A nurse is preparing a client for electroconvulsive therapy (ECT). Which of the following client statements indicates an understanding of the procedure?

"I will be able to eat breakfast prior to my procedure."

"This procedure will cause me to have brief seizures."

"One ECT treatment will be effective for my depression."

"I will not need to have a pre-ECT workup before the procedure."

Answer and Explanation

The Correct Answer is B

Rationale:

A. Eating breakfast prior to the procedure is generally not allowed due to the requirement for anesthesia, which requires the stomach to be empty to reduce the risk of aspiration.

B. Brief seizures are a key component of ECT, as the procedure involves inducing controlled seizures to achieve therapeutic effects. This statement indicates an accurate understanding of the procedure.

C. One ECT treatment is not typically sufficient for treating depression; multiple sessions are usually required for therapeutic benefit.

D. A pre-ECT workup is necessary to ensure the client is physically prepared for the procedure and to assess any potential risks.

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Correct Answer is C

Explanation

Rationale:

A. The cortico-striato-thalamo-cortical circuit (CSTC) is primarily associated with obsessive-compulsive disorder (OCD) and does not directly relate to phobias.

B. While the CSTC circuit is involved in OCD, it is not specifically linked to the broader spectrum of fear responses.

C. The amygdala-centered (ACC) circuit is involved in the processing of fear and panic, making it directly associated with feelings of panic, which are common manifestations of anxiety disorders.

D. The amygdala does play a role in anxiety and apprehension, but it is more specifically tied to the acute panic responses.

A. Adverse effects of treatment B. Immune system C. Exposure to environmental allergies D. Medication adherence

Correct Answer is B

Explanation

Rationale:

A. Adverse effects of treatment might impact overall health but are not direct risk factors for developing mental illness.

B. Immune system dysfunction can contribute to the development of mental health disorders. Research shows that immune system abnormalities and chronic inflammation are linked to mental health conditions.

C. Exposure to environmental allergies does not have a direct link to the development of mental illness, though it can affect overall well-being.

D. Medication adherence affects treatment outcomes but is not a contributing factor to the development of mental health disorders.

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A nurse is preparing a client for electroconvulsive therapy (ECT). Which of the following client statements indicates an understanding of the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing manifestations of anxiety. The nurse should recognize which of the following statements about the neurophysiologic manifestations of anxiety as correct?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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