NCLEX-PN

Category - Psychosocial Integrity

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The nurse in a psychiatric unit is reviewing the records of the clients assigned to her during the shift. Electroconvulsive therapy is not recommended to which of the following clients:

A client with major depression who has a history of severe osteoporosis
A 70-year old client with major depression
A client with postpartum psychosis.
A client with severe mania, which is not controlled by medications

Explanation

Answer: A - A client with severe osteoporosis is not indicated to have the treatment. Electroconvulsive treatment induces a full grand mal seizure and a client with severe osteoporosis may have multiple fractures resulting from the treatment.

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