A nurse is planning care for a client who has a gambling disorder. Which of the following actions should the nurse include in the plan of care?
Minimize time spent gambling each week.
Encourage the client to participate in a self-help group.
Ask the client why they are unable to stop gambling
Obtain a prescription for memantine
The Correct Answer is B
A. Minimize time spent gambling each week: While reducing time spent gambling can be helpful, the focus should be on addressing the underlying behaviors and emotions related to the gambling disorder. A more holistic approach is typically more effective.
B. Encourage the client to participate in a self-help group: Self-help groups, such as Gamblers Anonymous, provide valuable support for individuals with gambling disorders. These groups offer shared experiences and coping strategies, making them a crucial part of the treatment plan.
C. Ask the client why they are unable to stop gambling: Asking "why" may feel confrontational or non-supportive. Instead, the nurse should use therapeutic communication to explore the client’s thoughts and feelings in a non-judgmental way.
D. Obtain a prescription for memantine: Memantine is used to treat Alzheimer's disease and other cognitive disorders, not gambling disorder. Medications are not typically the primary treatment for gambling disorder; instead, therapy and behavioral interventions are applied.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Blames others for own mistakes: While feelings of guilt or self-blame can occur in PTSD, the focus is usually on the trauma and its effects, not a general tendency to blame others for personal mistakes.
B. Talks excessively: Excessive talking is not a specific symptom of PTSD. Clients with PTSD may have difficulty expressing their feelings or may avoid conversations that bring up traumatic memories.
C. Has difficulty concentrating on set tasks: Difficulty concentrating is a common symptom of PTSD, often due to intrusive thoughts or hypervigilance. The client may find it hard to focus on tasks due to the constant state of alertness or distress.
D. Holds persistent negative beliefs about self: Clients with PTSD often have negative beliefs about themselves, feeling guilty, ashamed, or worthless due to their traumatic experiences. This is a key feature of the disorder, reflecting the impact of trauma on self-perception.
E. Difficulty falling or staying asleep: Sleep disturbances, such as difficulty falling asleep or staying asleep, are common in PTSD due to hyperarousal and nightmares. Clients may have disrupted sleep patterns related to the trauma they experienced.
Correct Answer is C
Explanation
A. "I still can't believe this happened to me.": Disbelief is a normal part of the early stages of grief, but it does not necessarily reflect improvement. The client may still be in the shock phase and struggling to accept the reality of the loss.
B. "I haven't been to our favorite restaurant since my partner died.": Avoiding places tied to the lost loved one doesn't indicate significant progress. The client may still be avoiding situations that trigger painful memories, preventing emotional healing.
C. "I haven't been feeling angry all the time.": This indicates positive progress in the grieving process. A decrease in persistent anger suggests the client is gaining better emotional control and adapting to the loss. It's a sign of emotional healing and adjustment.
D. "I don't know what to do with myself.": A sense of confusion and loss of purpose is common in prolonged grieving, but it does not show progress. The client may still be in the early stages of grief, struggling to adapt to life after the loss.
Complete the following sentence by using the lists of options.
The client is at risk of developing