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. Dementia related to HIV infection typically involves more neurological symptoms and may include other systemic symptoms.

B. Prion disease (e.g., Creutzfeldt-Jakob disease) usually involves rapid progression and severe neurological decline rather than just sleep and appetite issues.

C. Traumatic brain injury can cause various cognitive issues but is not specific to a particular type of dementia with these symptoms.

D. Frontotemporal lobar dementia often presents with changes in behavior, personality, and difficulty with concentration and can include symptoms like lack of sleep and appetite changes.

A. Cognitive behavioral therapy B. Deep-brain stimulation C. Electroconvulsive therapy D. Vagal nerve stimulation

Correct Answer is A

Explanation

Rationale:

A. Cognitive behavioral therapy (CBT) is a noninvasive, evidence-based treatment for depression. It helps clients identify and change negative thought patterns and behaviors that contribute to their depression.

B. Deep-brain stimulation is an invasive procedure used for treatment-resistant depression and other neurological conditions.

C. Electroconvulsive therapy (ECT) is a noninvasive but more intensive treatment often used for severe or treatment-resistant depression. However, it is generally not the first line of treatment.

D. Vagal nerve stimulation is a more invasive treatment, typically reserved for cases where other treatments have failed.

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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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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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