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. This statement may indicate prolonged grief or depression but does not specifically point to the guilt or distress seen in traumatic grief.

B. This describes a physiological response to flashbacks, which is more indicative of post-traumatic stress disorder (PTSD) rather than traumatic grief.

C. This statement reflects emotional suppression, which can be common in military culture but does not directly indicate traumatic grief.

D. Expressing survivor's guilt, as in feeling that they should have died instead of their friend, is a hallmark of traumatic grief and indicates the client is struggling with the loss in a deeply distressing way.

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

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Explanation

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Correct Answer is A

Explanation

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