A nurse is preparing a client for electroconvulsive therapy (ECT). Which of the following client statements indicates an understanding of the procedure?

"I will be able to eat breakfast prior to my procedure."

"This procedure will cause me to have brief seizures."

"One ECT treatment will be effective for my depression."

"I will not need to have a pre-ECT workup before the procedure."

Answer and Explanation

The Correct Answer is B

Rationale:

A. Eating breakfast prior to the procedure is generally not allowed due to the requirement for anesthesia, which requires the stomach to be empty to reduce the risk of aspiration.

B. Brief seizures are a key component of ECT, as the procedure involves inducing controlled seizures to achieve therapeutic effects. This statement indicates an accurate understanding of the procedure.

C. One ECT treatment is not typically sufficient for treating depression; multiple sessions are usually required for therapeutic benefit.

D. A pre-ECT workup is necessary to ensure the client is physically prepared for the procedure and to assess any potential risks.

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Correct Answer is D

Explanation

Rationale:

A. Clients with active tuberculosis should not be placed in a room with other clients, even if they require droplet precautions, as TB requires airborne precautions.

B. While PPE protocols are important, the most critical precaution for TB is ensuring the client is in the correct environment to prevent airborne transmission.

C. Wearing gowns, masks, and gloves is important, but the most essential measure is the room's ventilation system.

D. Active tuberculosis is an airborne infectious disease, so the client should be placed in a private room with a negative pressure ventilation system to prevent the spread of the bacteria through the air.

A. "Listen attentively to a client and summarize their comments" B. "Asking questions easily answered with one-word responses is important with mental health clients." C. "Avoid asking clients direct questions regarding suicidal behaviors or thoughts." D. "Allow the client's family to attend all group therapies with the client."

Correct Answer is A

Explanation

A. Listening attentively and summarizing the client's comments are key techniques in developing a therapeutic relationship, as they demonstrate understanding, empathy, and engagement.

B. Asking questions that elicit only one-word responses limits the depth of conversation and does not encourage clients to express their feelings or concerns.

C. Avoiding direct questions about suicidal behaviors or thoughts is not appropriate, as addressing these concerns directly is crucial in assessing and ensuring client safety.

D. Allowing the client’s family to attend all group therapies may not always be appropriate, as it could impede the client’s ability to express themselves freely and might not be suitable for all therapeutic settings.

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A nurse is preparing a client for electroconvulsive therapy (ECT). Which of the following client statements indicates an understanding of the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing for the admission of client who has suspected active tuberculosis. Which of the following precautions should the nurse plan to implement to safely care for this client?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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