Which patient has the greatest potential for symptom improvement after ECT (electroconvulsive therapy) treatment?
a. A patient who has a dual diagnosis of cocaine and alcohol abuse
b. A patient who appears stuporous and is diagnosed with major depression
c. A patient diagnosed with depression who exhibits a sociopathic personality disorder
d. A patient diagnosed with chronic schizophrenia who is exhibiting signs of dementia
B
ECT is effective for target behaviors such as catatonia (stupor), and hyperemotionality, severe psychosis with acute onset. ECT is used as treatment for major depression in some patients. The effects ECT has on the human brain appear to have no effect on the other conditions mentioned in the options.
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A public health nurse is participating in a health promotion campaign that has the goal of improving outcomes related to skin cancer in the community. What action has the greatest potential to achieve this goal?
A) Educating participants about the relationship between general health and the risk of skin cancer B) Educating participants about treatment options for skin cancer C) Educating participants about the early signs and symptoms of skin cancer D) Educating participants about the health risks associated with smoking and assisting with smoking cessation
The nurse is explaining the pain response process to a patient experiencing chronic pain. In which order should the nurse identify the steps in the neural pain pathway?
Choice 1. In the thalamus and cerebral cortex, the pain impulse becomes pain when the sensation reaches conscious levels and is perceived and evaluated by the person experiencing the sensation. Choice 2. Dorsal horn synapses relay impulses up the spinal cord. Spinal neurons transmit the impulses via axons that cross over to the spinothalamic tract. Choice 3. The impulses ascend the spinothalamic tracts and pass through the medulla and midbrain to the thalamus. Choice 4. A noxious stimulus is perceived by cutaneous nociceptors and then transmitted through A-delta (A?) and even smaller C nerve fibers to the spinal cord dorsal horn.
A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment has been effective?
a. Bronchial breath sounds are heard at the right base. b. The patient coughs up small amounts of green mucus. c. The patient's white blood cell (WBC) count is 9000/µL. d. Increased tactile fremitus is palpable over the right chest.
A patient diagnosed with schizophrenia has been stable for a year; however, the family now reports the patient is tense, sleeps 3 to 4 hours per night, and has difficulty concentrating
The patient says, "My computer is sending out infected radiation beams." The nurse can correctly assess this information as an indication of: a. the need for psychoeducation. b. medication noncompliance. c. chronic deterioration. d. relapse.