A nurse is reinforcing teaching to a client who is to undergo electroconvulsive therapy (ECT) for depression. Which of the following information should the nurse provide?

"Electrical current will flow through electrodes placed on your torso."

"It is not necessary to fast before the procedure."

"You will be awake during the procedure."

"Your provider will likely schedule you for several treatments over a period of weeks."

Answer and Explanation

The Correct Answer is D

A. "Electrical current will flow through electrodes placed on your torso." Electrodes are placed on the scalp, either bilaterally or unilaterally, rather than on the torso. These electrodes deliver a controlled electrical stimulus to induce a therapeutic seizure, which can help alleviate severe depressive symptoms.
B. "It is not necessary to fast before the procedure." Fasting is required before ECT to prevent aspiration, as the client will receive general anesthesia and a muscle relaxant. Typically, clients must avoid food and liquids for at least 6 to 8 hours prior to the procedure.
C. "You will be awake during the procedure." The client is not awake during ECT, as they receive general anesthesia and a muscle relaxant. These medications ensure the client remains unconscious and immobile throughout the procedure to enhance safety and comfort.
D. "Your provider will likely schedule you for several treatments over a period of weeks." ECT is not a one-time procedure; it is typically administered two to three times per week for a total of 6 to 12 sessions. The number of treatments varies based on the client’s response, with improvements often occurring after multiple sessions.

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Correct Answer is A

Explanation

A. "Provide reassurance and comfort ensuring the client is safe." Clients with schizophrenia experiencing confusion and thought distortions require reassurance and safety measures first. Confusion can increase the risk of self-harm or agitation, making safety a priority. Comforting the client and providing a structured environment can help reduce anxiety. Ensuring a calm and safe setting supports symptom management and overall well-being.
B. "Ensure the client goes to group activities as planned." While group activities can promote socialization, a client experiencing confusion and thought distortions may struggle to participate. Forcing group engagement without addressing immediate needs can increase distress. Individualized interventions should be prioritized before encouraging group involvement. Ensuring safety and reducing anxiety are more immediate concerns.
C. "Give PRN medications to treat increased hallucinations." PRN medications may help manage symptoms but are not the first priority. Assessing and ensuring safety takes precedence before administering medications. The nurse should first provide reassurance and evaluate the severity of symptoms. Medication is important, but nonpharmacological interventions should be attempted first when possible. Ensuring safety remains the immediate concern in managing schizophrenia-related confusion.
D. "Use distraction such as the television or music." While distraction techniques can be beneficial, they do not directly address confusion or distorted thinking. The client may require more structured interventions to reorient them and provide reassurance. Music or television might help in stable periods but may not be effective in acute distress. Ensuring the client’s safety and reducing distress are higher priorities in immediate care.

A. Serotonin B. Histamine C. Dopamine D. Norepinephrine

Correct Answer is A

Explanation

A. Serotonin. Serotonin plays a crucial role in regulating sleep, memory, and concentration. Low serotonin levels are associated with sleep disturbances, cognitive impairments, and mood disorders such as depression, which can further exacerbate difficulties with memory and focus.
B. Histamine. Histamine primarily regulates wakefulness and alertness but is not the primary neurotransmitter involved in sleep dysregulation, memory, and concentration. While histamine imbalance can contribute to sleep disturbances, it is more commonly linked to allergic responses and arousal states.
C. Dopamine. Dopamine is involved in motivation, reward, and motor control. While dopamine dysfunction can lead to cognitive issues, it is more closely associated with disorders such as Parkinson’s disease and schizophrenia rather than sleep dysregulation and poor memory.
D. Norepinephrine. Norepinephrine is a key neurotransmitter in the body's stress response and alertness regulation. While it influences attention and arousal, its dysregulation is more commonly linked to anxiety and hypervigilance rather than the described symptoms.

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A nurse is reinforcing teaching to a client who is to undergo electroconvulsive therapy (ECT) for depression. Which of the following information should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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