When discussing electroconvulsive therapy (ECT) with an older, ...

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When discussing electroconvulsive therapy (ECT) with an older, chronically depressed adult and his family, which statement will the nurse use to support this intervention? (Select all that apply.)
 
  a. This treatment has been shown to be ef-fective in individuals who have not re-sponded well to antidepressant medica-tions.
  b. ECT has been found to be more effective in older adults than in younger adults.
  c. ECT is a safe intervention for those with psychotic ideation.
  d. While there may be some short-term memory loss, most individuals find that their memory comes back within a few days.
  e. ECT results in a more immediate re-sponse to symptoms.

Question 2

A nurse is assisting an older adult to cope with the loss of a spouse. The nurse encourages the person to use an emotion-focused coping strategy. Which of the following actions should the nurse take? (Select all that apply.)
 
  a. Encourage the person to cry if he or she feels like it.
  b. Teach the person relaxation breathing ex-ercises.
  c. Encourage the person to make an action plan for the future.
  d. Suggest that the person reach out to his or her clergyperson.
  e. Suggest that the person attend a yoga class.

[zoeyesther]

Answer to Question 1

ANS: A, D, E
ECT has been found to be effective in individuals who have psychotic depression and those who do not respond to antidepressant medications. ECT is equally effective in older adults as in younger adults. It is used for individuals with depression, not psychotic ideation. There is some short-term memory loss associated with ECT; however, it does resolve within a short time frame. ECT provides a more immediate response to symptoms than does medication.

Answer to Question 2

ANS: A, B, E
Expressing emotion, relaxation exercises, and exercise are all part of an emotion-focused coping strategy. Developing an action plan is part of a problem-focused coping strategy, and reaching out to clergy is part of a religious-focused coping strategy.

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