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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "I have no intention to stop drinking. I like the way it makes me feel.": This is an example of denial but does not strongly indicate a defense mechanism.
B. "I have tried so many times to stop drinking. It is so hard.": This demonstrates acknowledgment of the problem and a desire for change, not a defense mechanism.
C. "I don't really have a problem with alcohol. I've just been having a streak of bad luck lately.": This is an example of rationalization, a defense mechanism where the individual justifies their behavior with excuses.
D. "I really need some help. My drinking is tearing my family apart.": This statement reflects insight and readiness for change, not a defense mechanism.
Correct Answer is A
Explanation
A. One parent who is an alcoholic. A family history of substance abuse, particularly a parent with alcoholism, significantly increases the genetic and environmental risk of substance abuse in children.
B. Overprotective parents. Overprotection may contribute to other issues, like anxiety, but it is not strongly associated with substance abuse.
C. Being raised in an urban area. Living in an urban area does not independently indicate higher risk without other contributing factors.
D. Parents who practiced strict discipline. Strict discipline may lead to rebellion in some cases, but it is not a primary risk factor for substance abuse.
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