Author Question: A nurse should recognize that electroconvulsive therapy (ECT) would potentially improve the symptoms ... (Read 109 times)

Metfan725 · **on:** Jul 19, 2018

A nurse should recognize that electroconvulsive therapy (ECT) would potentially improve the symptoms of clients with which of the following diagnoses? Select all that apply.

A. Major depressive disorder
B. Bipolar I disorder: manic episode
C. Schizoaffective disorder
D. Obsessive-compulsive disorder
E. Body dysmorphic disorder

Question 2

A client with cognitive deficits is extremely suicidal. The client has not responded to antidepressants and the treatment team is considering electroconvulsive therapy (ECT).

What client information would impact the feasibility of this treatment option? A. Because the client is extremely suicidal, ECT is an appropriate option.
B. Because antidepressant medications have been ineffective, ECT is a good alternative.
C. Because informed consent is required for ECT, cognitive deficits could preclude this option.
D. Because of the client's cognitive deficits, a signed consent is waived.

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

Answer to Question 1

A, B, C
ECT has been shown to be effective in the treatment of severe depression, acute mania, and acute schizophrenia, particularly if it is accompanied by catatonic or affective (depression or mania) symptomatology. ECT has also been tried with other disorders, such as obsessive-compulsive disorder (OCD) and anxiety disorders, but little evidence exists to support its efficacy in the treatment of these conditions.

Answer to Question 2

C
A client who is experiencing cognitive deficits cannot give informed consent, which is required prior to ECT. A court proceeding could determine the client's level of competency and, if necessary, the judge would appoint a guardian.