Author Question: Which of the following clients is most likely to benefit from electroconvulsive therapy (ECT)? A) ... (Read 31 times)

Bernana · **on:** Jul 19, 2018

Which of the following clients is most likely to benefit from electroconvulsive therapy (ECT)?

A) A client with bipolar disorder who is not compliant with the blood testing necessary for lithium therapy
B) A man with a diagnosis of bipolar II disorder who has recently begun experiencing a manic episode
C) A woman whose major depression has not responded appreciably to antidepressants
D) A client whose recent strange behavior has been attributed to cyclothymic disorder

Question 2

Marlene is a 26-year-old woman whose family describes her as being very, very different. She has a history of periods of unpredictable behavior and disregard for consequences, which tend to occur a few times each year.

Marlene has recently been diagnosed with bipolar I disorder, a problem that is characterized by what?

A) The presence of objective signs of depression without the presence of anhedonia
B) An elevated mood that lasts for at least one week
C) Failure to respond to conventional pharmacological treatments for mood disorders
D) The client's admission of a mood disorder

atrochim · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: C
While ECT is used to treat an increasing range of psychiatricmental health problems, individuals with major depression are often among the best candidates for the treatment. ECT would not be used as a response to noncompliance, and a person who is currently experiencing a manic episode is less commonly treated with ECT. Cyclothymic disorder is less severe than bipolar II disorder and is consequently less likely to warrant ECT.

Answer to Question 2

Ans: B
During manic episodes that characterize bipolar disorder, the individual exhibits an abnormal, persistently elevated, or irritable mood that lasts for at least 1 week. Failure to respond to treatment, the presence of signs of depression without anhedonia, and the client's admission of a mood disorder are neither diagnostic nor typical of bipolar disorder.