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 B

Explanation

A. This category typically involves a person who is unable or unwilling to come to terms with significant life changes or losses, such as financial difficulties, health problems, or other major life transitions. The patient in the scenario does not seem to be demonstrating a refusal to accept a diminished lifestyle but rather a reaction to a specific event, the end of her engagement.
B. This category describes a situation where the individual’s suicide attempt is not solely intended to result in death but rather is a way of expressing severe distress and seeking help. In this case, the patient’s action of calling friends and family immediately after the overdose indicates that she may have been reaching out for help and wanted others to know what she had done. This behavior aligns with a cry for help, as it reflects a desire for intervention and support rather than a determination to die.
C. This category involves a persistent and obsessive focus on suicidal thoughts or plans. While the patient has attempted suicide, the scenario described does not emphasize a long-standing preoccupation with suicide. Instead, it highlights a reaction to a recent distressing event.
D. This category is characterized by the use of suicide as a means to escape or alleviate intense emotional pain or distress. While this might be a factor in the patient’s behavior, the immediate act of calling friends and family after taking the medication suggests that her intention was more focused on seeking help than solely relieving distress.

A. To empower communities and individuals to improve mental well-being B. To increase the risk of mental illnesses C. To treat mental illnesses D. To provide resources for healthcare professionals

Correct Answer is A

Explanation

A. This is the core focus of mental health promotion programs. They aim to equip people with the knowledge, skills, and resources to enhance their mental health and resilience.
B. This is completely opposite to the goals of mental health promotion.
C. This is the focus of mental health treatment, not promotion.
D. While this is important for the overall mental health system, it's not the primary focus of mental health promotion programs, which target individuals and communities.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

What is the primary focus of mental health promotion programs?

Correct Answer is A

Explanation

A home health nurse has a patient who is taking lithium. What should be included in the teaching plan?

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