NCLEX Practice Test

Which statement by a student nurse indicates a need for further teaching regarding electroconvulsive therapy?

1. A bite block will be placed in the client's mouth to prevent injuries to the tongue and teeth

2. Because this client has a mental illness, the agent with medical power of attorney should sign the informed consent document

3. The client should have had nothing to eat or drink for at least 6-8 hours prior to the procedure

4. The client will receive a muscle relaxant and short-acting anesthetic before the current is delivered

The correct answer is: A bite block will be placed in the client's mouth to prevent injuries to the tongue and teeth

The statement about the use of a bite block during electroconvulsive therapy (ECT) reflects an understanding of safety measures taken to prevent injuries during the treatment. The placement of a bite block is a standard practice in ECT to protect the patient’s oral cavity and prevent damage to the tongue or teeth when the muscle contractions occur during the seizure induced by the therapy. The other statements correctly describe important aspects of the patient's preparation and the procedural considerations for ECT. For instance, informed consent must be obtained, and if the client has a mental illness that affects decision-making, a designated agent may need to sign for them. Additionally, it is critical for patients to fast for 6-8 hours prior to the procedure to reduce the risk of aspiration, and the administration of muscle relaxants and anesthetics is standard to minimize discomfort during the treatment. Therefore, the need for further teaching is indicated by the misconception surrounding the use of a bite block during the ECT process.