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?
Explanation & Rationale
A. "My parents are my support system." indicates that the client has a social support network, which can be a protective factor against addiction. This statement does not suggest a gambling problem. B. "I can't sleep at night. I have insomnia." reflects a symptom that may accompany stress or psychiatric conditions, but insomnia alone is not specific for gambling addiction. C. "I have had bipolar disorder for over 10 years." identifies a comorbid psychiatric condition, which may increase vulnerability to addictive behaviors, but by itself, it is not evidence of a gambling addiction. D. "My wife left me. I lost my job and had to file for bankruptcy." is correct. This statement highlights serious personal, social, and financial consequences resulting from gambling behavior, which is a hallmark feature of gambling disorder. Gambling addiction is characterized by persistent and recurrent problematic gambling leading to significant impairment or distress, including loss of relationships, employment, and financial stability, as reflected in the client’s statement.