Which client is most likely to benefit from electroconvulsive therapy (ECT)?

A client with bipolar disorder who is not compliant with the blood testing necessary for lithium therapy.

A client with a diagnosis of bipolar disorder who has recently begun experiencing a manic episode.

A client whose recent strange behavior has been atributed to cyclothymic disorder.

A client whose major depression has not responded appreciably to antidepressants.

Answer and Explanation

The Correct Answer is D

Choice A reason: This choice is incorrect. Non-compliance with blood testing does not typically indicate a need for ECT.
Choice B reason: This choice is incorrect. A recent onset of a manic episode is usually managed with medication adjustments, not ECT.
Choice C reason: This choice is incorrect. Cyclothymic disorder is a milder form of bipolar disorder and is not typically treated with ECT.
Choice D reason: This is the correct choice. ECT is often considered for clients with severe depression that is resistant to medication.

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Correct Answer is A

Explanation

Choice A reason: This is the correct choice. These behaviors are indicative of the inatention and hyperactivity- impulsivity symptoms of ADHD.
Choice B reason: Being withdrawn in social contexts but engaging with family does not provide clear evidence of ADHD.
Choice C reason: Stubbornness and resistance to directions alone are not sufficient to diagnose ADHD.
Choice D reason: Cruelty to animals and lack of guilt are not symptoms of ADHD and may indicate other behavioral issues.

A. Exposing the patient to an anxiety-producing stimulus for one to two hours (ﬂooding). B. Teaching the patient to ignore or become immune to anxiety-producing situations. C. A cognitive technique for replacing a worry with a positive statement. D. A systematic way to replace a panic response with a relaxation response.

Correct Answer is D

Explanation

Choice A reason: This choice is incorrect. Flooding is a diﬀerent technique from desensitization and involves intense and immediate exposure to the feared stimulus, which can be overwhelming and is not the gradual approach used in desensitization.
Choice B reason: This choice is incorrect. Simply teaching a patient to ignore or become immune to anxiety- producing situations does not address the underlying fear and is not a technique used in desensitization therapy.
Choice C reason: This choice is incorrect. While cognitive techniques may be part of a broader therapeutic approach, they are not the same as desensitization, which specifically involves gradual exposure combined with relaxation techniques.
Choice D reason: This is the correct choice. Desensitization therapy, also known as systematic desensitization, is a behavioral therapy technique that involves gradually exposing the patient to the feared object or situation while teaching them relaxation techniques to overcome their anxiety.

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Which client is most likely to benefit from electroconvulsive therapy (ECT)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adolescent is being observed for atention deficit hyperactivity disorder (ADHD). Which circumstance would demonstrate evidence to support this diagnosis?

Correct Answer is A

Explanation

A patient with a phobia asks, "What is desensitization therapy?" The best response is:

Correct Answer is D

Explanation

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The nurse is teaching the client with obsessive-compulsive disorder about reducing anxiety. Which would the nurse not include in teaching?

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The geriatrician has prescribed medication for an 80-year-old client to treat the client's dementia. Which teaching points should the nurse provide to the client's spouse about the new medication?

Which client is most likely to benefit from electroconvulsive therapy (ECT)?

A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?