What should the nurse preparing a patient for a scheduled appointment for electroconvulsive therapy (ECT) remind the patient to do?

Be prepared for visual disturbances after the treatment.

Drink plenty of fluids before ECT to ensure adequate hydration.

Bring a change of clothes in case of incontinence.

Arrange for transportation to and from the appointment.

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is B

Explanation

A. Increasing rest and sleep can be beneficial for overall well-being and can help alleviate some symptoms of mood disturbances but it is not sufficient as the initial step in addressing possible postpartum depression.
B. Using a postpartum depression-screening tool is a crucial step in assessing the client’s mental health status. This tool can help determine the severity of the symptoms and whether they meet the criteria for postpartum depression. It provides a structured way to evaluate the client’s symptoms and guide further intervention. This should be the first step in addressing the client’s reported feelings.
C. While antidepressant medication may be appropriate for treating postpartum depression if diagnosed, it is not the first step. Before prescribing medication, it is essential to conduct a thorough assessment using a screening tool to confirm the diagnosis and determine the severity of the condition.
D. Counseling can be a valuable part of treatment for postpartum depression, but it should follow an
initial assessment to confirm the presence of the condition. It is important to first evaluate the client’s symptoms using a screening tool to determine the appropriate level of intervention and to tailor the
counseling to the client’s specific needs.

A. Assault B. False imprisonment C. Negligence D. Defamation

Correct Answer is B

Explanation

A. Assault is the threat of bodily harm. While using restraints might cause fear, it doesn't involve a threat of immediate harm.
B. This involves the unjustified restriction of a person's freedom of movement. Using restraints to prevent wandering when less restrictive measures haven't been exhausted might constitute false imprisonment.
C. Negligence is the failure to provide reasonable care. While using restraints inappropriately could be considered negligence, it's not the primary legal issue in this case.
D. Defamation involves damaging someone's reputation. This is not relevant to the situation.

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What should the nurse preparing a patient for a scheduled appointment for electroconvulsive therapy (ECT) remind the patient to do?

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Explanation

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