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    RN Comprehensive predictor 2023 proctored exam

    A nurse is developing a plan of care for a client who has a gambling disorder. Which of the following actions should the nurse plan to take?

    Explanation & Rationale

    A. Recommend the client begin behavioral therapy: Behavioral therapy, particularly cognitive-behavioral therapy (CBT), is the first-line treatment for gambling disorder. It helps the client identify triggers, develop coping strategies, and change maladaptive behaviors associated with gambling. B. Request a referral for electroconvulsive therapy: Electroconvulsive therapy (ECT) is not indicated for gambling disorder. ECT is primarily used for severe depression or treatment-resistant psychiatric conditions and does not address behavioral addictions. C. Request a prescription for a stimulant medication: Stimulants are not recommended for treating gambling disorder and could worsen impulsivity or addictive behaviors. Pharmacologic therapy, when used, typically involves SSRIs or opioid antagonists for specific symptom management. D. Inform the client that hospitalization is not used for the treatment of a gambling disorder: While outpatient therapy is common, some clients may require short-term hospitalization if comorbid psychiatric conditions or severe psychosocial crises are present. Blanket statements about hospitalization are not appropriate as part of individualized care planning.

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