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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. This is the defense mechanism where a person refuses to acknowledge a painful reality. In this case, the client is denying their illness and the need for hospitalization.
B. This involves reverting to childlike behaviors as a way to cope with stress. It doesn't fit the scenario.
C. This is attributing one's own unacceptable thoughts or feelings onto others. There's no evidence of this in the given situation.
D. This involves creating excuses to justify unacceptable behavior. The client is not justifying their behavior but denying it.

A. The patient could cause harm to self or others B. The patient has decreased perceptions. C. The patient has increased motivation D. The patient has feeling of impending doom

Correct Answer is D

Explanation

A. This is not a common symptom of an anxiety attack, although severe stress can sometimes lead to risky behaviors.
B. Decreased perceptions is less characteristic of anxiety attacks and are not typically used as indicators of severity
C. Increased motivation is less characteristic of anxiety attacks and are not typically used as indicators of severity
D. This overwhelming fear can manifest physically in various ways, including but not limited to, increased heart rate, sweating, trembling, shortness of breath, and a feeling of loss of control

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Which client would be a candidate for Electroconvulsive Therapy (ECT)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted to a psychiatric unit for treatment of a psychotic disorder. The client is at the locked exit door and is shouting. "Let me out! There's nothing wrong with me! I don't belong here!" The nurse identifies this behavior as which defense mechanism?

Correct Answer is A

Explanation

A nurse is caring for a patient who has anxiety attacks. What symptoms would indicate that the patient is experiencing a severe anxiety attack?

Correct Answer is D

Explanation

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