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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This choice is incorrect. A blood glucose level of 110 mg/dL is within normal range and does not significantly increase the risk of delirium.
Choice B reason: While a fractured femur can be painful and stressful, it does not pose the highest risk for delirium compared to sepsis.
Choice C reason: Preparation for surgery can be a risk factor for delirium, but it is not as high a risk as sepsis in an older adult.
Choice D reason: This is the correct choice. Older adults with sepsis are at a high risk for delirium due to the systemic infection and its impact on overall health.
Correct Answer is D
Explanation
Choice A reason: Listening to music is generally considered a positive activity and not something to be avoided during recovery.
Choice B reason: Exercise is beneficial for mental health and is encouraged during recovery from substance use disorder.
Choice C reason: Reading can be a relaxing activity that does not typically trigger anxiety or cravings.
Choice D reason: This is the correct choice. Meeting up with old friends, especially those associated with past substance use, can be a significant trigger for relapse.
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