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 B
Explanation
A. Medical insurance availability for substance use disorder treatment: This does not increase addiction risk; instead, it improves access to treatment.
B. The developing brain is exposed to substances at an early age: Early exposure to substances increases addiction risk because the developing brain is more susceptible to chemical changes caused by drugs or alcohol.
C. Initial use of substances began in adulthood: Addiction risk is lower when substance use begins in adulthood compared to early exposure.
D. The brain already has cognitive deficits that cause it to be vulnerable to addiction: While cognitive deficits can complicate addiction treatment, they are not a primary factor in the development of addiction.
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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