A nurse is reinforcing teaching with a client who is scheduled for electroconvulsive therapy (ECT) for major depressive disorder. Which of the following statements should the nurse include in the teaching?
Explanation & Rationale
A. "Based on your admission, this procedure is mandatory.": ECT is a voluntary treatment, and informed consent is required. Stating it is mandatory is misleading and violates ethical and legal standards. B. "You only need to receive this treatment once.": ECT is typically administered in a series of treatments, often multiple sessions per week for several weeks, depending on the client’s response. One session is usually insufficient for therapeutic effect. C. "You will be sedated during the procedure.": ECT is performed under general anesthesia with a short-acting sedative and a muscle relaxant. Teaching the client that they will be sedated prepares them for the procedure, reduces anxiety, and ensures informed consent. D. "The procedure will have no lingering effects.": ECT can have side effects, including short-term memory loss, confusion, and headache. Telling the client there are no lingering effects is inaccurate and could result in unmet expectations or mistrust.