Which client would be a candidate for Electroconvulsive Therapy (ECT)?
A severely depressed client with history of a brain tumor
A client with severe, long-lasting depression
A client with mild depression
A severely depressed client with congestive heart failure
The Correct Answer is B
A. A history of a brain tumor does not automatically exclude a person from ECT, but it requires careful consideration and evaluation. It would be essential to conduct a thorough assessment, including imaging studies and consultations with specialists, to ensure that ECT would be safe and appropriate in this context.
B. This option is a strong candidate for ECT. ECT is particularly effective for individuals with severe, treatment-resistant depression, especially when other interventions such as medication and psychotherapy have not been successful. ECT is often considered when depression is severe, persistent, and significantly impairs functioning or poses a risk to life.
C. ECT is generally not indicated for mild depression. The treatment is typically reserved for more severe cases where other forms of treatment have failed or when rapid response is necessary. Mild depression can often be managed effectively with psychotherapy, medication, or a combination of both, without the need for ECT.
D. While ECT can be considered for individuals with severe depression and underlying medical conditions, congestive heart failure (CHF) adds a layer of complexity. However, ECT can still be considered if the potential benefits outweigh the risks, and if the patient is carefully monitored and managed by a multidisciplinary team.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Postpartum depression occurs after childbirth and is usually treated with a combination of psychotherapy, antidepressant medication, and support. While light therapy might have some benefits for mood disorders, it is not the primary treatment for postpartum depression.
B. Seasonal affective disorder is a type of depression that typically occurs at certain times of the year, usually in the winter months when there is less natural sunlight. Phototherapy, or light therapy, is considered an effective treatment for SAD as it helps to mimic natural sunlight and improve mood by influencing circadian rhythms and serotonin levels.
C. While light therapy can have effects on mood, it is generally not used as a primary treatment for bipolar disorder. Bipolar disorder is often managed with mood stabilizers and other medications to prevent mood swings.
D. While light therapy can be beneficial for some types of depression, it is not typically the first-line treatment for moderate depression. Moderate depression is usually treated with antidepressants, psychotherapy, or a combination of both.
Correct Answer is B
Explanation
The physician is responsible for providing the patient with comprehensive information about the treatment, including its purpose, potential risks, benefits, alternatives, and any possible side effects. This information is essential for the patient to make an informed decision about their care.
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