Which of the following clients most likely faces the highest risk of experiencing adverse effects of ECT?

A) A man who has diagnoses of depression and poorly controlled hypertension and who experienced a myocardial infarction 3 months ago
B) A woman who has been admitted to the hospital after a suicide attempt and who has type I diabetes mellitus
C) A man who has schizophrenia, who is an intravenous user of heroin and cocaine, and who smokes marijuana on a daily basis
D) A morbidly obese woman whose depression has been treated with a sustained serotonin reuptake inhibitor (SSRI) for the past several months


Ans: A
Hypertension and recent MI are both associated with an increased risk of adverse effects during ECT. Diabetes, antidepressant therapy, and drug use are not noted to appreciably increase the risk of adverse effects.

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