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 A
Explanation
A. Methadone: Methadone is a long-acting opioid agonist used to manage opioid withdrawal symptoms and reduce cravings.
B. Disulfiram: Disulfiram is used for alcohol use disorder, not opioid withdrawal.
C. Risperidone: Risperidone is an antipsychotic used for mental health disorders such as schizophrenia and bipolar disorder, not for opioid withdrawal.
D. Lithium carbonate: Lithium is used to treat bipolar disorder, particularly mania, and is unrelated to opioid withdrawal.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
Correct answers: The client is at highest risk for developing bleeding as evidenced by the client’s platelet’s count.
I: Bleeding- The client is at the highest risk for bleeding due to their critically low platelet count (thrombocytopenia) of 35,000/mm³. Platelets are essential for blood clotting, and levels this low significantly increase the risk of spontaneous bleeding.
II: Platelet count- The platelet count is a direct indicator of the client’s bleeding risk. Alcohol use disorder often leads to thrombocytopenia due to bone marrow suppression, splenic sequestration, or liver dysfunction.
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