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Test 1 Psych NCLEX Style Questions Terms in this set (19)A nurse administers pure oxygen to a client during and after electroconvulsive therapy treatment. What is the nurse's rationale for this procedure? A. To prevent increased intracranial pressure resulting from anoxia ANS: C Immediately after electroconvulsive therapy, in which position should a nurse place the client? A. On his or her side to prevent aspiration ANS: A A nursing instructor is teaching about electroconvulsive therapy (ECT). Which student statement indicates that learning has occurred? A. "During ECT a state of
euphoria is induced." ANS: B 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 treatments, a nurse should recognize the continued need for which critical intervention? A. Suicide assessment must continue throughout the ECT course of treatment. ANS: A After receiving two of nine electroconvulsive therapy (ECT) treatments, a client states, "I can't even remember eating breakfast, so I want to stop the ECT treatments." Which is the most appropriate nursing reply? A. "After you begin the course of treatments, you must complete all of them." ANS: C Immediately after an initial electroconvulsive therapy (ECT) treatment a client states, "I'm not hungry and just want to stay in bed and sleep." Based on this information, which is the most appropriate nursing intervention? A. Allow the client to remain in bed. ANS: A A nurse administers ordered preoperative glycopyrrolate (Robinul) 30 minutes prior to a client's electroconvulsive therapy (ECT) treatment. What is the rationale for administering this medication? A. Robinul decreases anxiety during the ECT procedure. ANS:
D A nursing instructor is teaching about the medications given prior to and during electroconvulsive therapy (ECT) treatments. Which student statement indicates that learning has occurred? A. "Atropine (Atro-Pen) is administered to paralyze skeletal muscles during ECT." ANS: C A client scheduled for electroconvulsive therapy (ECT) at 9:00 a.m. is discovered eating breakfast at 8:00 a.m. Based on this observation, which is the most appropriate nursing action? A. The nurse notifies the client's physician of the situation and cancels the ECT. ANS: A A client who is learning about electroconvulsive therapy (ECT) treatment asks a nurse "Isn't this treatment dangerous?" Which is the most appropriate nursing reply? A. "No, this treatment is
side-effect free." ANS: C A client experienced bradycardia during electroconvulsive therapy (ECT) treatment. A nurse assigns a nursing diagnosis of decreased cardiac output R/T vagal stimulation occurring during ECT. Which outcome would the nurse expect the client to achieve? A. The client will verbalize an understanding of the need for moving slowly after treatment. ANS: C A client states, "My doctor has told me I am a candidate for electroconvulsive therapy (ECT). Where will the treatment take place and how much time would this entail?" Which is the most accurate nursing reply? A. "Clients typically receive ECT in their hospital room, daily for 1 month." ANS:
B A client is scheduled for an initial treatment of electroconvulsive therapy (ECT). Which information should a nurse include when teaching about the potential side effects of this procedure? A. "You may experience transient tangential thinking." ANS: B When scheduling electroconvulsive therapy (ECT), which client should the nurse prioritize? A. A client in bed in a fetal position who is experiencing active suicidal ideations ANS: A A client with cognitive deficits is extremely suicidal. The client has not responded to antidepressants and the treatment team is considering electroconvulsive therapy (ECT). What client information would determine the feasibility of this treatment option? A. Because the client is extremely suicidal, ECT is an appropriate option. ANS: C A nurse should recognize that electroconvulsive therapy (ECT) would potentially improve the symptoms of clients with which of the following Axis I diagnoses? (Select all that apply.) A. Major depressive disorder ANS: A, B, C Which assessment test results should a nurse evaluate and report in the process of clearing a client for electroconvulsive therapy (ECT)? (Select all that apply.) A. Electrocardiogram graphic records ANS: A, B, D, E During a course of 12 electroconvulsive therapy (ECT) treatments, an anxious client diagnosed with major depression refuses to bathe or attend group therapy. At this time, which of the following nursing diagnoses should be assigned to this client? (Select all that apply.) A. Anxiety R/T post-ECT confusion and memory loss ANS: A, B, C, E Which of the following conditions would place a client at risk for injury during electroconvulsive therapy (ECT) treatments? (Select all that apply.) A. Severe osteoporosis ANS: A, B, D Sets with similar termsElectroconvulsive Therapy20 terms LizardKing15 Exam 1: ECT Therapy questions20 terms QWERTY3995 MH - Practice 2 of 349 terms David_Kabina PSY NURSING Chapter 2020 terms nursingstuden93 Sets found in the same folderChapter 25: Suicide and Non-Suicidal Self-Injury28 terms cac_7557 Chapter 17 Somatic Symptom Disorders27 terms cac_7557 Mood disorders54 terms grant3205PLUS Somatic Symptom and Dissociative Disorders15 terms Barbra51 Other sets by this creatorCommunity Health Nursing and Vulnerable Population…14 terms krystal_rodman nursing management of dementia6 terms krystal_rodman Nursing of the elderly6 terms krystal_rodman Dysrythmias51 terms krystal_rodman Other Quizlet setsINP Ch. 32 Stress and Coping Practice Questions24 terms amybeaudoin99 Chapter 35 Care of Patients with Cardiac Problems89 terms purplejeep262 INP Ch. 32 Stress and Coping Practice Questions25 terms hockey5025 Chapter 35 Care of Patients with Cardiac Problems91 terms christythykudam Related questionsQUESTION What are some characteristics of good research 15 answers QUESTION What are the output modalities of communication? 7 answers QUESTION The National Federation of the Blind has had braille bills passed to 15 answers QUESTION What is music therapy aiming to achieve? 7 answers What should a nurse do after ECT?Post treatment nursing care
Have the client go to a properly staffed recovery room. Once the client is awake, talk to the client and check the vital signs. Give frequent orientation and reassurance to allay confusion. Check the gag reflex before giving client fluids, medications or breakfast.
How do you care for a patient after ECT?Post-ECT Care
Transfer the patient from recovery room . record vital signs every 15 min for 30 min and once in every 30 min till the patient recover to the normal stage.
Which of the following post ECT care should be the nurse's highest priority?The highest priority for ECT should be patients who would gain the most potential benefit from the treatment (e.g. those with psychoses and involuntarily committed or with depression with high suicidality), have the potential for fast response (e.g. catatonia) and have the highest risk to life or long-term disability.
What should you assess first after ECT?Assess him for nausea, vomiting, and headaches, which are common after ECT, and administer antiemetics and analgesics as ordered. Assess his vascular access device. Administer medications such as benzodiazepines as ordered for agitation.
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