A nurse is caring for a client who has undergone electroconvulsive therapy (ECT). The nurse should monitor the client for which of the following adverse effects of ECT?

A reason: A client who has new-onset depression. While assertiveness training can be beneficial for clients with depression, it may not be the most immediate need for someone with new-onset depression. Initial treatment should focus on managing depressive symptoms.

B reason: A client who is experiencing auditory hallucinations. Clients experiencing active psychotic symptoms, such as auditory hallucinations, may have difficulty engaging in and benefiting from assertiveness training. Stabilizing their symptoms is the priority.

C reason: A client who is experiencing mania. Clients in a manic state may struggle to focus and participate effectively in assertiveness training. Managing manic symptoms is the primary concern for these individuals.

D reason: A client who has somatic symptom disorder. Clients with somatic symptom disorder often struggle with expressing their needs and feelings assertively. Assertiveness training can help them communicate more effectively and reduce the psychological distress associated with their physical symptoms.

A reason: A client who has a new diagnosis of major depressive disorder. While clients with major depressive disorder need support, ACT is typically designed for clients with severe and persistent mental illnesses who require intensive, ongoing care.

B reason: A client who has repeated acute care admissions due to schizophrenia. Clients with schizophrenia who have frequent hospitalizations and difficulty managing their illness benefit from ACT. This program provides comprehensive, community-based care and support to reduce hospitalizations and improve quality of life.

C reason: A client who has requested family therapy following the death of a family member. Family therapy is more appropriate for addressing grief and loss. ACT is not typically indicated for clients dealing primarily with bereavement.

D reason: A client who has physical injuries following an incident of partner violence. Clients who have experienced partner violence may need crisis intervention, medical care, and counseling. ACT is not the primary referral for this situation unless the client also has a severe mental illness requiring intensive support.