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 D

Explanation

Choice A reason:

Agreeing with the parent and assuming the situation will not happen again is not appropriate. It dismisses the potential risk to the child and does not address the seriousness of the situation.

Choice B reason:

Telling the parent to file charges against their partner is a strong directive that may not be appropriate without further understanding of the situation. It is important to gather more information before making such recommendations.

Choice C reason:

Stating that the situation is clearly child endangerment and immediately calling the police may escalate the situation without fully understanding the context. It is important to assess the situation thoroughly before taking such actions.

Choice D reason:

Expressing a desire to know more about what happened and offering to talk is an appropriate response. It allows the nurse to gather more information, assess the situation, and provide support to the parent and child.

A. Use detailed explanations when providing education to the client. B. Maintain a stimulating environment for the client. C. Provide the client with a structured schedule of daily activities. D. Limit time for rituals to 30 minutes each day.

Correct Answer is C

Explanation

Choice A reason:

While detailed explanations can be helpful, they are not the primary intervention for managing OCD. The focus should be on structured activities and behavioral interventions.

Choice B reason:

Maintaining a stimulating environment is not appropriate for clients with OCD as it may increase anxiety and compulsive behaviors. A calm and structured environment is more beneficial.

Choice C reason:

Providing a structured schedule of daily activities helps clients with OCD manage their time and reduce the frequency of compulsive behaviors. It promotes routine and predictability, which can alleviate anxiety.

Choice D reason:

Limiting time for rituals to 30 minutes each day is not a practical intervention. Instead, the focus should be on gradually reducing the time spent on rituals through behavioral therapy techniques.

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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

A nurse in an urgent-care clinic is caring for a school-age child who has several visible bruises. The child’s parent states, “My partner got fired today and came home angry. I don’t think this will happen again.” Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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