A client with cognitive deficits is extremely suicidal and has not responded to antidepressants. The treatment team is considering electroconvulsive therapy (ECT). Which client information would impact the feasibility of this treatment option?

Because of the client's cognitive deficits, a signed consent is waived.

Because informed consent is required for ECT, cognitive deficits could preclude this option.

Because the client is extremely suicidal, ECT is an appropriate option.

Because antidepressant medications have been ineffective, ECT is a good alternative.

Answer and Explanation

The Correct Answer is B

Choice A reason:

Informed consent is a critical component of many medical treatments, including ECT. It involves the patient's understanding and agreement to the procedure after being fully informed of the risks, benefits, and alternatives. Cognitive deficits can impair a patient's ability to provide informed consent, but they do not automatically waive the requirement for such consent. In fact, additional safeguards are often put in place to protect the rights of individuals with cognitive impairments.

Choice B reason:

ECT is a medical procedure that requires informed consent due to the potential risks and side effects associated with it. If a client has cognitive deficits severe enough to impact their decision-making capacity, they may not be able to provide informed consent. In such cases, treatment options would need to be reconsidered, and alternative methods of obtaining consent, such as through a legal guardian or a court order, might be necessary.

Choice C reason:

While it is true that ECT is considered an effective treatment for severe depression and suicidality, the decision to use ECT should not be based solely on these criteria². The ability of the client to understand and consent to the treatment is also a crucial factor. Therefore, the extremity of the client's suicidal ideation alone does not make ECT automatically the appropriate option without considering the consent issue.

Choice D reason:

ECT is indeed an alternative treatment when antidepressant medications have been ineffective, especially in cases of severe depression and suicidality². However, the effectiveness of ECT does not negate the need for informed consent. The client's cognitive ability to provide consent remains a determining factor in the feasibility of ECT as a treatment option.

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Correct Answer is ["B","C","D"]

Explanation

Choice A reason: Coping patterns can influence an individual's ability to handle stress and may contribute to suicide risk if they are maladaptive.

Choice B reason: Alcohol use can increase impulsivity and lower inhibitions, potentially increasing the risk of suicide.

Choice C reason: Socioeconomic status can impact access to resources and support, which may affect an individual's suicide risk.

Choice D reason: Support systems can provide emotional support and connection, which are protective factors against suicide.

Choice E reason: Identifying suicide risk is essential in assessing the immediate danger and the need for interventions.

A. "Your doctor is a man, so it should not be a problem." B. "I can review the assignments and arrange for a female nurse to care for you." C. "The nurse assigned to you is very capable and cares for other women in this situation." D. "I can arrange for a female assistive personnel to do your personal hygiene care."

Correct Answer is B

Explanation

Choice A reason: This response is dismissive of the client's concerns and does not address her discomfort with a male nurse.

Choice B reason: This response is respectful of the client's wishes and offers a solution that could make her more comfortable.

Choice C reason: This response does not acknowledge the client's specific discomfort with a male nurse and does not offer an alternative.

Choice D reason: While this offers an alternative, it may not fully address the client's discomfort with having a male nurse responsible for her overall care.

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A client with cognitive deficits is extremely suicidal and has not responded to antidepressants. The treatment team is considering electroconvulsive therapy (ECT). Which client information would impact the feasibility of this treatment option?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing risk factors for suicide. Which of the following should the nurse consider? Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

A male nurse is assigned to care for a female client who was admitted to the hospital for treatment of injuries following a domestic abuse incident. The client expresses discomfort with a male nurse as her caregiver. Which response should the nurse manager provide?

Correct Answer is B

Explanation

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