Author Question: An elderly client, unable to tolerate most antidepressant medications because of adverse effects, is ... (Read 34 times)

asan beg · **on:** Jul 22, 2018

An elderly client, unable to tolerate most antidepressant medications because of adverse effects, is scheduled for electroconvulsive therapy. Which of the following should the nurse instruct this client?

1. Learn to write everything down, since memory loss with the treatment is permanent.
2. The treatments are known to help some but not all people with depression.
3. These treatments will cure the depression.
4. Participating in psychotherapy with some medication therapy will need to be continued after the treatments.

Question 2

The nurse is conducting an assessment of an 8-year-old client and is preparing to check the child's ears. The nurse prepares the child for this examination by:

1. Having the child sit on the parent's lap.
2. Asking the child to tilt the head.
3. Having the child practice with the equipment.
4. Telling the child the examination will not hurt.

yuyiding · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4. Participating in psychotherapy with some medication therapy will need to be continued after the treatments.

Rationale:
The nurse should instruct the client to expect to participate in psychotherapy with some medication therapy after the treatments since electroconvulsive therapy does not cure depression. The client may experience memory loss after treatment; however, it is transient. The nurse does not need to instruct the client to write everything down because of permanent memory loss. Because of other health conditions and intolerance to antidepressant medications, electroconvulsive therapy is very helpful for the elderly client with depression.

Answer to Question 2

3. Having the child practice with the equipment.

Rationale:
The best way to get the child of this age to cooperate is to let the child handle the equipment and perhaps use the equipment on a doll. This shows dignity for the child and helps allay any physical fears the child might have. The nurse would have a younger child sit on the parent's lap. Tilting the head does not gain the child's cooperation. Most children of this age need to see for themselves that the procedure will not hurt. Simply telling the child will not work.