A nurse is caring for a client who reports frequent social use of alcohol. The client tells the nurse that they have been reprimanded at work for being late several times after they had been out late drinking. Which of the following statements by the client might indicate that the client has developed a substance use disorder?

A. They do not care that they lost their job and their partner: This statement reflects a potential lack of insight or awareness regarding the impact of their behavior on their life and relationships. However, this attitude may also stem from denial, which is common in individuals with addictive behaviors. Even if the client appears indifferent, their actions indicate a compulsive engagement in gaming and gambling, highlighting the disconnect between their awareness of consequences and their inability to change the behavior.
B. They compulsively act on the urge to continue internet gaming and gambling even though they suffered negative consequences: This behavior is characteristic of non-substance addiction. It emphasizes the compulsive nature of the client's engagement in these activities, regardless of the significant negative impacts on their life, such as job loss, financial difficulties, and relationship issues.
C. They are depressed over their current life situation: While depression may be a concurrent issue, it does not specifically reflect the compulsive behaviors associated with non-substance addiction. The focus should be on the actions that indicate addiction rather than emotional responses.
D. They filed for bankruptcy because of their debts and job loss: Filing for bankruptcy is a consequence of the client's behavior, but it does not directly indicate the compulsive nature of their gaming and gambling habits. The focus on the behavior itself is more relevant to understanding the addiction.

A. Opiate withdrawal: The Abnormal Involuntary Movement Scale (AIMS) test is not used to assess opiate withdrawal. Opiate withdrawal symptoms typically involve physical and psychological effects, such as anxiety, muscle aches, and gastrointestinal distress, which are evaluated using different assessment tools.
B. Lithium toxicity: The AIMS test is not applicable for assessing lithium toxicity. Symptoms of lithium toxicity can include tremors, confusion, and gastrointestinal issues, but these require different assessment methods rather than the AIMS scale.
C. Tardive dyskinesia: The AIMS test is specifically designed to evaluate and monitor involuntary movements associated with tardive dyskinesia, a potential side effect of long-term use of antipsychotic medications. This scale helps identify abnormal movements in clients and aids in managing their treatment effectively.
D. Alcohol withdrawal: The AIMS test is not intended for assessing alcohol withdrawal. Alcohol withdrawal is typically evaluated using clinical scales that focus on symptoms such as tremors, sweating, agitation, and hallucinations, rather than the involuntary movements assessed by the AIMS test.