For which client is the nurse most likely to need to schedule a pre-ECT workup and teaching?
1. Client A, who is newly diagnosed with dysthymic disorder
2. Client B, who has melancholic depression that responded well to ECT 2 years ago
3. Client C, who was unresponsive to a 6-week trial of SSRI antidepressant
4. Client D, who has depression associated with diagnosis of inoperable brain tumor
ANS: 2
Indications for ECT include clients with major mood disorders, clients who have responded to ECT in the past, clients who are unresponsive to antidepressants or unable to tolerate their side effects and clients who are acutely suicidal or in danger of fluid and electrolyte imbalance related to inability to eat due to depression, severe mania, or severe catatonia. 1. Clients with dysthymia are not candidates for ECT. 3. This client has not run out of medication options. 4. Clients with space-occupying lesions of the brain are not candidates for ECT.
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