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    Ati mental health assessment proctored exam

    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?

    Explanation & Rationale

    A reason: "ECT is contraindicated in clients who have psychotic symptoms." ECT is not contraindicated in clients with psychotic symptoms. In fact, ECT can be an effective treatment for certain types of severe mental illnesses, including those with psychotic features, particularly when other treatments have failed. B reason: "ECT is delivered through electrodes attached to the head." This statement accurately describes a key aspect of the ECT procedure. Electrodes are placed on the client's scalp to deliver electrical impulses, which induce a brief seizure intended to alleviate symptoms of major depressive disorder. C reason: "ECT cannot be administered to clients who have suicidal ideation." ECT can be administered to clients with suicidal ideation and is sometimes used when rapid improvement in mood and reduction of suicidal thoughts are needed. It can be an effective treatment option in such cases. D reason: "ECT is conducted under regional anesthesia." ECT is actually conducted under general anesthesia, not regional anesthesia. General anesthesia ensures the client is unconscious and does not feel pain during the procedure.

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