The nurse is admitting a client with a diagnosis of severe malignant catatonia to the in-patient psychiatric unit. Under which condition would the nurse support the use of electroconvulsive therapy (ECT) as a first-line treatment?

  • The client is in the first trimester of pregnancy.
  • The client is gainfully employed.
  • The client lives in an assisted living facility.
  • The client is over 50 years of age.
Number 1 is correct.
During the first trimester of pregnancy, a nonpharmologic biologic treatment option like ECT is a viable option. The employment status, living environment, or age of the client would not impact the decision to use ECT.