Chapter 29: Somatic Therapies

Chapter 29: Somatic Therapies

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A patient scheduled for an early-morning electroconvulsive therapy (ECT) treatment asks a nurse, “Am I going to be able to eat breakfast before I go for ECT?” Which response by the nurse is most appropriate?

ANS:  A

Patients who receive ECT treatment on an outpatient basis are asked to stay NPO for 6 to 8 hours before treatment to prevent aspiration from general anesthesia. If the patient is taking cardiac, antihypertensive, or H₂ blocker medications, he or she may do so with a small sip of water several hours before the procedure. Food and liquids can be offered as soon as the patient is awake and can swallow effectively.

DIF:    Cognitive Level: Application           REF:   Text Pages: 594-595

TOP:   Nursing Process: Implementation

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

2. A nurse is assisting in the preprocedure care of a patient scheduled for ECT (electroconvulsive therapy). Which nursing action must be taken immediately before the procedure?

ANS:  B

The nurse applies equipment necessary for patient monitoring, including blood pressure cuff and oxygen saturation probe. Mild soap is used to cleanse the areas designated for electrode placement, but shaving the areas and shampooing the hair are not required. Results of a 12-lead ECG, which should be performed well before the patient gets to the treatment area, should have been reviewed to determine risks associated with anesthesia. The consent form should be signed earlier, and there is no need to sign another consent form at this time.

DIF:    Cognitive Level: Analysis                REF:   Text Page: 598

TOP:   Nursing Process: Planning

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

3. During the ECT (electroconvulsive therapy) stimulus, the nurse supports the patient’s chin firmly against the bite-block positioned between the upper and lower teeth. The rationale for this intervention is to prevent:

ANS:  B

Although most muscles become completely relaxed during ECT, the nurse uses a bite-block between the upper and lower teeth in the patient’s mouth to prevent the patient’s jaw muscles, which are stimulated directly by ECT, from causing the teeth to clench. This prevents tooth damage and tongue or gum laceration during the stimulus.

DIF:    Cognitive Level: Comprehension     REF:   Text Page: 598

TOP:   Nursing Process: Planning

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

4. A nurse is discussing ECT (electroconvulsive therapy) treatments with a patient with chronic depression and the patient’s parents. Which is the first therapeutic comment appropriate for this situation?

ANS:  A

Educating the patient and family about ECT is a crucial nursing intervention. During the initial meeting, the nurse performs an assessment to determine the understanding of ECT by the patient and family. The nurse best accomplishes this by asking a direct assessment question that focuses on ECT knowledge. Beginning patient education with a needs-assessment question assists the nurse in organizing an effective teaching-learning plan.

DIF:    Cognitive Level: Analysis                REF:   Text Pages: 594-595

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity