-occur with addiction, this statement does not directly indicate gambling addiction.
B. "My parents are my support system." This is a neutral statement and does not indicate addiction.
C. “I can't sleep at night. I have insomnia." Insomnia may occur for various reasons and is not diagnostic of gambling addiction.
D. "My wife left me. I lost my job and had to file for bankruptcy." Financial ruin and personal losses are strong indicators of gambling addiction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Place the client in a private room: While privacy can be helpful, it is not the priority intervention in alcohol withdrawal care.
B. Pad the side rails of the bed with towels: This is a safety measure to prevent injury during seizures but should follow the assessment of disorientation.
C. Accompany the client when ambulating: Fall prevention is important, but assessing the client’s level of disorientation takes precedence.
D. Determine the client's level of disorientation: The first step in care is assessing the client's mental status and level of disorientation to identify immediate needs and risks.
Correct Answer is A
Explanation
A. Methadone: Methadone is a long-acting opioid agonist used to manage opioid withdrawal symptoms and reduce cravings.
B. Disulfiram: Disulfiram is used for alcohol use disorder, not opioid withdrawal.
C. Risperidone: Risperidone is an antipsychotic used for mental health disorders such as schizophrenia and bipolar disorder, not for opioid withdrawal.
D. Lithium carbonate: Lithium is used to treat bipolar disorder, particularly mania, and is unrelated to opioid withdrawal.
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