A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take?

Tell the client he cannot refuse the treatment because he was involuntarily committed.

Inform the client that ECT does not require client consent.

Document the client's refusal of the treatment in the medical record.

Ask the client's family to encourage the client to receive ECT.

Answer and Explanation

The Correct Answer is C

The nurse should respect and document the client's right to refuse treatment, even if he was involuntarily committed, unless there is a court order for ECT. The nurse should not coerce, misinform, or pressure the client to receive ECT against his will. 22.

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Correct Answer is B

Explanation

The client's statement reflects a loss of interest and pleasure in life, which is a major symptom of clinical depression. The other statements are normal expressions of grief that do not necessarily indicate depression, although they may warrant further assessment and support from the nurse.

A. "How have you dealt with stress in the past?" B. "Are you thinking of harming yourself?" C. "Let's talk more about what you are experiencing." D. "Tell me what makes you feel stressed."

Correct Answer is B

Explanation

The nurse should make safety a priority and assess the client's risk for suicide first, before exploring other aspects of the client's stress level. The client's statement indicates hopelessness and despair, which are warning signs of suicidal ideation.

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A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression?

Correct Answer is B

Explanation

A nurse is conducting an admission interview with a new client who tells the nurse, "My life is so stressful. I can't take it anymore." Which of the following responses should the nurse make first?

Correct Answer is B

Explanation

A nurse is reviewing the medication administration record of a client who has major depressive disorder and a new prescription for selegiline. The nurse should recognize that which of the following client medications is contraindicated when taken with selegiline?

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A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should the nurse expect?

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