Exam (elaborations)
Chapter 19. Electroconvulsive Therapy
- Course
- Psychology
- Institution
- Forest Institute Of Professional Psychology
Chapter 19. Electroconvulsive Therapy
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TownsendPMHN, 10e
Chapter 19 - ETB
abirb.com/test
Chapter 19. Electroconvulsive Therapy
MULTIPLE CHOICE
1. A nurse administers pure oxygen to a client during and after electroconvulsive therapy
(ECT). Which statement describes the rationale for this proceduraeb?irb.com/test
1. To prevent increased intracranial pressure resulting from anoxia
2. To prevent hypotension, bradycardia, and bradypnea due to electrical stimulation
3. To prevent anoxia due to medication-induced paralysis of respiratory muscles
4. To prevent blocked airway resulting from seizure activity
ANS: 3
Chapter: Chapter 19, Electroconvulsive Therapy
Objective: Identify risks associated with electroconvulsive therapy.
Page: 314
Heading: The Role of the Nurse in Electroconvulsive Therapy >
Planning/Implementation
Integrated Processes: Nursing Process
Nursing Process: Implementation
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Application [Applying]
Concept: Oxygenation
Difficulty: Moderate
Feedback
1. This is incorrect. Administering pure oxygen will not decrease increased intracranial
pressure.
2. This is incorrect. Administering pure oxygen will not prevent hypotension,
bradycardia, and bradypnea.
3. This is correct. The nurse administers 100% oxygen duringabairnb.dcoamf/t esrt ECT to
prevent anoxia due to medication-induced paralysis of respiratory muscles.
4. This is incorrect. Administering pure oxygen will not prevent an airway from being
blocked.
CON: Oxygenation
2. In which position would the nurse place the client immediately after
electroconvulsive therapy (ECT)?
1. On his or her side to prevent aspiration
,Townsend
PMHN, 10e
Chapter 19 - ETB
abirb.com/test
2. In semi-Fowler’s position to promote oxygenation
3. In Trendelenburg’s position to promote blood flow to vital organs
4. In prone position to prevent airway blockage
ANS: 1
Chapter: Chapter 19, Electroconvulsive Therapy
Objective: Describe the role of the nurse in the administration
ofaeblirebc.ctormo/cteosnt vulsive therapy.
Page: 314
Heading: The Role of the Nurse in Electroconvulsive Therapy >
Planning/Implementation
Integrated Processes: Nursing Process
Nursing Process: Implementation
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Application [Applying]
Concept: Safety
Difficulty: Moderate
Feedback
1. This is correct. After the ECT procedure, the client should be positioned on his or
her side to prevent aspiration.
2. This is incorrect. Following ECT, a client is at high risk for aspiration. The priority
is preventing aspiration and then promoting oxygenation.
3. This is incorrect. The client is at risk for aspiration followianbgirbE.cComT/teasnt d
should be placed on their side. Trendelenburg’s position would place the client
at risk for aspiration.
4. This is incorrect. The nurse should prioritize reducing the risk for aspiration by
placing the client on their side. If the client aspirates, this wabiilrlb.coamu/st esta
blocked
airway.
CON: Safety
3. Which student statement indicates that learning has occurred raebgirabr.cdoimn/gtest
electroconvulsive therapy (ECT)?
1. “During ECT, a state of euphoria is induced.”
2. “ECT induces a grand mal seizure.”
3. “During ECT, a state of catatonia is induced.”
4. “ECT induces a petit mal seizure.”
ANS: 2
Chapter: Chapter 19, Electroconvulsive Therapy
Objective: Define electroconvulsive therapy.
Page: 311
Heading: Electroconvulsive Therapy, Defined
, Townsend
PMHN, 10e
Chapter 19 - ETB
abirb.com/test
Integrated Processes: Teaching and Learning
Client Need: Physiological Integrity: Physiological Adaptation
Nursing Process: Evaluation
Cognitive Level: Evaluation [Evaluating]
Concept: Patient-Centered Care
Difficulty: Easy
Feedback
1. This is incorrect. ECT does not induce a state of euphoria; rather, it induces a grand
mal seizure.
2. This is correct. ECT is the induction of a grand mal seizure through the application
of electrical current to the brain to decrease depression.
3. This is incorrect. A state of catatonia is not induced during ECT.
4. This is incorrect. ECT does not induce a petit mal seizure.
CON: Patient-Centered Care
4. For which client would the nurse question the use of electroconvulsive therapy
(ECT)?
1. A client with schizophrenia and hypertension
2. A client with mania and seasonal allergies
3. A client with obsessive-compulsive disorder (OCD) and a histaobriryb.ocofmc/taenstcer
4. A client with major depressive disorder (MDD) who feels sad
ANS: 1
Chapter: Chapter 19, Electroconvulsive Therapy
Objective: Discuss indications, contraindications, mechanism of action, and side effects
of electroconvulsive therapy.
Page: 313
Heading: Contraindications
Integrated Processes: Nursing Process
Nursing Process: Assessment
Client Need: Safe and Effective Care Environment: Managementaboirfb.Ccoamr/etest
Cognitive Level: Analysis [Analyzing]
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1. This is correct. ECT is contraindicated in clients with untreated hypertension or heart
disease.
2. This is incorrect. ECT is used for clients with mania; seasonal allergies are not a
contraindication.
3. This is incorrect. ECT is not commonly used for OCD but acbairnb.cboem/utesset ful to
treat
OCD; it is not contraindicated for clients with a history of cancer.
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