A nurse is preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?

Choice A reason: ECT is not contraindicated in clients with psychotic symptoms. In fact, it is often indicated for severe depression with psychotic features, catatonia, or treatment-resistant depression. Choice B reason: ECT involves the application of brief electrical stimulation to the brain via electrodes placed on the scalp. This is a standard and accurate description of the procedure. Choice C reason: ECT is frequently used in clients with suicidal ideation due to its rapid therapeutic effect, especially when other treatments have failed or are too slow. Choice D reason: ECT is performed under general anesthesia, not regional anesthesia. The client receives a muscle relaxant and is unconscious during the procedure.