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. Increasing rest and sleep can be beneficial for overall well-being and can help alleviate some symptoms of mood disturbances but it is not sufficient as the initial step in addressing possible postpartum depression.
B. Using a postpartum depression-screening tool is a crucial step in assessing the client’s mental health status. This tool can help determine the severity of the symptoms and whether they meet the criteria for postpartum depression. It provides a structured way to evaluate the client’s symptoms and guide further intervention. This should be the first step in addressing the client’s reported feelings.
C. While antidepressant medication may be appropriate for treating postpartum depression if diagnosed, it is not the first step. Before prescribing medication, it is essential to conduct a thorough assessment using a screening tool to confirm the diagnosis and determine the severity of the condition.
D. Counseling can be a valuable part of treatment for postpartum depression, but it should follow an
initial assessment to confirm the presence of the condition. It is important to first evaluate the client’s symptoms using a screening tool to determine the appropriate level of intervention and to tailor the
counseling to the client’s specific needs.

A. feel foolish for thinking about suicide. B. talk about themselves. C. feel in control D. feel self-worth

Correct Answer is B

Explanation

A. Making a suicidal individual feel foolish can increase their isolation and shame, potentially exacerbating suicidal thoughts. It's essential to approach the situation with empathy and understanding.
B. Establishing therapeutic rapport encourages open communication. By creating a safe and trusting environment, the caregiver can facilitate the client to express their thoughts and feelings about suicidal ideation. This information is crucial for assessing the client's risk and developing an appropriate care plan.
C. While feeling in control can be beneficial for some individuals, it's not the primary goal of establishing therapeutic rapport with suicidal clients. The focus should be on creating a safe space for open communication and understanding the client's perspective.
D. Enhancing self-worth is a long-term goal of therapy, but it's not the immediate focus when establishing rapport with a suicidal client. The priority is to address the immediate crisis and create a safe environment for open communication.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 2 weeks postpartum. The client tells the nurse, "I feel really down and sad lately. I have no energy and I feel like I'm going to cry." Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

The caregiver works with suicidal clients to establish therapeutic rapport. The focused communications and concerned actions encourage suicidal persons to

Correct Answer is B

Explanation

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