A nurse is reinforcing teaching to a client who is to undergo electroconvulsive therapy (ECT) for depression. Which of the following information should the nurse provide?

"Electrical current will flow through electrodes placed on your torso."

"It is not necessary to fast before the procedure."

"You will be awake during the procedure."

"Your provider will likely schedule you for several treatments over a period of weeks."

Answer and Explanation

The Correct Answer is D

A. "Electrical current will flow through electrodes placed on your torso." Electrodes are placed on the scalp, either bilaterally or unilaterally, rather than on the torso. These electrodes deliver a controlled electrical stimulus to induce a therapeutic seizure, which can help alleviate severe depressive symptoms.
B. "It is not necessary to fast before the procedure." Fasting is required before ECT to prevent aspiration, as the client will receive general anesthesia and a muscle relaxant. Typically, clients must avoid food and liquids for at least 6 to 8 hours prior to the procedure.
C. "You will be awake during the procedure." The client is not awake during ECT, as they receive general anesthesia and a muscle relaxant. These medications ensure the client remains unconscious and immobile throughout the procedure to enhance safety and comfort.
D. "Your provider will likely schedule you for several treatments over a period of weeks." ECT is not a one-time procedure; it is typically administered two to three times per week for a total of 6 to 12 sessions. The number of treatments varies based on the client’s response, with improvements often occurring after multiple sessions.

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Correct Answer is D

Explanation

A. Paranoid personality disorder. Paranoid personality disorder is characterized by distrust and suspicion of others without delusions or hallucinations. Individuals may misinterpret benign interactions as threatening but do not typically display magical thinking or bizarre beliefs.
B. Antisocial personality disorder. Antisocial personality disorder involves a disregard for social norms, manipulation, and lack of empathy. Individuals with this disorder do not usually exhibit delusions or claims of supernatural abilities.
C. Avoidant personality disorder. Avoidant personality disorder is marked by social inhibition, feelings of inadequacy, and hypersensitivity to criticism. These individuals avoid social situations but do not exhibit magical thinking or unusual beliefs.
D. Schizotypal personality disorder. Schizotypal personality disorder involves eccentric behavior, unusual thinking, and cognitive distortions such as magical thinking and paranoia. The belief that one can read minds is a characteristic feature of this disorder.

A. Nylon socks B. Cotton underwear C. Lace-up tennis shoes D. Glass-framed picture of the client's partner E. Necklace

Correct Answer is ["C","D","E"]

Explanation

A. Nylon socks. Nylon socks do not pose a significant risk for self-harm and can be safely kept with the client. They are not considered a ligature risk or a hazardous object.
B. Cotton underwear. Cotton underwear is not a safety concern in a mental health unit. It does not present a strangulation risk or any other immediate danger.
C. Lace-up tennis shoes. Lace-up shoes contain long laces that could be used as a ligature, posing a strangulation risk. Clients in a mental health unit are typically provided with slip-on or Velcro shoes to enhance safety.
D. Glass-framed picture of the client's partner. A glass frame poses a significant risk as it can be broken and used as a sharp object for self-harm. The nurse should ask the partner to take it home or provide a safer alternative, such as a laminated photo.
E. Necklace. A necklace can be used for strangulation, making it unsafe for a client at risk of self-harm. Removing items that could be used for ligature or harm is essential in suicide prevention.

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A nurse is reinforcing teaching to a client who is to undergo electroconvulsive therapy (ECT) for depression. Which of the following information should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who screams, "I can read your minds!" The nurse should identify this finding as a manifestation of which of the following personality disorders?

Correct Answer is D

Explanation

A nurse on an acute care mental health unit is examining the belongings of a client who is being admitted following a suicide attempt. Which of the following belongings should the nurse ask the client's partner take back home? (Select All that Apply.)

Correct Answer is ["C","D","E"]

Explanation

The nurse is assisting in the care of a client who is hyperactive, pacing down the hallway, and exhibiting poor concentration during group therapy. When collecting data, the nurse should identify that which of the following is characteristic of the client's manifestations?

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A community health nurse is creating a presentation about mood disorders for a local support group. The nurse should include which of the following as a risk factor for suicide?

A nurse is preparing to discharge a client who has been diagnosed with schizophrenia. The client asks, "I am not sure why I need to have a relapse plan." Which of the following responses should the nurse make?

A nurse is caring for a client who has depression. Which of the following noninvasive treatments should the nurse recommend to the client?

A nurse is reinforcing education to a group of clients about the process of neurotransmission. Which of the following statements about neurotransmission should the nurse make?

A nurse is caring for a client who has borderline personality disorder. Which of the following defense mechanisms is commonly used by clients who have this disorder and has the potential to create division amongst the healthcare team?

A nurse is caring for a client who has a substance use disorder. Which of the following statements by the nurse is an example of patient-centered care?