ATI RN Mental Health Nursing Modules Ch. 10 Notes
A nurse is planning care for a client following surgical implantation of a vagus nerve stimlation (VNS) device. The nurse should plan to monitor for which of the following adverse effects? (SATA) A. Voice changes B. Seizure activity C. Disorientation D. Dysphagia E. Neck pain ATI RN Mental Health Nursing Modules Ch. 10 Notes
*A, D, E*: All that is associated with the neck area is expected. ATI RN Mental Health Nursing Modules Ch. 10 Notes
A charge nurse is discussing transcranial magnetic stimulation (TMS) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? A. "TMS is indicated for clients whose depression is not relieved by medication." B. "I will provide postanesthesia care following TMS." C. "TMS is usually performed as an outpatient procedure." D. "I will schedule the client for daily TMS treatments for the first several weeks." ATI RN Mental Health Nursing Modules Ch. 10 Notes
*B*: Postanesthesia care is not necessary because the client does not receive anesthesia and is alert during the procedure. ATI RN Mental Health Nursing Modules Ch. 10 Notes
A nurse is leading a peer group discussion about the indications for electroconvulsive therapy (ECT). Which of the following is appropriate to include in the discussion? A. Borderline personality disorder B. Acute withdrawal related to substance use disorder C. Bipolar disorder with rapid cycling D. Dysthymic disorder ATI RN Mental Health Nursing Modules Ch. 10 Notes
*C*: ECT is indicated for the treatment of bipolar disorder with rapid cycling. ATI RN Mental Health Nursing Modules Ch. 10 Notes
A nurse is assessing a client immediately following an electroconvulsive therapy (ECT) proceedure. Which of the following are expected findings? (SATA) A. Hypotension B. Paralytic ileus C. Memory loss D. Nausea E. Tachycardia ATI RN Mental Health Nursing Modules Ch. 10 Notes
*C, D, E*: BP is expected to be elevated. ATI RN Mental Health Nursing Modules Ch. 10 Notes
A nurse is providing teaching for a client who is scheduled to receive electroconvulsive therapy (ECT) for the treatment of major depressive disorder. Which of the following client statements indicates understanding of the teaching? A. "It is common to treat depression with ECT before trying medications." B. "I can have my depression cured if I receive a series of ECT treatments." C. "I will have seizures lasting 1 1/2 to 2 minutes during ECT." D. "I will receive a muscle relaxant to protect me from injury during ECT." ATI RN Mental Health Nursing Modules Ch. 10 Notes
D: ECT: for major depressive disorder not responsive to meds, ↓ incidence and relapse of depression, causes seizures of 25-60 seconds. A muscle relaxant, such as succinylcholine (Anectine), is administered to reduce the risk of injury during induced seizure activity. ATI RN Mental Health Nursing Modules Ch. 10 Notes