When a client asks the nurse, How can jolting me with an ...

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When a client asks the nurse, How can jolting me with an electrical shock possibly do me any good? the answer most reflective of current biologic theory would be:
 
  1. ECT produces a change in brain chemistry that results in improved mood.
  2. ECT provides you with external punishment so you can stop punishing yourself.
  3. ECT interrupts brain impulses causing hallucinations and delusions.
  4. ECT must sound like a very frightening treatment alternative to you.

Question 2

In the ECT treatment preparation period the morning of treatment, the nurse should:
 
  1. Adequately hydrate the client
  2. Assess cognitive function
  3. Have the client exercise for 10 minutes
  4. Ensure that the client does not void

[aadams68]

Answer to Question 1

ANS: 1
Current theory regarding use of ECT is that the electrical stimulus causes electrochemical changes within the brain, resulting in increased availability of neurotransmitters at the synapses and im-provement of mood. The other options do not address current biologic theories.

Answer to Question 2

ANS: 2
Client assessment is advisable to provide a baseline against which changes resulting from ECT can be measured. While taking vital signs and performing other preparatory tasks, the nurse can assess orientation, immediate memory, thought processes, and attention span. The other options are interventions the nurse should not undertake.