A client with cognitive deficits is extremely suicidal. The client has not responded to antidepressants and the treatment team is considering electroconvulsive therapy (ECT). What client information would impact the feasibility of this treatment option?
A. Because the client is extremely suicidal, ECT is an appropriate option.
B. Because antidepressant medications have been ineffective, ECT is a good alternative.
C. Because informed consent is required for ECT, cognitive deficits could preclude this option.
D. Because of the client's cognitive deficits, a signed consent is waived.
ANS: C
A client who is experiencing cognitive deficits cannot give informed consent, which is required prior to ECT. A court proceeding could determine the client's level of competency and, if necessary, the judge would appoint a guardian.
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