When a client asks the nurse, "How can jolting me with an electrical shock possibly do me any good?" the answer most reflective of current biologic theory would be:
1. "ECT produces a change in brain chemistry that results in improved mood."
2. "ECT provides you with external punishment so you can stop punishing yourself."
3. "ECT interrupts brain impulses causing hallucinations and delusions."
4. "ECT must sound like a very frightening treatment alternative to you."
ANS: 1
Current theory regarding use of ECT is that the electrical stimulus causes electrochemical changes within the brain, resulting in increased availability of neurotransmitters at the synapses and im-provement of mood. The other options do not address current biologic theories.
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