When a patient 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:
a. "ECT must sound like a very frightening treatment alternative to you."
b. "ECT produces a change in brain chemistry that results in improved mood."
c. "ECT interrupts brain impulses that are causing hallucinations and delusions."
d. "ECT provides you with external punishment so you can stop punishing yourself."
ANS: B
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 synap-ses and improvement of mood. To suggest that the treatment is frightening does not answer the patient's question. The treatment is not appropriate for hallucinations or delusions. The remaining option is not appropriate or founded in psychiatric therapy.
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