The nurse instructs a patient who has just been prescribed a protocol of fluoxetine HCI (Prozac) that the drug takes 2 to 4 ..................... to take effect.

A. Making a suicidal individual feel foolish can increase their isolation and shame, potentially exacerbating suicidal thoughts. It's essential to approach the situation with empathy and understanding.
B. Establishing therapeutic rapport encourages open communication. By creating a safe and trusting environment, the caregiver can facilitate the client to express their thoughts and feelings about suicidal ideation. This information is crucial for assessing the client's risk and developing an appropriate care plan.
C. While feeling in control can be beneficial for some individuals, it's not the primary goal of establishing therapeutic rapport with suicidal clients. The focus should be on creating a safe space for open communication and understanding the client's perspective.
D. Enhancing self-worth is a long-term goal of therapy, but it's not the immediate focus when establishing rapport with a suicidal client. The priority is to address the immediate crisis and create a safe environment for open communication.

A. Visual disturbances are not a common side effect of ECT. The more typical side effects of ECT include temporary memory loss, confusion, or headache. The patient should be informed about these potential side effects, but visual disturbances are not specifically associated with ECT.
B. Hydration is important for overall health, but it is not a specific requirement for ECT preparation. The primary preparation involves fasting, as patients are usually required to fast for several hours before the procedure to minimize the risk of aspiration during the treatment, as ECT is performed under anesthesia.
C. Incontinence is not a typical concern with ECT. The procedure itself does not usually result in incontinence. The focus should be more on preparing for potential side effects like temporary confusion
or memory issues, rather than concerns about incontinence. Therefore, this advice is not relevant for ECT preparation.
D. ECT involves the use of anesthesia, and patients should not drive themselves to or from the appointment due to the effects of anesthesia and the potential for temporary disorientation. Arranging for transportation ensures the patient’s safety and compliance with post-treatment care instructions.