A nurse is teaching a client who has major depressive disorder about electroconvulsive therapy. Which of the following information should the nurse include?
"This therapy works as a cure for major depressive disorders."
"You will be awake and alert during the procedure."
"You might experience confusion for a few hours after treatment."
"This therapy will stimulate the vagus nerve to improve your mood."
The Correct Answer is C
Choice A reason:
Electroconvulsive therapy (ECT) is not considered a cure for major depressive disorders. While ECT can be highly effective in alleviating symptoms of severe depression, it does not prevent future episodes. Patients often require ongoing treatment with medications or psychotherapy to maintain the benefits of ECT.
Choice B reason:
During ECT, the patient is not awake and alert. The procedure is performed under general anesthesia, meaning the patient is unconscious and does not feel the electrical stimulation or the induced seizure. This ensures the procedure is painless and the patient is unaware during the treatment.
Choice C reason:
It is common for patients to experience confusion for a few hours after ECT. This confusion is partly due to the anesthesia and partly due to the treatment itself. In most cases, the confusion resolves within a few hours, but it can sometimes last longer, especially in older adults.
Choice D reason:
ECT does not stimulate the vagus nerve. Vagus nerve stimulation (VNS) is a different treatment that involves using a device to send electrical impulses to the vagus nerve. ECT works by inducing a controlled seizure in the brain, which can help alleviate symptoms of severe depression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Monitoring the client's bathroom trips is crucial in managing bulimia nervosa. Clients with bulimia often engage in purging behaviors, such as self-induced vomiting, after eating. By monitoring bathroom trips, the nurse can help prevent these behaviors and ensure the client is not engaging in harmful activities that can exacerbate their condition.
Choice B reason:
Allowing the client's family to bring food can be problematic. Family members may not understand the nutritional needs and restrictions necessary for the client's recovery. They might bring foods that trigger binge-purge cycles or do not align with the therapeutic meal plan established by healthcare professionals.
Choice C reason:
Allowing the client to create their own meal schedule is not advisable. Clients with bulimia nervosa often have distorted perceptions of food and eating. A structured meal plan created by healthcare professionals is essential to ensure balanced nutrition and to help the client develop healthier eating patterns
Choice D reason:
Encouraging the client to exercise frequently can be harmful. Clients with bulimia nervosa may already engage in excessive exercise as a compensatory behavior to control weight. Encouraging more exercise can reinforce unhealthy behaviors and potentially lead to physical harm.
Correct Answer is C
Explanation
Choice A reason:
Responding with "All of your letters come sealed, so that seems unlikely" dismisses the client's feelings and does not address their distress. Clients with delusions need validation of their emotions rather than logical arguments that contradict their beliefs.
Choice B reason:
Telling the client "You know that's not true, because it is against the law for others to read your mail" also dismisses their feelings and may increase their distress. Clients with delusions often hold their beliefs strongly, and simply stating that their belief is false does not help in managing their anxiety or fear.
Choice C reason:
Saying "It must be frightening to think that someone is reading your mail" validates the client's feelings and shows empathy. This response acknowledges the client's fear and opens the door for further discussion about their concerns. It is important to build trust and provide emotional support to clients experiencing delusions.
Choice D reason:
Asking "Why do you think the government wants to read your mail?" can reinforce the delusion by encouraging the client to elaborate on their false beliefs. This approach is not helpful in managing delusions and can lead to further distress.
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