A nurse is developing a plan of care for a client who has a gambling disorder. Which of the following actions should the nurse plan to take?
Recommend the client begin behavioral therapy.
Request a referral for electroconvulsive therapy.
Request a prescription for a stimulant medication.
Inform the client that hospitalization is not used for the treatment of a gambling disorder.
The Correct Answer is A
A. Recommend the client begin behavioral therapy: Behavioral therapy, particularly cognitive-behavioral therapy (CBT), is the first-line treatment for gambling disorder. It helps the client identify triggers, develop coping strategies, and change maladaptive behaviors associated with gambling.
B. Request a referral for electroconvulsive therapy: Electroconvulsive therapy (ECT) is not indicated for gambling disorder. ECT is primarily used for severe depression or treatment-resistant psychiatric conditions and does not address behavioral addictions.
C. Request a prescription for a stimulant medication: Stimulants are not recommended for treating gambling disorder and could worsen impulsivity or addictive behaviors. Pharmacologic therapy, when used, typically involves SSRIs or opioid antagonists for specific symptom management.
D. Inform the client that hospitalization is not used for the treatment of a gambling disorder: While outpatient therapy is common, some clients may require short-term hospitalization if comorbid psychiatric conditions or severe psychosocial crises are present. Blanket statements about hospitalization are not appropriate as part of individualized care planning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "You should eat hot foods to reduce your sense of fullness during a meal.": Hot foods can actually increase the feeling of fullness and may lead to early satiety, which is not ideal for clients with COPD who need to maintain adequate nutrition and energy intake.
B. "While eating you should drink liquids frequently.": Drinking large amounts of liquids during meals can cause early satiety and reduce overall caloric intake. Clients with COPD are encouraged to drink fluids between meals rather than during meals to avoid feeling too full.
C. "During meals, you should eat foods with a high-calorie content first.": Prioritizing high-calorie, nutrient-dense foods ensures the client consumes adequate energy before fatigue or fullness sets in. This strategy helps prevent unintentional weight loss and supports overall respiratory function in COPD.
D. "Lunch should be your largest meal of the day.": For clients with COPD, smaller, more frequent meals are recommended to prevent dyspnea and fatigue during eating. Large meals can exacerbate breathing difficulties, so meal size should be balanced throughout the day.
Correct Answer is ["A","B","D"]
Explanation
A. Wear a lead apron when providing care: Lead aprons help protect the nurse from radiation exposure when providing close care to a client with a sealed radiation implant. This is a standard safety precaution in managing patients receiving internal radiation therapy.
B. Close the door to the client's room: Keeping the door closed limits unnecessary exposure to radiation for other clients and staff in the unit. It also helps maintain a controlled environment for infection and radiation safety.
C. Place the client in a semi-private room: Clients with sealed radiation implants should be placed in a private room to minimize radiation exposure to other patients and staff. Semi-private rooms increase the risk of unnecessary exposure and are not recommended.
D.This is an application of Time. The risk of radiation damage is cumulative. By restricting visits to 30 minutes per 24-hour period, the facility ensures that guests stay well below the threshold for accidental radiation injury.
E.This is incorrect for two reasons. First, pregnant women and children under the age of 18 are generally prohibited from visiting a client with a radiation implant due to the high sensitivity of developing fetal and juvenile tissues. Second, even for authorized visitors, the safe distance is at least 6 feet (2 meters), not 3 feet.
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