AIIMS Nagpur NO- 2020
Mental Health Nursing
Medium
Modified ECT is not given frequently on routine practice because of:
Appeared in: AIIMS Nagpur NO- 2020
Explanation
- Modified ECT is the modern standard, involving general anesthesia and a muscle relaxant to enhance safety and patient comfort.
- The primary barrier to its widespread, routine use is logistical and resource-based, not clinical.
- It requires the presence of a skilled anesthetist to administer anesthesia, manage the airway, and monitor the patient throughout the procedure.
- In many healthcare settings, particularly those with limited resources, the consistent availability of an anesthetist, anesthetic drugs, and necessary monitoring equipment is a significant challenge.
- This logistical constraint is the main reason why modified ECT, despite being safer, is not as frequently performed as it could be.
Why Other Options Were Wrong
- Option B: Respiratory difficulties are a potential complication of the anesthesia used in modified ECT, not a reason for its infrequent use. The anesthetist's role is specifically to manage and mitigate such risks.
- Option C: Osteoporosis is a condition that makes a patient more vulnerable to fractures. The muscle relaxant used in modified ECT protects against this risk. Therefore, osteoporosis is a reason to prefer modified ECT over the unmodified version.
- Option D: A recent myocardial infarction is a serious medical condition that increases the risk of ECT for an individual. It is a relative contraindication that requires careful evaluation, not a general reason why the procedure is not routinely available.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain The concept tested is the practical limitations of implementing Modified Electroconvulsive Therapy (ECT) in routine clinical practice as background academic context rather than a clinical decision trigger.
- Nurses play a crucial role in patient education, explaining that while modified ECT is very safe, its availability depends on hospital resources like the presence of an anesthesia team.
- The nurse's pre-procedure checklist for ECT must confirm that all necessary personnel, including the anesthetist, and equipment are ready before the patient is brought to the treatment room.
- Understanding resource limitations helps nurses manage patient and family expectations about treatment options, especially in non-metropolitan or under-resourced healthcare facilities.
How to Approach the Question
- First, understand the question. It asks for the reason why modified ECT is not used frequently in routine practice. This points towards a systemic, practical, or logistical issue, rather than a clinical problem in a specific patient.
- Analyze the term 'Modified ECT'. Recall that 'modified' means the use of general anesthesia and muscle relaxants.
- Evaluate the options in light of this. Option A, 'Non-availability of anesthetist', directly relates to the requirement for anesthesia and is a logistical barrier.
- Consider the other options. 'Respiratory difficulties', 'Osteoporosis', and 'Myocardial infarction' are all clinical issues related to individual patient safety.
- Differentiate between a systemic barrier (affecting routine practice everywhere) and an individual contraindication (affecting a single patient's eligibility).
- Conclude that the lack of a required specialist (anesthetist) is the most logical systemic reason limiting the routine use of a procedure that requires their expertise.
Concept Tested & Keywords
- Concept Tested: The concept tested is the practical limitations of implementing Modified Electroconvulsive Therapy (ECT) in routine clinical practice.
- Stem keywords: Modified ECT, frequently, routine practice
- Lead-in keywords: because of
Question ID
Qi9VnfYklDK-NjZBrRkrxa
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) pp. 11204-11206, 14099-14101, 14092-14094
Practise the full AIIMS Nagpur NO- 2020
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…
- 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?
- The first therapeutic use of electricity-induced seizures in the treatment of mental disorders is related to?
More AIIMS Nagpur NO- 2020 Questions
- An order for prednisolone reads 10 mg four times a day. The dose for the child is 2 mg/kg/day. How many pounds does the child weigh?
- Which type of leadership theories consider people inherit certain qualities that make them better suited to leadership?
- An acid-fast bacillus which is pathogenic:
- Which of the following helps prevent water loss through skin?
- In depression, there is deficiency of:
- What is the major nursing responsibility when administering sulfonamide preparation?
- These agents decreases intestinal muscle tone to slow passage of feces:
- Ketone bodies are found in urine of patients with uncontrolled diabetes due to:
- Assessing the laboratory findings which results would the nurse most likely to expect to find in a client with chronic renal failure?