A nurse is caring for a client who has depression and states, "A government agency is attempting to capture me." The nurse should identify that the client is experiencing which of the following?

A. "Electrical current will flow through electrodes placed on your torso." Electrodes are placed on the scalp, either bilaterally or unilaterally, rather than on the torso. These electrodes deliver a controlled electrical stimulus to induce a therapeutic seizure, which can help alleviate severe depressive symptoms.
B. "It is not necessary to fast before the procedure." Fasting is required before ECT to prevent aspiration, as the client will receive general anesthesia and a muscle relaxant. Typically, clients must avoid food and liquids for at least 6 to 8 hours prior to the procedure.
C. "You will be awake during the procedure." The client is not awake during ECT, as they receive general anesthesia and a muscle relaxant. These medications ensure the client remains unconscious and immobile throughout the procedure to enhance safety and comfort.
D. "Your provider will likely schedule you for several treatments over a period of weeks." ECT is not a one-time procedure; it is typically administered two to three times per week for a total of 6 to 12 sessions. The number of treatments varies based on the client’s response, with improvements often occurring after multiple sessions.

A. "Lately, I feel like I am more alert than usual and can focus better.": Depression is commonly associated with difficulties in concentration, memory impairment, and slowed cognitive function rather than increased alertness or improved focus. Clients with depression often report feeling mentally sluggish or experiencing brain fog.
B. "I can't sit still. I feel like I need to be doing things around the house.": While some individuals with depression experience psychomotor agitation, it is more common for depression to present with fatigue, low energy, and decreased motivation. Restlessness may also be seen in anxiety disorders, but it is not a primary symptom of depression.
C. "When I went to my provider, they told me I have high blood pressure.": Hypertension is a medical condition that may have various causes, but it is not a direct manifestation of depression. However, chronic stress and depression can contribute to cardiovascular issues over time, though depression itself is primarily characterized by emotional and cognitive symptoms.
D. "I can't get my mind to stop racing at night. I'm only sleeping a couple of hours.": Insomnia and difficulty falling or staying asleep are hallmark symptoms of depression. Clients often experience ruminative thoughts, early-morning awakenings, or non-restorative sleep, which can contribute to worsened mood, fatigue, and impaired daily functioning.