RUHS, Jaipur, M.Sc Nursing Entrance Exam-2023
Mental Health Nursing
Medium
ECT is not indicated in
Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2023
Explanation
- Obsessive-compulsive neurosis (or OCD) is primarily an anxiety disorder, and ECT is generally not considered an effective or standard treatment for this condition.
- While some case reports mention its use in severe, treatment-refractory OCD, it is not a primary indication.
- ECT is reserved for severe mood disorders and psychotic conditions that are often life-threatening or have failed to respond to other treatments.
Why Other Options Were Wrong
- Option A: Catatonic schizophrenia is a primary indication for ECT. The treatment can be life-saving, especially in cases of lethal catatonia characterized by stupor and autonomic instability.
- Option B: Acute, severe depression is the most common indication for ECT. It is highly effective for patients with high suicidal risk, psychotic features, or those who are not responding to antidepressant medications.
- Option D: Acute mania is a recognized indication for ECT. It is used for severe manic episodes that are resistant to pharmacotherapy or when a rapid response is needed due to dangerous behavior.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Indications and Contraindications of Electroconvulsive Therapy (ECT) as background academic context rather than a clinical decision trigger.
- The nurse's role in ECT is critical for patient safety. This includes thorough pre-procedure preparation, monitoring during the procedure, and providing supportive care and reorientation post-procedure.
- Patient and family education is a key nursing responsibility. Many people have misconceptions about ECT, and providing accurate information can reduce anxiety and help in obtaining informed consent.
- What if? If a patient scheduled for ECT has a history of a recent myocardial infarction, this is a significant risk factor. The nurse must ensure a full cardiac workup has been completed and that the cardiology and psychiatry teams have collaboratively decided that the benefits of ECT outweigh the cardiovascular risks.
How to Approach the Question
- First, identify that the question is a negative-lead question, asking what ECT is 'NOT' indicated for.
- Recall the primary indications for ECT. Think of severe, life-threatening psychiatric conditions.
- Evaluate each option against your knowledge of ECT indications.
- Option A (Catatonic schizophrenia), Option B (Acute depression), and Option D (Acute mania) are all classic, primary indications for ECT.
- Option C (Obsessive compulsive neurosis) is an anxiety-related disorder. While other treatments are first-line, ECT is not a standard therapy for it.
- Therefore, the condition that does not fit the profile for standard ECT use is the correct answer.
Concept Tested & Keywords
- Concept Tested: Indications and Contraindications of Electroconvulsive Therapy (ECT)
- Stem keywords: ECT, indicated
- Lead-in keywords: not
- Negative lead-in flag: Question asks for the exception (NOT indicated)
Question ID
Qr12k7S6pDnVPILa82f1nF
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 11174-11176
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) pp. 2300-2302, 2301-2303
Practise the full RUHS, Jaipur, M.Sc Nursing Entrance Exam-2023
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Treatment modalities and therapies used in mental disorders Questions
- Based on the knowledge of electroconvulsive treatment, the nurse explains to the student nurses that atropine is given before the treatment primarily…
- Modified ECT is not given frequently on routine practice because of:
- What is the difference in regular ECT and modified ECT?
- The following are the indications of electroconvulsive therapy; EXCEPT:
- The absolute contraindication for electroconvulsive therapy is:-
- Nurse attending to a patient receiving electroconvulsive therapy (ECT) in a psychiatry department should ensure the compliance of all of the followin…
- \ \ \ \ \ \ is a family therapy approach that focuses on both the biological and the psychosocial components of a problem?
- The techniques of psychoanalysis include the following, EXCEPT?
- Which of the following is NOT true regarding Brief Cognitive Therapy?
- Which of the following equipment should be kept ready to use before ECT?
More RUHS, Jaipur, M.Sc Nursing Entrance Exam-2023 Questions
- Capacity of gall bladder is around
- The volume of blood that is pumped out by each ventricle at each heart beat is called
- Total number of cervical, thoracic and lumbar vertebrae comes to:
- Muscles of inspiration include all except
- Gluconeogenesis is decreased by
- Benedict's test is less likely to give weakly positive results with concentrated urine due to the action of
- Steaming of material at 100°C for 20 minutes for 3 consecutive days is
- Free living microbes that live on dead or decaying organic matter are known as
- The patients of following blood group have highest tendency of gastric carcinoma
- Increased uric acid levels are found in