Author Question: After undergoing two of nine electroconvulsive therapy (ECT) procedures, a client states, I can't ... (Read 54 times)

schs14 · **on:** Jul 19, 2018

After undergoing two of nine electroconvulsive therapy (ECT) procedures, a client states, I can't even remember eating breakfast, so I want to stop the ECT. Which is the most appropriate nursing reply?

A. After you begin the course of treatments, you must complete all of them.
B. You'll need to talk with your doctor about what you're thinking.
C. It is within your right to discontinue the treatments, but let's talk about your concerns.
D. Memory loss is a rare side effect of the treatment. I don't think it should be a concern.

Question 2

A chronically depressed and suicidal client is admitted to a psychiatric unit. The client is scheduled for electroconvulsive therapy (ECT). During the course of ECT, a nurse should recognize the continued need for which critical intervention?

A. Suicide assessment must continue throughout the ECT course.
B. Antidepressant medications are contraindicated throughout the ECT course.
C. Discourage expressions of hopelessness throughout the ECT course.
D. Encourage a high-caloric diet throughout the ECT course.

aruss1303 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
The client has the right to terminate treatment. This nursing reply acknowledges this right but focuses on the client's concerns so that the nurse can provide needed information.

Answer to Question 2

A
ECT is an intervention for major depression that often includes suicidal ideations as a symptom. Continued suicide assessment is needed because mood improvement due to ECT may cause the client to act on suicidal ideations.