A nurse is providing care for a client who is scheduled for electroconvulsive therapy. Which of the following conditions should the nurse identify as an increased risk for complications?

Choice A reason: Asking if the client informed her provider about family disagreement shifts focus from addressing her emotional needs to a procedural question. It does not facilitate therapeutic communication or explore the client’s feelings about her family’s opposition. This response fails to support the client’s autonomy or address the psychological impact of her decision, making it less effective in this context.
Choice B reason: Restating the client’s concern about family disagreement uses reflective listening, a therapeutic technique that validates her feelings and encourages further discussion. This approach fosters trust, helps the client process her emotions, and supports her autonomy in deciding on the mastectomy, aligning with patient-centered care principles for addressing sensitive decisions.
Choice C reason: Stating that the nurse would make the same decision introduces personal bias, which is inappropriate in therapeutic communication. It shifts focus from the client’s needs to the nurse’s perspective, potentially undermining the client’s autonomy. This response does not address the family’s opposition or support the client’s decision-making process, making it ineffective.
Choice D reason: Suggesting the client needs family agreement before signing consent undermines her autonomy as a competent adult. Informed consent requires only the client’s understanding and agreement, not family approval. This response dismisses the client’s decision-making capacity and fails to address her emotional concerns about family opposition, making it inappropriate.

Choice A reason: Routine health screenings are part of secondary prevention, focusing on early detection of diseases before symptoms appear. Tertiary prevention addresses management after diagnosis, so this action is misaligned with the phase, making it incorrect for the workshop content.
Choice B reason: Administering vaccinations is primary prevention, aimed at preventing diseases before they occur. Tertiary prevention involves managing existing conditions, so vaccinations do not fit this phase, making this an incorrect choice for interprofessional care focus.
Choice C reason: Developing a rehabilitation plan post-stroke is tertiary prevention, as it minimizes disability and improves function after a disease event. This collaborative effort involves multiple disciplines (e.g., PT, OT), aligning with interprofessional care goals, making it the correct choice.
Choice D reason: Educating about healthy lifestyles is primary prevention, promoting health to prevent disease onset. Tertiary prevention focuses on managing established conditions, so this action is incorrect for the tertiary phase in interprofessional collaboration.