A nurse is caring for a client who has received nine electroconvulsive therapy (ECT) treatments and reports short-term memory loss. Which of the following responses should the nurse make?
Memory loss is common and usually improves after a few weeks.
"You will likely experience long-term memory loss as well."
"You should focus on how much better you feel."
"I am going to notify your provider about your memory loss."
The Correct Answer is A
Memory loss is a known side effect of electroconvulsive therapy (ECT), particularly in the short term. It is important for the nurse to provide accurate information to the client about this
potential side effect. Assuring the client that memory loss is common and tends to improve over time can help alleviate their concerns and provide reassurance. It is important to convey that this is a temporary effect and not necessarily indicative of long-term memory problems.
The other options are not appropriate responses:
B. "You will likely experience long-term memory loss as well": This statement provides inaccurate and potentially alarming information. While some individuals may experience persistent memory issues, it is not appropriate to assume or predict long-term memory loss in every case.
C. "You should focus on how much better you feel": This response dismisses the client's concerns about memory loss and may not address their needs or worries adequately. It is important to acknowledge and validate the client's experience.
D. "I am going to notify your provider about your memory loss": While it is important for the nurse to communicate any concerning symptoms to the client's healthcare provider, simply stating this without providing further information or reassurance may increase the client's anxiety without addressing their immediate concerns about memory loss.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The perception of family can vary among individuals, and it is important to respect the client's definition of family. By including people whom the client views as family, the nurse acknowledges the client's preferences and ensures that those who hold significance and provide support in the client's life are present during the interview.
Let's review the other options and explain why they may not be the most appropriate methods:
A. Include people who can support the client adequately: While it is important to involve individuals who can support the client, determining who can provide adequate support should be based on the client's perception and preference. The client's perspective on who can offer support may differ from the nurse's assessment, so it is crucial to involve individuals whom the client identifies as supportive.
B. Include people who live in the same house with the client: Proximity of residence does not necessarily determine the level of support or the client's perception of family. Including only individuals who live with the client may exclude other significant individuals in the client's life who may play a vital role in their support network.
D. Include people who are related to the client by blood and marriage: While blood relatives and family members by marriage can be important sources of support, it is not the sole criterion for inclusion. Clients may have chosen family or close friends who they consider to be their primary support system.
Correct Answer is A
Explanation
When assisting with the admission of a client who reports feeling depressed, sad, moody, and overly anxious, the nurse should prioritize assessing the client's suicide risk. This is because the client's symptoms, particularly feelings of depression and anxiety, can indicate a higher risk for self-harm or suicide. Assessing suicide risk is crucial to ensure the client's safety and provide appropriate interventions if needed.
incorrect:
B. Coping abilities: While assessing coping abilities is important to understand how the client manages stress and emotional challenges, it is secondary to assessing suicide risk. Coping abilities can be explored in subsequent assessments to determine the client's resilience and available resources for support.
C. Psychiatric history: Although understanding the client's psychiatric history is relevant for comprehensive care, it may not be the most immediate concern during the admission process. Assessing suicide risk takes precedence to ensure the client's safety.
D. Support systems: While assessing the client's support systems is valuable for understanding the available network of support, it should not take priority over assessing suicide risk. The client's immediate safety and potential need for intervention require immediate attention.
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