Which client is most likely to benefit from electroconvulsive therapy (ECT)?

A client with bipolar disorder who is not compliant with the blood testing necessary for lithium therapy.

A client with a diagnosis of bipolar disorder who has recently begun experiencing a manic episode.

A client whose recent strange behavior has been atributed to cyclothymic disorder.

A client whose major depression has not responded appreciably to antidepressants.

Answer and Explanation

The Correct Answer is D

Choice A reason: This choice is incorrect. Non-compliance with blood testing does not typically indicate a need for ECT.
Choice B reason: This choice is incorrect. A recent onset of a manic episode is usually managed with medication adjustments, not ECT.
Choice C reason: This choice is incorrect. Cyclothymic disorder is a milder form of bipolar disorder and is not typically treated with ECT.
Choice D reason: This is the correct choice. ECT is often considered for clients with severe depression that is resistant to medication.

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Correct Answer is A

Explanation

Choice A reason: This choice is incorrect as it dismisses the client's feelings and implies a timeline for grief, which can impede communication.

Choice B reason: This choice is appropriate as it oﬀers support and presence, which can facilitate communication.

Choice C reason: This choice is empathetic and acknowledges the client's feelings, promoting communication.

Choice D reason: This choice is open-ended and invites the client to share more, which can enhance communication.

A. The client has multiple motor tics and several vocal tics. B. The client becomes overly atached to those around them. C. The client spends time alone and shows litle interest in making friends. D. The client has an irresistible urge to pull out their own hair.

Correct Answer is C

Explanation

Choice A reason: Multiple motor and vocal tics are more indicative of Tourete syndrome, not autism spectrum disorder.
Choice B reason: Overly atached behavior is not typically associated with autism spectrum disorder; individuals with ASD may struggle with social atachments.
Choice C reason: This is the correct choice. Individuals with autism spectrum disorder often display a preference for solitary activities and may have difficulty forming friendships.
Choice D reason: An irresistible urge to pull out one's hair is characteristic of trichotillomania, not autism spectrum
disorder.

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Which client is most likely to benefit from electroconvulsive therapy (ECT)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is talking with a client who states, "I am so sad today, it is the anniversary of my parent's death." Which response by the nurse may impede the communication process between the nurse and client?

Correct Answer is A

Explanation

A 9-year-old client who has been diagnosed with autism spectrum disorder would be expected to display which behavior?

Correct Answer is C

Explanation

The geriatrician has prescribed medication for an 80-year-old client to treat the client's dementia. Which teaching points should the nurse provide to the client's spouse about the new medication?

Which is necessary as a defining feature of mental illness?

The nurse is educating a client and family regarding the eﬀects of antipsychotic medications. Which extrapyramidal symptoms that may be caused by antipsychotic drugs will the nurse include in the education plan? Select all that apply.

A client is experiencing a panic atack while in the recreation room. Which intervention(s) would be a priority to promote the client's safety?

Safety is the nursing priority for a client who is at risk for alcohol withdrawal. A care plan for the client who is in withdrawal must include which nursing interventions?

A nurse is discussing strategies to develop nurse-client therapeutic relationships with a newly licensed nurse. Which statement by the nurse accurately describes strategies for building a therapeutic relationship?

The nurse is teaching the client with obsessive-compulsive disorder about reducing anxiety. Which would the nurse not include in teaching?

A client recovering from a substance use disorder reports feelings of anxiety. Which activity would the nurse recommend to avoid?