A patient diagnosed with major depression received six electroconvulsive therapy sessions and aggressive doses of antidepressant medication. The patient owns a small business and was counseled not to make major decisions for a month
Select the correct rationale for this counseling.
a. Antidepressant medications alter catecholamine levels, which impairs decision-making abilities.
b. Antidepressant medications may cause confusion related to limitation of tyramine in the diet.
c. Temporary memory impairments and confusion may occur with electroconvulsive therapy.
d. The patient needs time to readjust to a pressured work schedule.
ANS: C
Recent memory impairment and/or confusion is often present during and for a short time after electroconvulsive therapy. An inappropriate business decision might be made because of forgotten important details. The rationales are untrue statements in the incorrect responses. The patient needing time to reorient to a pressured work schedule is less relevant than the correct rationale.
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