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A nurse is caring for a client who has given informed consent for electroconvulsive therapy (ECT). Just before the procedure, the client expresses to the nurse that she is having second thoughts and is considering not going through with the treatment. What is the most appropriate response for the nurse in this situation?

"It's understandable to feel nervous before this treatment. Most people feel better after, but you have the right to change your mind at any time."

"I know this is a difficult decision, but the doctor believes ECT is the best option for you. Are you sure you want to cancel?"

"That's completely fine! We can reschedule for another time when you're feeling more ready."

"You signed the consent form, so you need to go through with the treatment. It's important to follow through on your commitments."

Answer and Explanation

The Correct Answer is A

The correct answer is Choice A.

Choice A rationale:

Acknowledges the client's feelings: It's important for the nurse to validate the client's concerns and let them know that it's understandable to feel nervous or uncertain about ECT.
Provides information about the treatment: The nurse can offer information about the potential benefits of ECT, but it's important not to pressure the client or make them feel like they have to go through with it.
Reassures the client of their right to change their mind: This is a crucial aspect of informed consent. The client has the right to withdraw their consent at any time, even after signing the consent form.

Choice B rationale:

Places undue pressure on the client: This response implies that the doctor knows what's best for the client and that the client should go through with the treatment even if they have doubts. This can undermine the client's autonomy and decision-making ability.

Choice C rationale:

May minimize the client's concerns: While rescheduling the treatment is an option, it's important to explore the client's concerns more thoroughly before suggesting this. It's possible that the client has valid reasons for not wanting to go through with ECT, and these reasons should be addressed.

Choice D rationale:

Is disrespectful of the client's autonomy: This response suggests that the client is obligated to go through with the treatment simply because they signed a consent form. This ignores the fact that people can change their minds and that consent is an ongoing process.

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Correct Answer is B

Explanation

Choice A Reason:

Urine specific gravity: The specific gravity of 1.035 indicates concentrated urine and might be indicative of dehydration. However, the nurse should address this finding by encouraging increased fluid intake before reporting it to the provider.

Choice B Reason:

Prealbumin: The prealbumin level is 25 mg/dL. Prealbumin is a marker of nutritional status and can indicate the adequacy of protein intake and overall nutritional status. A level of 25 mg/dL is relatively low, which may suggest malnutrition or insufficient protein intake. This finding should be reported to the provider so that appropriate interventions can be initiated to address the client's nutritional needs.

Choice C Reason:

Temperature: The temperature is not mentioned in the provided information. If the temperature is within the normal range, there is no need to report it to the provider.

Choice D Reason:

Blood pressure: The blood pressure is not mentioned in the provided information. If the blood pressure is within the normal range, there is no need to report it to the provider.

It's important for the nurse to critically assess the client's medical record and prioritize the findings that require immediate attention or intervention. In this case, the low prealbumin level indicates a potential nutritional issue that needs to be addressed promptly. The nurse should communicate this finding to the healthcare provider to ensure appropriate management and care for the client.

A. “It’s okay to be nervous before this treatment.”. B. “Most people who have this procedure feel better following the treatment.”. C. “Your doctor wouldn’t have ordered this treatment unless it was necessary.”. D. “You don’t have to go through with the treatment

Correct Answer is D

No explanation

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client. Which of the following findings should the nurse report to the provider? (Click on the tabs belowfor additional information about the client. There are tabs that contain separate categories of data.) Exhibits Here

Correct Answer is B

Explanation

A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment.

Correct Answer is D

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