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 ["A","C","D","E"]
Explanation
Choice A reason: Akathisia is characterized by restlessness and a constant urge to move. It is a common side effect of antipsychotic medications.
Choice B reason: Neuroleptic malignant syndrome is a rare but serious reaction to antipsychotic drugs and is not classified as an extrapyramidal symptom.
Choice C reason: Dystonia involves involuntary muscle contractions and spasms, often affecting the head and neck, and is a known extrapyramidal symptom.
Choice D reason: Tardive dyskinesia is marked by repetitive, involuntary movements, typically of the face and extremities, and is an extrapyramidal symptom that can occur after long-term use of antipsychotics.
Choice E reason: Pseudo-parkinsonism mimics symptoms of Parkinson's disease, such as tremors and slowed movement, and is an extrapyramidal side effect of antipsychotic medications.
Correct Answer is ["A","B","C","D","E","F"]
Explanation
Choice A reason: Knowing if the family is aware can help in understanding the client's support system.
Choice B reason: Understanding the method the client is considering can help assess the level of risk and immediacy.
Choice C reason: Knowing the timing can help in immediate risk assessment and prevention planning.
Choice D reason: Assessing access to means is crucial for immediate safety planning.
Choice E reason: Understanding if there is a specific plan can help gauge the seriousness and immediacy of the risk.
Choice F reason: Offering spiritual or emotional support can be an important part of the care plan.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today