A nurse is reinforcing teaching with a client who is scheduled to receive electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?

"The most common adverse effects of ECT are related to the anesthesia."

"You might feel a bit confused and disoriented when you first wake up."

"You should expect to have ECT once per week for 6 weeks."

"You may experience muscle cramping from the induced seizure."

Answer and Explanation

The Correct Answer is B

Electroconvulsive therapy (ECT) is a procedure used to treat certain mental health conditions. When providing teaching to a client scheduled to receive ECT, it is important to provide accurate information about what they can expect during and after the procedure.

The statement "You might feel a bit confused and disoriented when you first wake up" is important because confusion and disorientation are common side effects of ECT. Clients often experience some memory loss and temporary cognitive impairment after the procedure, which can cause these symptoms. By preparing the client for these potential effects, the nurse helps reduce anxiety and ensures that the client understands what is considered normal post-ECT.

Incorrect:

A. "The most common adverse effects of ECT are related to the anesthesia." While anesthesia is used during ECT to ensure the client's comfort and safety, the most common adverse effects of ECT are related to the procedure itself, such as memory loss and cognitive changes.

C. "You should expect to have ECT once per week for 6 weeks." The frequency and duration of ECT treatments vary depending on the individual client's condition and treatment plan. It is not appropriate to provide a specific treatment schedule without knowing the client's unique circumstances.

D. "You may experience muscle cramping from the induced seizure." Muscle cramping is not a common adverse effect of ECT. The induced seizure is typically brief and controlled, and muscle relaxants are administered to prevent any excessive muscle activity during the procedure.

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Correct Answer is A

Explanation

When assisting with the admission of a client who reports feeling depressed, sad, moody, and overly anxious, the nurse should prioritize assessing the client's suicide risk. This is because the client's symptoms, particularly feelings of depression and anxiety, can indicate a higher risk for self-harm or suicide. Assessing suicide risk is crucial to ensure the client's safety and provide appropriate interventions if needed.

incorrect:

B. Coping abilities: While assessing coping abilities is important to understand how the client manages stress and emotional challenges, it is secondary to assessing suicide risk. Coping abilities can be explored in subsequent assessments to determine the client's resilience and available resources for support.

C. Psychiatric history: Although understanding the client's psychiatric history is relevant for comprehensive care, it may not be the most immediate concern during the admission process. Assessing suicide risk takes precedence to ensure the client's safety.

D. Support systems: While assessing the client's support systems is valuable for understanding the available network of support, it should not take priority over assessing suicide risk. The client's immediate safety and potential need for intervention require immediate attention.

A. Share personal information to help the client feel comfortable. B. Develop an emotional commitment to the client. C. That he reminds the nurse of a personal friend or relative D. Maintain boundaries with the client regarding personal space.

Correct Answer is D

Explanation

It is important for the nurse to establish and maintain appropriate professional boundaries with the client. This includes respecting the client's personal space and privacy. By maintaining appropriate boundaries, the nurse ensures a therapeutic and professional relationship that focuses on the client's needs and promotes their well-being.
The other options are not appropriate when developing a relationship with the client:

1. Share personal information to help the client feel comfortable: While it is important to build rapport and create a supportive environment, sharing personal information may blur professional boundaries and divert the focus from the client to the nurse. The therapeutic relationship should primarily revolve around the client's needs and experiences.
2. Develop an emotional commitment to the client: While empathy and compassion are essential in providing care, it is important for the nurse to maintain professional objectivity. Developing an emotional commitment can make it challenging for the nurse to maintain appropriate boundaries and could lead to potential ethical issues.
3. He reminds the nurse of a personal friend or relative: It is important for the nurse to remain unbiased and treat each client as an individual. Drawing comparisons or associations with personal acquaintances can influence the nurse's objectivity and professionalism in providing care.

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A nurse is reinforcing teaching with a client who is scheduled to receive electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on an inpatient mental health unit is assisting with the admission of a client who reports feeling depressed, sad, moody, and overly anxious. Which of the following assessments should the nurse make first?

Correct Answer is A

Explanation

A nurse is caring for a client who has a major depressive disorder. Which of the following actions should the nurse take when developing a relationship with the client?

Correct Answer is D

Explanation

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