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?

Rationale: A. While a history of bipolar disorder may coexist with gambling addiction, this statement alone does not indicate a gambling problem. It describes a pre-existing mental health condition, not the consequences or behaviors associated with gambling. B. Insomnia is a common symptom of many mental health or medical conditions. While sleep disturbances may occur in individuals with gambling issues due to stress or anxiety, insomnia alone is not specific to gambling addiction. C. Having supportive family members is a positive factor in coping and does not indicate a gambling disorder. This statement reflects social support, not pathological gambling behavior. D. This statement reflects severe personal, financial, and relational consequences, which are hallmark signs of a gambling addiction. Gambling disorder is characterized by persistent and recurrent problematic gambling behavior leading to significant impairment or distress, including loss of relationships, employment, and financial stability. This statement clearly indicates the impact of gambling on multiple areas of the client’s life, making it the most accurate indicator of gambling addiction.