The school nurse, who must be familiar with mental health issues, ...

[Sportsfan2111]

The school nurse, who must be familiar with mental health issues, will find child clinical disorders classified under:
 
  1. Axis II.
  2. Axis I.
  3. Axis X.
  4. Axis VII.

Question 2

A member of the client's family tells the nurse that they don't understand the choice of electroconvulsive therapy (ECT) for their mother's depression.
 
  The family member states they are worried about the damage her brain will incur from the grand mal seizure. What will the nurse teach the family members about ECT? 1. Grand mal seizures are not life threatening.
  2. They can withdraw consent at any time.
  3. ECT is a safe and effective treatment option for depression.
  4. The induced seizure lasts less than a minute.

[dawsa925]

Answer to Question 1

2
Rationale: Axis I includes all of the Adult and Child Clinical Disorders. Axis II contains the personality disorders, usually diagnosed in adults, and developmental disorders including mental retardation, diagnosed in children and adolescents. There is no Axis VII or X in the multiaxial system.

Answer to Question 2

3
Rationale: The priority information for the family is that ECT is a safe treatment option. The nurse can inform the family that ECT currently uses muscle relaxants and short-acting anesthetic agents during the procedure. The family should then be told that the ECT-induced seizure causes no tissue damage or neuronal cell loss. Most ECT clients report positive associations and relief from depression. And finally, the family should be informed that consent for the procedure is given by the client and the consent can be withdrawn at any time.