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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While adolescents may have a high rate of suicide attempts, their attempts are not typically as fatal as those in older adults. This is often due to less lethal methods being used, lower intent, and less access to means. Suicide attempts among adolescents tend to have a lower success rate compared to older adults.
B. Young adults also have a notable rate of suicide attempts, but the lethality of these attempts is generally lower compared to older adults. The methods used by young adults may not be as immediately fatal or decisive as those used by older adults.
C. Older adults have a higher success rate in suicide attempts, with a significant portion of attempts resulting in death. One reason for this is that older adults are more likely to use highly lethal methods, such as firearms or overdoses of medication. Additionally, older adults may have a more determined intent to die, and their methods are often more effective at causing death.
D. Middle-aged adults do have a significant rate of suicide attempts, and their attempts are more likely to be fatal than those of adolescents or young adults. However, the success rate is still generally lower than that of older adults.
Correct Answer is C
Explanation
A. While this is positive reinforcement, it doesn't directly address the client's expression of gratitude. It's important to acknowledge the client's feelings first.
B. This response avoids the client's expression of gratitude and shifts the focus to the nurse.
C. This response acknowledges the client's expression of gratitude and opens up a dialogue about their feelings about discharge. It allows the nurse to provide support and address any concerns the client might have.
D. This response assumes the client's feelings and doesn't allow for the expression of other emotions. The client might not be excited about discharge for various reasons.
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