What should the nurse's first action when discussing electroconvulsive therapy (ECT) with a client and family?

In the context of discussing electroconvulsive therapy (ECT) with a client and their family, the first action of the nurse should be to allow them to express their feelings and misconceptions. This approach is essential for fostering a supportive and open dialogue. By doing so, the nurse creates a safe environment where the client and family members can voice their concerns, fears, and misunderstandings regarding ECT. This is particularly important because misconceptions surrounding ECT can be prevalent due to historical stigma and media portrayals.

Encouraging the expression of feelings allows the nurse to gauge their emotional state and build rapport, which can lead to a more productive discussion about the treatment. Once the client and family feel heard, the nurse can more effectively address any misconceptions and provide accurate information about ECT. This foundational step supports informed consent and empowers the client and their family to participate actively in the treatment decision-making process.