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 contraindicated in clients who have psychotic symptoms.”

"ECT is delivered through electrodes attached to the head.”

ECT cannot be administered to clients who have suicide ideation

ECT is conducted under regional anesthesia.

Answer and Explanation

The Correct Answer is B

A. “ECT contraindicated in clients who have psychotic symptoms.”: This statement is incorrect. ECT can be used to treat various mental health conditions, including severe depression with psychotic features. It is not contraindicated solely based on the presence of psychotic symptoms.

B. "ECT is delivered through electrodes attached to the head.”: This statement is accurate. Electroconvulsive therapy (ECT) involves the delivery of electrical currents to the brain through electrodes placed on the scalp. These electrodes are positioned to target specific areas of the brain.

C. “ECT cannot be administered to clients who have suicide ideation”: This statement is incorrect. ECT can be considered as a treatment option for individuals with severe depression, including those with suicidal ideation or behavior. It can be effective in rapidly alleviating symptoms and reducing suicide risk in some cases.

D. “ECT is conducted under regional anesthesia.”: This statement is incorrect. Electroconvulsive therapy (ECT) is typically performed under general anesthesia to ensure the client's comfort and safety during the procedure. Regional anesthesia is not commonly used for ECT.

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Correct Answer is B

Explanation

A. Polyphagia: Polyphagia refers to excessive hunger or increased appetite. Cocaine use is not typically associated with increased appetite; in fact, it often suppresses appetite. Therefore, polyphagia is not an expected finding.

B. Fever: Cocaine use can lead to an increase in body temperature due to its stimulant effects on the central nervous system. Therefore, fever is a possible finding associated with cocaine use.

C. Bradycardia: Cocaine use is more commonly associated with tachycardia, an elevated heart rate, rather than bradycardia. Stimulants like cocaine typically increase heart rate and can cause palpitations and arrhythmias.

D. Oliguria: Oliguria refers to decreased urine output. While cocaine use can have various effects on the body, it is not typically associated with oliguria. Instead, it can lead to increased urinary frequency due to its stimulant effects.

A. “I can hear him crying in the middle of the night.” B. "He spends most of his time locked in his room.” C. “He refuses to go to the movies with his friends.” D. “I noticed several cutting marks on both of his arms.”

Correct Answer is D

Explanation

A. “I can hear him crying in the middle of the night.”: While this statement indicates distress, it does not necessarily indicate an immediate risk of suicide. Crying can be a symptom of various emotional or psychological issues, but it does not provide direct evidence of suicidal intent.

B. "He spends most of his time locked in his room.”: Social withdrawal or isolating oneself from others can be a warning sign of depression or other mental health issues, including suicidal ideation. However, it alone may not indicate imminent risk of suicide.

C. “He refuses to go to the movies with his friends.”: Social withdrawal or a decline in interest in previously enjoyed activities can also be indicators of depression or other mental health concerns. However, like spending time alone, it does not provide direct evidence of suicidal intent.

D. “I noticed several cutting marks on both of his arms.”: This statement is the most concerning and indicates a potential self-harm behavior. Self-harm, such as cutting, can be a significant risk factor for suicide, especially if the behavior escalates or if the individual expresses suicidal thoughts or intentions.

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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 is assessing a client who reports using cocaine 1 hr ago. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse in a well-child clinic receives a phone call from the parent of an adolescent client. The parent states. "I think my son might try to kill himself." Which of the following statements by the parent is the priority for the nurse to investigate further?

Correct Answer is D

Explanation

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