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."
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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Related Questions
Correct Answer is B
Explanation
Rationale:
A. While inappropriate clothing might indicate a need for assessment of the client’s awareness or physical comfort, it is not as immediate a concern as the client's behavior.
B. The comment to the nurse is concerning as it may indicate disorganized thinking or potential for inappropriate behavior, which requires immediate attention for safety and therapeutic intervention.
C. A heart rate of 102/min is slightly elevated but not the most urgent issue compared to the client's behavior.
D. Elevated blood pressure should be monitored, but the priority is the client’s inappropriate behavior, which may affect safety.
Correct Answer is B
Explanation
Rationale:
A. This statement undermines the importance of therapeutic communication, which is essential in building trust and understanding with clients.
B. Therapeutic communication is indeed a fundamental part of mental health nursing and plays a crucial role in establishing a therapeutic relationship that supports the client's emotional and psychological well-being.
C. Therapeutic communication is vital in nurse-client interactions and is integral to effective mental health care, not just nurse-to-nurse communication.
D. Therapeutic communication in healthcare requires specific skills and approaches that differ from everyday conversation, emphasizing the need for sensitivity, empathy, and active listening.
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