Which client would be a candidate for Electroconvulsive Therapy (ECT)?

A severely depressed client with history of a brain tumor

A client with severe, long-lasting depression

A client with mild depression

A severely depressed client with congestive heart failure

Answer and Explanation

The Correct Answer is B

A.   A history of a brain tumor does not automatically exclude a person from ECT, but it requires careful consideration and evaluation. It would be essential to conduct a thorough assessment, including imaging studies and consultations with specialists, to ensure that ECT would be safe and appropriate in this context.
B.   This option is a strong candidate for ECT. ECT is particularly effective for individuals with severe, treatment-resistant depression, especially when other interventions such as medication and psychotherapy have not been successful. ECT is often considered when depression is severe, persistent, and significantly impairs functioning or poses a risk to life.
C.   ECT is generally not indicated for mild depression. The treatment is typically reserved for more severe cases where other forms of treatment have failed or when rapid response is necessary. Mild depression can often be managed effectively with psychotherapy, medication, or a combination of both, without the need for ECT.
D.   While ECT can be considered for individuals with severe depression and underlying medical conditions, congestive heart failure (CHF) adds a layer of complexity. However, ECT can still be considered if the potential benefits outweigh the risks, and if the patient is carefully monitored and managed by a multidisciplinary team.

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Correct Answer is C

Explanation

A. During depressive episodes, individuals often experience psychomotor retardation, which can manifest as slow and sluggish movements. In contrast, the manic stage is marked by heightened energy and activity levels.
B. Feelings of extreme sadness and hopelessness are characteristic of the depressive stage of bipolar disorder. During manic episodes, individuals typically experience elevated mood, which might be euphoric, irritable, or excessively optimistic, rather than feelings of sadness or hopelessness.
C. This is a hallmark of the manic stage of bipolar disorder. During a manic episode, individuals often have significantly increased energy levels, engage in numerous activities, and may exhibit restlessness.
This heightened activity can include impulsive or risky behaviors, excessive talking, and a reduced need for sleep.
D. Loss of appetite and weight loss are more commonly seen during depressive episodes of bipolar disorder. During manic episodes, individuals might experience an increased appetite or engage in disinhibited eating behaviors, which contrasts with the decreased appetite often observed in depressive stages.

A. reduce symptoms and inappropriate behaviors B. help the client to adjust to antidepressants. C. develop a plan for treatment. D. reduce uncooperative behaviors.

Correct Answer is A

Explanation

A. This is the primary goal of the first phase of depression treatment. It focuses on stabilizing the client's condition and alleviating the most distressing symptoms, such as sadness, loss of interest, and changes in sleep and appetite.
B. While medication is often part of the treatment plan, it's not the primary focus of the initial phase. The goal is to address the symptoms first.
C. This is more relevant to the later stages of treatment when the client's condition has stabilized.
D. This is too narrow a focus. The goal is to address the underlying depression and its associated symptoms, not just specific behaviors.

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Which client would be a candidate for Electroconvulsive Therapy (ECT)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a characteristic of the manic stage of bipolar disorder?

Correct Answer is C

Explanation

The goal of treatment during the first phase of depression is to:

Correct Answer is A

Explanation

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Theories that view depression as a group of learned responses are called theories.

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What is the primary reason for monitoring lithium levels every two to three days until a therapeutic level is obtained?

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When practicing therapeutic communication with a client, the nurse demonstrates which of the following listening skills?

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