The spouse of a patient who is scheduled for ECT (electroconvulsive therapy) asks, "Isn't this a risky treatment? I know pills haven't worked, but this seems barbaric to me."
Which response to the question is of greatest therapeutic communication value? a. "Although no treatment is perfect, research has proven that this therapy has the same risk as minor surgery and actually presents a lower risk than medication.".
b. "The psychiatrist would not order a treatment that would place your spouse in any real danger. I've seen many patients respond well to this treatment.".
c. "That's an understandable concern. However, you've been misled by outdated information that stigmatizes ECT treatment.".
d. "You appear to be very concerned about consenting to the treatment. I'd suggest you discuss this with your spouse's health care provider.".
A
The patient's spouse is expressing a common concern based on fear about what a loved one may experience. It is important for the nurse to be sensitive to the patient's concerns and encourage the expression of those concerns. The correct option is based on research findings. Notice that the nurse uses an analogy to make the point of safety to the patient.
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