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 C

Explanation

A. "The procedure will take about 2 hours.": A typical transcranial magnetic stimulation (TMS) session lasts about 30 to 40 minutes. The treatment is conducted on an outpatient basis, allowing clients to resume daily activities immediately afterward.
B. "Most people only require one treatment to eliminate their depression.": TMS is typically administered in multiple sessions over several weeks. A full course usually consists of daily treatments for four to six weeks to achieve significant symptom improvement.
C. "You may experience a mild headache following the procedure.": Mild headaches and scalp discomfort are common side effects of TMS due to repeated magnetic pulses stimulating the brain. These effects are generally temporary and can be managed with over-the-counter analgesics.
D. "You will be asleep during the procedure.": TMS does not require sedation or anesthesia. Clients remain awake and alert during the procedure, as the treatment is noninvasive and does not cause significant discomfort requiring sedation.

A. Histrionic personality disorder B. Borderline personality disorder C. Antisocial personality disorder D. Narcissistic personality disorder

Correct Answer is C

Explanation

A. Histrionic personality disorder: Individuals with this disorder exhibit excessive emotionality and attention-seeking behavior but are not typically aggressive or violent. Their actions are more dramatic and flirtatious rather than physically confrontational.
B. Borderline personality disorder: This condition is marked by unstable relationships, intense emotions, and impulsivity, but aggression in public settings is not a primary characteristic. Self-harm or intense emotional reactions are more common.
C. Antisocial personality disorder: This disorder involves a disregard for societal rules, impulsivity, and aggressive behavior. Clients often engage in criminal activities, violate others' rights, and show little remorse for their actions, making them more likely to have altercations requiring law enforcement intervention.
D. Narcissistic personality disorder: Individuals with this disorder display an exaggerated sense of self-importance and a need for admiration but are not typically physically aggressive. They may become verbally demeaning when their ego is challenged but do not frequently engage in law-breaking behavior.

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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

A nurse is reinforcing teaching to a client who is to undergo transcranial magnetic stimulation (TMS) for depression. Which of the following information should the nurse provide?

Correct Answer is C

Explanation

A nurse is assisting with planning care for a client who has been brought to the inpatient mental health unit by law enforcement officers after becoming aggressive in a local bar. The nurse should identify that this finding is consistent with which of the following disorders?

Correct Answer is C

Explanation

A nurse is collecting data from a client who has paranoid personality disorder. Which of the following findings should the nurse expect?

A nurse is caring for a client who has been newly diagnosed with schizophrenia. Which of the following findings is true regarding this disorder?

A nurse is caring for a client who was recently re-admitted for relapse of psychosis symptoms due to not taking their medications. Which of the follow should be a long-term goal for this client?

A nurse is assisting with an in-service to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?

A nurse is assisting with the teaching of a group of newly licensed nurses about personality disorders. Which of the following information should be included?

The nurse is assisting in the care of a client who is hyperactive, pacing down the hallway, and exhibiting poor concentration during group therapy. When collecting data, the nurse should identify that which of the following is characteristic of the client's manifestations?

A nurse is reinforcing education to a newly licensed nurse about comorbidities associated with cluster B personality disorders. The nurse should identify which of the following disorders as a comorbidity?

A nurse manager is instructing a newly licensed nurse in ways to improve their active listening skills. Which of the following behaviors should the nurse manager recommend?