A nurse is caring for a client who is seeking treatment for gambling disorder. The client states, "I have gambled away all of my savings. I don't know what I am going to do." Which of the following statements should the nurse make?

A. "I do not see myself attending community support groups": This indicates resistance to accepting the diagnosis. Participation in community support groups, such as Alcoholics Anonymous, is often an important part of treatment and recovery for alcohol use disorder.
B. "My drinking isn't as bad as everyone says it is.": This statement reflects denial, a common defense mechanism in individuals with alcohol use disorder. It shows a lack of acceptance and an unwillingness to acknowledge the severity of the problem.
C. "My family has a history of alcohol use disorder": This indicates acceptance of the diagnosis as the client is acknowledging the familial connection and potential genetic predisposition to alcohol use disorder. It shows insight into the condition and a willingness to consider its impact.
D. "I was diagnosed because my spouse is upset about my drinking": This statement shifts the responsibility for the diagnosis onto the spouse and does not show acceptance of the disorder. It suggests that the client may not fully accept the diagnosis as their own issue.

A. An assistive personnel reapplies a soft limb restraint on a client after assisting them to the bathroom: Reapplying a soft limb restraint in itself does not necessarily require an incident report. However, the application must follow proper protocols, and the nurse should ensure that the assistive personnel are trained and following the correct procedures.
B. An assistive personnel applies physical restraints on a client who is aggressive: Physical restraints should only be applied with a physician's order and in accordance with facility policies. If restraints are applied without proper authorization or protocol, an incident report must be completed.
C. An assistive personnel tells the provider that a client is making other clients feel unsafe: Reporting concerns to the provider about a client's behavior is part of proper communication and does not require an incident report.
D. An assistive personnel provides 1:1 monitoring for a client who is reporting thoughts of self-harm: This is an appropriate and necessary intervention for a client at risk of self-harm. It does not require an incident report, as the staff member is performing their duty to ensure the safety of the client.