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mail YouTube Elsevier Education Which of the following items in the client’s medical record indicate that they A nurse in a mental health facility is caring for a client who has major are a candidate for electroconvulsive therapy (ECT)? depressive disorder. . Progress Notes Medication Administration Record (Select all that apply.) Progress Notes Energy level Week 1 Sleep changes Client is experiencing major depressive disorder following the Appetite unexpected death of their partner 6 months ago. Has been unable to Clinical response to alprazolam therapy proceed through stages of grief. Has been on anti-depressant therapy for 5 months. Clinical response to antidepressant therapy Admits to having thoughts of self-harm. Reports increasing anxiety levels. Loss of 15 lb over past months due to anorexia and anxiety. Reports insomnia, sleeping only 4 to 5 hr/night with frequent nightmares. Reports feelings of extreme fatigue. Plan: Admit for group and individual therapy. Suicide precautions. Will add alprazolam to medication regimen. Week 2 Client remains depressed, continues to have thoughts of self-harm. Not responding to group or individual therapy. States no improvement in mood or energy level. Admits to less anxiety and increased hours and quality of nightly sleep with addition of alprazolam. Anorexia still present. Plan: Due to ineffectiveness of antidepressant regimen and psychotherapy, suggest addition of electroconvulsive therapy (ECT).
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