A nurse is educating a client about possible causes of their depressed mood. Which of the following client statements indicates an understanding of the teaching?
"My elevated heart rate could be the cause of my depressed mood."
"My renal dysfunction could be the cause of my depressed mood."
"My high blood pressure could be the cause of my depressed mood."
"The stress from my new job could be the cause of my depressed mood."
The Correct Answer is D
Rationale:
A. An elevated heart rate alone is not commonly associated with depression.
B. While renal dysfunction can impact mood, the direct link between it and depression is not as strong as other factors.
C. High blood pressure is not a direct cause of depression, though it can contribute to overall health issues.
D. Stress from a new job is a common and recognizable factor that can lead to or exacerbate depressive symptoms, showing an understanding of how situational stress can impact mood.
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Correct Answer is B
Explanation
Rationale:
A. Eating breakfast prior to the procedure is generally not allowed due to the requirement for anesthesia, which requires the stomach to be empty to reduce the risk of aspiration.
B. Brief seizures are a key component of ECT, as the procedure involves inducing controlled seizures to achieve therapeutic effects. This statement indicates an accurate understanding of the procedure.
C. One ECT treatment is not typically sufficient for treating depression; multiple sessions are usually required for therapeutic benefit.
D. A pre-ECT workup is necessary to ensure the client is physically prepared for the procedure and to assess any potential risks.
Correct Answer is A
Explanation
Rationale:
A. Schizophrenia is typically diagnosed earlier in males compared to females, with onset often occurring in late adolescence to early adulthood.
B. Biologically female clients are generally diagnosed later in life compared to males.
C. Schizophrenia is rarely diagnosed in individuals under the age of 12; it commonly presents in late adolescence or early adulthood.
D. People with schizophrenia are not necessarily more violent than others; rather, violence is not a defining characteristic of the disorder.