A clinic nurse is about to meet with a client diagnosed with a gambling disorder. Which of the following symptoms and/or behaviors is the nurse likely to assess? (Select all that apply.)
1. Stressful situations precipitate gambling behaviors.
2. Anxiety and restlessness can only be relieved by placing a bet.
3. Winning brings about feelings of sexual satisfaction.
4. Gambling is used as a coping strategy.
5. Losing at gambling meets the client's need for self-punishment.
1, 2, 4, 5
Rationale: In gambling disorder, the preoccupation with and impulse to gamble intensifies when the individual is under stress. Many impulsive gamblers describe a physical sensation of restlessness and anticipation that can only be relieved by placing a bet. Winning brings feelings of special status, power, and omnipotence, not sexual satisfaction. The gambler increasingly depends on this activity to cope with disappointments, problems, and negative emotional states.
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