A nurse in an acute care facility is planning care for a client with a history of alcohol use disorder who is admitted while intoxicated. Which of the following interventions should the nurse implement?

Choice A reason:
Electroconvulsive therapy (ECT) is not considered a cure for major depressive disorders. While ECT can be highly effective in alleviating symptoms of severe depression, it does not prevent future episodes. Patients often require ongoing treatment with medications or psychotherapy to maintain the benefits of ECT.

Choice B reason:
During ECT, the patient is not awake and alert. The procedure is performed under general anesthesia, meaning the patient is unconscious and does not feel the electrical stimulation or the induced seizure. This ensures the procedure is painless and the patient is unaware during the treatment.

Choice C reason:
It is common for patients to experience confusion for a few hours after ECT. This confusion is partly due to the anesthesia and partly due to the treatment itself. In most cases, the confusion resolves within a few hours, but it can sometimes last longer, especially in older adults.

Choice D reason:
ECT does not stimulate the vagus nerve. Vagus nerve stimulation (VNS) is a different treatment that involves using a device to send electrical impulses to the vagus nerve. ECT works by inducing a controlled seizure in the brain, which can help alleviate symptoms of severe depression.

Choice A reason:
Informing the client about confidentiality rights is an essential part of the initial orientation phase of a therapeutic relationship. This is when the nurse and client establish the parameters of the relationship, including confidentiality. However, this is not typically a task for the working phase.

Choice B reason:
During the working phase of a therapeutic relationship, the nurse's primary task is to evaluate progress toward predetermined goals. This phase involves active problem-solving and implementing nursing interventions. The nurse and client work together to address problems and issues, and it is crucial to assess whether the interventions are effective and if the goals are being met.

Choice C reason:
Establishing boundaries between the nurse and the client is another task that occurs during the orientation phase. Clear boundaries are necessary for a professional and therapeutic relationship, but they are set at the beginning and maintained throughout the relationship, not just during the working phase.

Choice D reason:
Setting short- and long-term objectives is part of both the orientation and working phases. While objectives may be initially set during the orientation phase, they can be revisited and adjusted during the working phase as needed. However, the primary focus of the working phase is on evaluating progress, not setting objectives.