A nurse is assisting a provider in obtaining informed consent from a client who has depressive disorder and is scheduled to have electroconvulsive therapy (ECT). The signature of the nurse on the consent form indicates which of the following?

The nurse has witnessed the client's signature on the form

The nurse has assessed the client's knowledge of alternative treatments.

The nurse has discussed the risks of ECT with the client

The nurse has provided information about the benefits of ECT.

Answer and Explanation

The Correct Answer is A

A. The nurse has witnessed the client's signature on the form: The nurse’s signature indicates they witnessed the client voluntarily sign the consent form. The nurse does not provide information but confirms that the client signed without coercion.
B. The nurse has assessed the client's knowledge of alternative treatments: Assessing the client’s knowledge of alternatives is typically the provider’s responsibility, not the nurse’s. The nurse’s role is to ensure that the client signed the form voluntarily.
C. The nurse has discussed the risks of ECT with the client: Discussing risks is the provider’s responsibility. The nurse’s role is to observe that the client is signing the form after receiving adequate explanation of risks from the provider.
D. The nurse has provided information about the benefits of ECT: Providing information on benefits is the provider’s role. The nurse can clarify any doubts, but the provider must explain the benefits of the treatment before consent is given.

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Correct Answer is C

Explanation

A. Document the client's behavior hourly on a flow sheet: While documentation is important, it is more frequent than hourly. Clients in restraints should be observed and documented on more frequently, usually every 15 minutes to ensure safety and assess the client's condition.

B. Request a PRN client prescription for restraints from the provider: Restraints require a specific order from the provider, not a PRN (as needed) prescription. The order must be obtained initially and renewed per the facility's policy, typically every 24 hours.

C. Observe the client's behavior once every 15 minutes: Clients in restraints must be closely monitored for safety and well-being. The nurse should assess the client’s condition, including physical and emotional status, every 15 minutes.

D. Remove the restraint when the client calmly follows commands: Restraints should only be removed under appropriate conditions as assessed by the nurse, and with a provider’s order when necessary. The client's behavior alone does not determine the removal of restraints.

A. "I still can't believe this happened to me." B. "I haven't been to our favorite restaurant since my partner died." C. "I haven't been feeling angry all the time." D. "I don't know what to do with myself."

Correct Answer is C

Explanation

A. "I still can't believe this happened to me.": Disbelief is a normal part of the early stages of grief, but it does not necessarily reflect improvement. The client may still be in the shock phase and struggling to accept the reality of the loss.
B. "I haven't been to our favorite restaurant since my partner died.": Avoiding places tied to the lost loved one doesn't indicate significant progress. The client may still be avoiding situations that trigger painful memories, preventing emotional healing.
C. "I haven't been feeling angry all the time.": This indicates positive progress in the grieving process. A decrease in persistent anger suggests the client is gaining better emotional control and adapting to the loss. It's a sign of emotional healing and adjustment.
D. "I don't know what to do with myself.": A sense of confusion and loss of purpose is common in prolonged grieving, but it does not show progress. The client may still be in the early stages of grief, struggling to adapt to life after the loss.

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A nurse is assisting a provider in obtaining informed consent from a client who has depressive disorder and is scheduled to have electroconvulsive therapy (ECT). The signature of the nurse on the consent form indicates which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been placed in restraints. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is evaluating the effect of a support group on a client who is experiencing prolonged grieving. Which of the following statements by the client indicates the support group is effective?

Correct Answer is C

Explanation

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