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A nurse is caring for a client who has gambling disorder. Which of the following statements should the nurse make?

"Why do you think you enjoy gambling so much?"

"You should apologize to your family for your behavior."

"Your family must be very angry with you right now."

"Tell me about your first experience with gambling."

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Asking why the client enjoys gambling doesn't address the underlying issues of gambling disorder.

Choice B rationale:

Instructing the client to apologize to their family is judgmental and not therapeutic.

Choice C rationale:

Assuming the family's emotions and feelings is not appropriate and may not be accurate.

Choice D rationale:

Asking about the client's first experience with gambling can help uncover triggers and patterns related to the disorder, which can be useful for treatment.

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Correct Answer is A

Explanation

Choice A rationale:

Inflammatory bowel disease, including Crohn's disease, can lead to decreased albumin levels due to malabsorption and inflammation.

Choice B rationale:

Increased erythrocyte sedimentation rate (ESR) is more likely in inflammatory conditions.

Choice C rationale:

Decreased hematocrit is more common due to potential blood loss.

Choice D rationale:

Decreased protein levels are expected due to inflammation and malabsorption.

A. "You should avoid temperature extremes." B. "You should engage in high-impact exercise twice per week." C. "You should drink at least 2 liters of fluids each day." D. "You should not receive the influenza vaccine."

Correct Answer is A

Explanation

Choice A rationale:

Avoiding temperature extremes can help prevent triggering a sickle cell crisis. Cold temperatures can cause blood vessels to constrict, leading to poor blood flow and increased risk of cell sickling.

Choice B rationale:

Engaging in high-impact exercise might not be recommended, as vigorous exercise can increase the risk of dehydration and oxygen deprivation, potentially triggering a crisis.

Choice C rationale:

Staying well-hydrated by drinking fluids is important, but temperature regulation is a key factor in preventing sickle cell crises.

Choice D rationale:

Receiving the influenza vaccine is recommended for individuals with sickle cell disease to reduce the risk of infections that could trigger a crisis. This statement is incorrect; the client should receive the influenza vaccine unless contraindicated.

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A nurse is caring for a client who has gambling disorder. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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