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."

Answer and Explanation

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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Correct Answer is B

Explanation

A. "Alcohol tolerance causes the client to have an increased effect when taking opiates." Alcohol tolerance is specific to alcohol and does not directly increase the effect of opiates. However, cross-tolerance with other sedatives (e.g., benzodiazepines) may occur.

B. "Alcohol tolerance can result in a decreased physical response to alcohol." Alcohol tolerance develops as the body adapts to frequent alcohol use, requiring higher amounts to achieve the same effects.

C. "A client who has alcohol tolerance develops physical changes when they haven't recently ingested alcohol." This describes alcohol dependence, not tolerance. Physical changes, such as withdrawal symptoms, occur with dependence.

D. "Alcohol tolerance is a medical emergency and can develop as a result of withdrawal." Tolerance develops over time with frequent alcohol use. Withdrawal symptoms are the result of dependence, not tolerance.

A. "I will send you a note in a few weeks." B. "I know you will do well living out in the community." C. "Aren't you excited about being discharged today?" D. "How do you feel about being discharged?"

Correct Answer is D

Explanation

A. "I will send you a note in a few weeks.": This response is inappropriate and could blur professional boundaries in the therapeutic nurse-client relationship.

B. "I know you will do well living out in the community.": While supportive, this response assumes the client's future success without addressing their immediate feelings or concerns.

C. "Aren't you excited about being discharged today?": This response is leading and may not reflect the client’s true feelings.

D. "How do you feel about being discharged?": This open-ended question encourages the client to express their emotions and concerns about the transition, which is appropriate in the termination phase of the therapeutic relationship.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing alcohol tolerance with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client with whom he has developed a therapeutic relationship and who will be discharged later in the day. The client thanks the nurse for his help during the hospitalization. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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