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While hospitalization may be part of a relapse plan, its purpose is broader than just explaining hospitalization; focusing only on this may limit the client’s understanding.

Coping strategies for community living are important but are only one aspect of a relapse plan; the primary focus is on preventing or managing symptom relapse.

Addressing living, housing, and working needs relates more to a comprehensive care plan, not specifically a relapse plan.

Multiple ECT treatments are typically required to achieve therapeutic effects; one session is rarely sufficient for depression.

Clients are usually NPO (nothing by mouth) for several hours prior to ECT to reduce the risk of aspiration during anesthesia.

A pre-ECT workup, including physical exam, lab tests, and sometimes ECG, is required to ensure client safety before anesthesia and the procedure.

Beneficence involves actions that promote the well-being of clients, such as administering effective treatments, providing comfort measures, or implementing interventions that improve health outcomes. While the nurse’s question may indirectly support well-being, beneficence focuses more on actively doing good rather than offering choice.

Nonmaleficence is the principle of avoiding harm or preventing injury to clients. It guides nurses to consider potential risks of interventions and minimize harm, but it does not directly relate to offering clients options about scheduling.

Justice pertains to fairness, equality, and equitable distribution of healthcare resources and services. Ensuring all clients have equal access to therapy is an example, but the nurse asking about preference is not addressing fairness or allocation of resources.

Regression involves reverting to earlier developmental behaviors (e.g., childish or dependent actions) under stress, but it does not typically cause division among staff.

Denial is the refusal to acknowledge reality or facts of a situation. While it can affect treatment adherence, it does not usually create interpersonal conflict among caregivers.

Reaction formation is the expression of behavior that is opposite to true feelings (e.g., acting overly friendly toward someone the client dislikes). While it may be confusing, it generally does not have the same divisive effect on the healthcare team as splitting.

Family studies indicate that mental illness often has a genetic component, so stating there is no genetic association is inaccurate.

While regular healthcare appointments can help with early identification and management, mental illness cannot be completely prevented solely through routine care; genetics and environmental stressors also play significant roles.

Twin studies show that both genetics and environmental factors, including stress, contribute to mental illness, so claiming stress is unrelated is incorrect.

A client with premenstrual dysphoric disorder is typically stable once admitted and is unlikely to have immediate safety concerns, so they do not require first priority.

A client on day 2 with disruptive mood dysregulation disorder may have mood instability, but unless there are acute safety concerns, they are not the highest priority.

A client with dysthymic disorder has a chronic, mild depression and is usually medically stable, making them a lower priority for initial assessment.