Nursing Test Banks
One Account Get all Test Banks
Chapter 29: Somatic Therapies
Chapter 29: Somatic Therapies
Test Bank
MULTIPLE CHOICE
1. A patient scheduled for an early-morning electroconvulsive therapy (ECT) treatment ask
“Am I going to be able to eat breakfast before I go for ECT?” Which response by the nurs
appropriate?
a. “No, but you can have your breakfast when you get back to the unit.”
b. “You can have a light, liquid breakfast along with your medications.”
c. “You may only have enough liquids before the procedure to swallow your allergy med
d. “Yes, but you need to get up early so you can fast for 2 to 4 hours before your ECT tre
begins.”
ANS: A
,or H2blocker medications, he or she may do so with a small sip of water several hours bef
dure. Food and liquids can be offered as soon as the patient is awake and can swallow effe
DIF: Cognitive Level: Application REF: Text Pages: 594-595
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
2. A nurse is assisting in the preprocedure care of a patient scheduled for ECT (electroconv
py). Which nursing action must be taken immediately before the procedure?
a. The electrode sites are shaved and cleaned with a soap and water.
b. A blood pressure cuff and the oxygen saturation probe are applied.
c. A 12-lead electrocardiogram (ECG) is run and the strip placed in the chart.
d. The patient signs an informed consent form allowing for the treatment.
ANS: B
The nurse applies equipment necessary for patient monitoring, including blood pressure c
saturation probe. Mild soap is used to cleanse the areas designated for electrode placemen
the areas and shampooing the hair are not required. Results of a 12-lead ECG, which shou
formed well before the patient gets to the treatment area, should have been reviewed to de
associated with anesthesia. The consent form should be signed earlier, and there is no nee
other consent form at this time.
DIF: Cognitive Level: Analysis REF: Text Page: 598
, MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
3. During the ECT (electroconvulsive therapy) stimulus, the nurse supports the patient’s c
against the bite-block positioned between the upper and lower teeth. The rationale for this
to prevent:
a. involuntary biting of the lips.
b. tooth damage or gum laceration.
c. involuntary swallowing of the tongue.
d. development of TMJD (temporomandibular joint disorder).
ANS: B
Although most muscles become completely relaxed during ECT, the nurse uses a bite-blo
upper and lower teeth in the patient’s mouth to prevent the patient’s jaw muscles, which a
directly by ECT, from causing the teeth to clench. This prevents tooth damage and tongue
tion during the stimulus.
DIF: Cognitive Level: Comprehension REF: Text Page: 598
TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
4. A nurse is discussing ECT (electroconvulsive therapy) treatments with a patient with ch
sion and the patient’s parents. Which is the first therapeutic comment appropriate for this
One Account Get all Test Banks
Chapter 29: Somatic Therapies
Chapter 29: Somatic Therapies
Test Bank
MULTIPLE CHOICE
1. A patient scheduled for an early-morning electroconvulsive therapy (ECT) treatment ask
“Am I going to be able to eat breakfast before I go for ECT?” Which response by the nurs
appropriate?
a. “No, but you can have your breakfast when you get back to the unit.”
b. “You can have a light, liquid breakfast along with your medications.”
c. “You may only have enough liquids before the procedure to swallow your allergy med
d. “Yes, but you need to get up early so you can fast for 2 to 4 hours before your ECT tre
begins.”
ANS: A
,or H2blocker medications, he or she may do so with a small sip of water several hours bef
dure. Food and liquids can be offered as soon as the patient is awake and can swallow effe
DIF: Cognitive Level: Application REF: Text Pages: 594-595
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
2. A nurse is assisting in the preprocedure care of a patient scheduled for ECT (electroconv
py). Which nursing action must be taken immediately before the procedure?
a. The electrode sites are shaved and cleaned with a soap and water.
b. A blood pressure cuff and the oxygen saturation probe are applied.
c. A 12-lead electrocardiogram (ECG) is run and the strip placed in the chart.
d. The patient signs an informed consent form allowing for the treatment.
ANS: B
The nurse applies equipment necessary for patient monitoring, including blood pressure c
saturation probe. Mild soap is used to cleanse the areas designated for electrode placemen
the areas and shampooing the hair are not required. Results of a 12-lead ECG, which shou
formed well before the patient gets to the treatment area, should have been reviewed to de
associated with anesthesia. The consent form should be signed earlier, and there is no nee
other consent form at this time.
DIF: Cognitive Level: Analysis REF: Text Page: 598
, MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
3. During the ECT (electroconvulsive therapy) stimulus, the nurse supports the patient’s c
against the bite-block positioned between the upper and lower teeth. The rationale for this
to prevent:
a. involuntary biting of the lips.
b. tooth damage or gum laceration.
c. involuntary swallowing of the tongue.
d. development of TMJD (temporomandibular joint disorder).
ANS: B
Although most muscles become completely relaxed during ECT, the nurse uses a bite-blo
upper and lower teeth in the patient’s mouth to prevent the patient’s jaw muscles, which a
directly by ECT, from causing the teeth to clench. This prevents tooth damage and tongue
tion during the stimulus.
DIF: Cognitive Level: Comprehension REF: Text Page: 598
TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
4. A nurse is discussing ECT (electroconvulsive therapy) treatments with a patient with ch
sion and the patient’s parents. Which is the first therapeutic comment appropriate for this
