Which client would the nurse expect to prepare for electroconvulsive therapy (ECT)?
A male client with severe long-lasting major depression and at risk for suicide
A male client with major depressive disorder and history of heart disease
A female client with dysthymic disorder
A female client with major depression and brain metastasis
The Correct Answer is A
A. ECT is often considered for severe major depression that has not responded to other treatments, especially when there is a risk of suicide. ECT can provide rapid relief of symptoms, which is crucial in cases where immediate intervention is needed to prevent harm to the patient.
B. While ECT is generally safe for individuals with medical conditions, including heart disease, special precautions might be needed. However, the presence of heart disease alone would not necessarily preclude ECT if the benefits outweigh the risks and if the client's cardiac status is stable.
C. Dysthymic disorder, characterized by persistent depressive symptoms that are less severe than major depression, typically does not warrant ECT. ECT is usually reserved for more severe forms of depression that significantly impair daily functioning or pose a risk to the patient's safety.
D. ECT may be contraindicated or require careful consideration in clients with brain metastasis due to potential risks related to increased intracranial pressure or neurological complications. Alternative treatments may be preferred in such cases.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
C. Hypochondriasis can strain interpersonal relationships due to excessive preoccupation with health concerns, frequent doctor visits, and seeking reassurance from others.
D. Hypochondriasis often follows a chronic course with periods of intense anxiety about health alternating with periods of relative calm. Despite reassurances and negative medical tests, individuals with hypochondriasis may continue to worry about their health
A. Hypochondriasis typically develops in adulthood rather than childhood. It involves persistent anxiety about health and the interpretation of normal bodily sensations as signs of serious illness. Childhood is less commonly associated with the onset of hypochondriasis.
B. While stress can exacerbate symptoms of hypochondriasis, it is not typically diagnosed immediately following a specific stressor. The disorder often develops gradually over time due to a combination of factors, including anxiety, personality traits, and past experiences with illness.
E. There is no consistent evidence suggesting that exposure to serious illness in childhood predisposes individuals to hypochondriasis. The disorder is more associated with individual psychological factors, cognitive biases, and anxiety sensitivity rather than childhood illness exposure.
Correct Answer is B
Explanation
B. Sertraline is a commonly prescribed SSRI used to treat depression, anxiety disorders, obsessive- compulsive disorder (OCD), and other conditions. It works by increasing the levels of serotonin in the brain, which helps improve mood and reduce symptoms of depression.
A. Lorazepam is a benzodiazepine used primarily for its anxiolytic (anti-anxiety) effects. It is not an SSRI and is not typically prescribed as a first-line treatment for depression.
C. Amitriptyline is a tricyclic antidepressant (TCA), not an SSRI. TCAs are older antidepressants that work on multiple neurotransmitter systems, including serotonin, but they are less commonly prescribed as first-line treatment due to their side effect profile.
D. Clonazepam is also a benzodiazepine used for treating anxiety disorders and certain types of seizures. Like lorazepam, it is not an SSRI and is not typically used as a first-line treatment for depression.
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