A nurse is preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?
“ECT is contraindicated in clients who have psychotic symptoms.”
“ECT is delivered through electrodes attached to the head.”
“ECT cannot be administered to clients who have suicidal ideation.”
“ECT is conducted under regional anesthesia.”
The Correct Answer is B
Choice A reason:
ECT is not contraindicated in clients with psychotic symptoms. In fact, it is often used to treat severe depression with psychotic features, as well as other conditions such as mania and catatonia. ECT can be highly effective in reducing symptoms of psychosis when other treatments have failed.
Choice B reason:
ECT is delivered through electrodes attached to the head. During the procedure, a small amount of electrical current is passed through the brain to induce a controlled seizure, which can help alleviate symptoms of severe depression and other mental health conditions.
Choice C reason:
ECT can be administered to clients with suicidal ideation. It is often considered when rapid symptom relief is needed, such as in cases of severe depression with a high risk of suicide. ECT can provide quick and significant improvement in mood and functioning.
Choice D reason:
ECT is conducted under general anesthesia, not regional anesthesia. General anesthesia ensures that the client is unconscious and does not feel pain during the procedure. Muscle relaxants are also administered to prevent physical convulsions during the induced seizure.
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Correct Answer is B
Explanation
Choice A reason:
ECT is not contraindicated in clients with psychotic symptoms. In fact, it is often used to treat severe depression with psychotic features, as well as other conditions such as mania and catatonia. ECT can be highly effective in reducing symptoms of psychosis when other treatments have failed.
Choice B reason:
ECT is delivered through electrodes attached to the head. During the procedure, a small amount of electrical current is passed through the brain to induce a controlled seizure, which can help alleviate symptoms of severe depression and other mental health conditions.
Choice C reason:
ECT can be administered to clients with suicidal ideation. It is often considered when rapid symptom relief is needed, such as in cases of severe depression with a high risk of suicide. ECT can provide quick and significant improvement in mood and functioning.
Choice D reason:
ECT is conducted under general anesthesia, not regional anesthesia. General anesthesia ensures that the client is unconscious and does not feel pain during the procedure. Muscle relaxants are also administered to prevent physical convulsions during the induced seizure.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A reason:
Hallucinations, particularly if they are distressing or command hallucinations, can increase the risk of suicide attempts.
Choice B reason:
Depression is a major risk factor for suicide. Clients with a history of depression are at higher risk for attempting suicide again.
Choice C reason:
Delusions, especially those that are paranoid or persecutory, can contribute to suicidal thoughts and behaviors.
Choice D reason:
Catatonia, a state of psychomotor disturbance, can be associated with severe depression and increase the risk of suicide.
Choice E reason:
Tinnitus, while distressing, is not typically a direct risk factor for suicide attempts. It may contribute to overall distress but is not a primary indicator of suicide risk.
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