A nurse is reinforcing teaching to a client who is to undergo transcranial magnetic stimulation (TMS) for depression. Which of the following information should the nurse provide?

"The procedure will take about 2 hours."

"Most people only require one treatment to eliminate their depression."

"You may experience a mild headache following the procedure."

"You will be asleep during the procedure."

Answer and Explanation

The Correct Answer is C

A. "The procedure will take about 2 hours.": A typical transcranial magnetic stimulation (TMS) session lasts about 30 to 40 minutes. The treatment is conducted on an outpatient basis, allowing clients to resume daily activities immediately afterward.
B. "Most people only require one treatment to eliminate their depression.": TMS is typically administered in multiple sessions over several weeks. A full course usually consists of daily treatments for four to six weeks to achieve significant symptom improvement.
C. "You may experience a mild headache following the procedure.": Mild headaches and scalp discomfort are common side effects of TMS due to repeated magnetic pulses stimulating the brain. These effects are generally temporary and can be managed with over-the-counter analgesics.
D. "You will be asleep during the procedure.": TMS does not require sedation or anesthesia. Clients remain awake and alert during the procedure, as the treatment is noninvasive and does not cause significant discomfort requiring sedation.

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Correct Answer is A

Explanation

A. Suspiciousness of others: Paranoid personality disorder is characterized by pervasive distrust and suspicion of others, leading to difficulty forming relationships. Clients may misinterpret benign actions as malicious and hold long-standing grudges.
B. Requiring frequent reassurance from others: This is more characteristic of dependent personality disorder, where individuals struggle with self-confidence and rely on others for decision-making and emotional support.
C. Inflated sense of self: This is commonly seen in narcissistic personality disorder, where individuals display grandiosity, a need for admiration, and a lack of empathy for others.
D. Lack of feelings of remorse: This trait is associated with antisocial personality disorder, where individuals exhibit disregard for the rights of others, manipulative behavior, and a lack of guilt or remorse for their actions.

A. Cyclothymic disorder B. Postpartum depression C. Premenstrual dysphoric disorder D. Bipolar disorder

Correct Answer is C

Explanation

A. Cyclothymic disorder: Cyclothymic disorder involves chronic mood instability with alternating hypomanic and depressive symptoms for at least two years. These mood fluctuations occur independently of the menstrual cycle and do not meet the criteria for major mood episodes.
B. Postpartum depression: Postpartum depression occurs within weeks to months after childbirth and presents with persistent sadness, fatigue, and emotional distress. It is unrelated to the menstrual cycle and requires medical treatment such as therapy and antidepressants.
C. Premenstrual dysphoric disorder: Premenstrual dysphoric disorder is marked by mood disturbances, including depressed mood, irritability, and anxiety, occurring in the luteal phase before menstruation. Symptoms resolve after menstruation begins, and treatment may include SSRIs, hormonal therapy, or lifestyle modifications.
D. Bipolar disorder: Bipolar disorder involves episodes of mania and depression that are unrelated to hormonal changes in the menstrual cycle. Manic episodes present with impulsivity and grandiosity, while depressive episodes cause low energy and anhedonia, requiring mood stabilizers.

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A nurse is reinforcing teaching to a client who is to undergo transcranial magnetic stimulation (TMS) for depression. Which of the following information should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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