A patient diagnosed with major depressive disorder was hospitalized for 8 days. Treatment included six electroconvulsive therapy sessions and aggressive dose adjustments of antidepressant medications. The patient owns a small business and was counseled not to make major decisions for a month. Select the correct rationale for this counseling.
Antidepressant medications alter catecholamine levels, which impair decision-making abilities.
The patient needs time to reorient him or herself to a pressured work schedule.
Temporary memory impairments and confusion can be associated with electroconvulsive therapy.
Antidepressant medications may cause confusion related to a limitation of tyramine in the diet.
The Correct Answer is C
A. This is not the primary reason for the counseling. The decision-making recommendation is
more related to the effects of the electroconvulsive therapy and the need for the patient to recover from its associated side effects.
B. While readjustment to a work schedule might be a consideration, the primary reason for counseling against major decisions for a month is related to the potential side effects of
electroconvulsive therapy.
C. Temporary memory impairments and confusion are potential side effects of electroconvulsive therapy, which might interfere with decision-making abilities, hence the advice to refrain from major decisions.
D. Antidepressant medications causing confusion related to dietary limitations with tyramine is not directly relevant to the counseling against making major decisions after electroconvulsive therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Availability of means and lethality of method is a priority as it directly influences the risk and immediacy of a potential suicide attempt. Access to lethal methods increases the risk of a fatal outcome.
B. The patient's insight into the suicidal motivation is valuable, but it may not indicate immediate risk or specific details about the plan.
C. Quality and availability of social support are important for long-term prevention but may not provide immediate information about the plan or risk.
D. Patient's financial and educational status might be factors contributing to stress but may not directly reflect the immediate risk of suicide.
Correct Answer is C
Explanation
A. While assessing the impact of a suicide attempt on others is important, the immediate focus following a successful suicide attempt in a mental health unit is to ensure the safety of all clients.
B. Restricting group therapy for 72 hours might impede the therapeutic process and does not directly address the safety of clients after a suicide attempt.
C. Following a suicide attempt, it's standard practice to heighten monitoring and implement suicide precautions for all clients to ensure their safety.
D. While assessing the situation is important, immediate intervention to prevent further harm to other clients is a priority following a suicide attempt. The psychological assessment might occur but would not be the primary intervention in this immediate crisis situation.
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