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.”

Answer and Explanation

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 ["A","B","D"]

Explanation

Choice A reason:

Grandiosity is a common symptom of a manic episode. Clients may have an inflated sense of self-importance and believe they have special abilities or powers.

Choice B reason:

Flight of ideas is characterized by rapid and continuous speech with frequent changes in topic. This is a typical behavior during a manic episode.

Choice C reason:

Splitting, which involves viewing people or situations as all good or all bad, is more commonly associated with borderline personality disorder rather than bipolar disorder.

Choice D reason:

Hyperactivity is a hallmark of mania. Clients may exhibit increased energy levels, restlessness, and engage in excessive activities.

Choice E reason:

Withdrawal is not typically associated with manic episodes. It is more commonly seen in depressive episodes or other mental health conditions.

A. Give the client a cup of hot black tea before bed. B. Wake the client at the same time each morning. C. Take the client for a walk 2 hours before bedtime each night. D. Allow the client to take a 90-minute nap immediately after lunch.

Correct Answer is B

Explanation

Choice A reason:

Giving the client a cup of hot black tea before bed is not advisable. Black tea contains caffeine, which can interfere with sleep and exacerbate sleep disturbances. It is important to avoid stimulants before bedtime to promote better sleep quality.

Choice B reason:

Waking the client at the same time each morning helps establish a consistent sleep-wake cycle, which is beneficial for managing sleep disturbances. Regular wake times can help regulate the body’s internal clock and improve overall sleep patterns.

Choice C reason:

Taking the client for a walk 2 hours before bedtime can be beneficial as physical activity can promote better sleep. However, it is not as crucial as maintaining a consistent wake time, which directly influences the sleep-wake cycle.

Choice D reason:

Allowing the client to take a 90-minute nap immediately after lunch may interfere with nighttime sleep. Long naps during the day can reduce the drive to sleep at night, leading to further sleep disturbances.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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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?