A nurse is teaching a new RN about the use of electroconvulsive therapy (ECT) for the treatment of bipolar disorder. Which of the following statements by the new RN indicates understanding?

"ECT is contraindicated for clients who have suicidal ideation."

"ECT is prescribed to prevent relapse of bipolar disorder."

"ECT is effective for clients who are experiencing severe mania."

"ECT is the recommended initial treatment for bipolar disorder."

Answer and Explanation

The Correct Answer is C

Rationale:
A. ECT is actually indicated for clients with severe depression or suicidal ideation when rapid symptom relief is necessary.
B. ECT is primarily used for acute treatment, not for relapse prevention. Maintenance medications are typically used to prevent relapse.
C. ECT can be an effective treatment for clients with severe manic episodes, especially when other treatments have failed or the client is a danger to themselves or others.
D. ECT is not first-line; mood stabilizers and antipsychotics are typically used first. ECT is reserved for treatment-resistant or severe cases.

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Correct Answer is B

Explanation

Rationale:
A. Lemonade may mask the taste of lithium but does not significantly reduce gastrointestinal irritation.
B. Taking lithium with meals helps buffer the stomach lining, reducing nausea and other GI side effects.
C. A large glass of juice may dilute the medication but does not provide the same protective effect as food.
D. An antacid may help with indigestion, but it is not the primary recommendation for preventing nausea from lithium; additionally, some antacids can alter lithium absorption.

A. Painting B. Playing cards C. Playing board games D. Playing checkers

Correct Answer is A

Explanation

Rationale:
A. Painting is a solitary, creative activity that requires minimal cognitive processing and social interaction, making it suitable for clients experiencing disturbed thoughts.
B. Playing cards requires attention to rules and interaction, which might be difficult during disturbed thoughts.
C. Playing board games often requires sustained concentration and social engagement, which may be overwhelming initially.
D. Playing checkers also requires strategy and focus, which may not be appropriate during acute thought disturbances.

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A nurse is teaching a new RN about the use of electroconvulsive therapy (ECT) for the treatment of bipolar disorder. Which of the following statements by the new RN indicates understanding?

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Naxlex Comprehensive Predictor Exams

An outpatient diagnosed with bipolar disorder takes lithium carbonate 300 mg three times daily. The patient reports nausea. To reduce the nausea most effectively, the nurse suggests that the lithium be taken with

Correct Answer is B

Explanation

The nurse is creating a plan of care for a client with mania and determines that the client is experiencing disturbed thoughts. Which activity related to disturbed thoughts should the nurse provide for the client initially?

Correct Answer is A

Explanation

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