An older adult client is scheduled for electroconvulsive therapy ...

[Arii_bell]

An older adult client is scheduled for electroconvulsive therapy (ECT) for the treatment of depression. Which instructions will the nurse include regarding this therapy? Select all that apply.
 
  A) Participation in psychotherapy with some medication therapy often needs to be continued after the treatments.
  B) These treatments will cure the depression.
  C) Long term memory loss often occurs after receiving ECT.
  D) The treatments are known to help some but not all people with depression.
  E) You will need to stop eating and drinking four hours prior to the therapy session.

Question 2

The client states to the nurse, I have been having trouble sleeping since my boyfriend died unexpectedly 3 weeks ago.
 
  The client also confides that the boyfriend was married and they were seeing each other secretly. For which reason is the client most likely experiencing sleeping difficulty when grieving?
  A) External grief
  B) Chronic grief
  C) Abbreviated grieving
  D) Disenfranchised grieving

[deja]

Answer to Question 1

Answer: A, D, E

The nurse should provide information to the client regarding ECT treatment for depression. ECT will not cure depression. It is often used in conjunction with psychotherapy and medication therapy. Short term memory loss is expected but long term memory loss is not. The treatment is known to help some people who experiencing depression, but not all. The client must be NPO for 4 hour prior to receiving ECT treatment.

Answer to Question 2

Answer: D

Sleep disturbances are common during the grieving period. This client is unable to grieve openly for her lost relationship, as extramarital affairs are not socially sanctioned. Abbreviated grieving is grieving that is brief but genuinely felt. This client's grief is not yet chronic, as only 3 weeks have passed. External grieving is not a recognized type of grief response.