Sid, 38 years old, is married and the father to three sons. He is admitted to the behavioral health unit for the
treatment of major depressive disorder. He begins taking a selective serotonin reuptake inhibitor (SSRI). He is
eventually discharged and treated on an outpatient basis.
Over the next year, he makes some progress, but medication seems to have little impact. Sid is motivated for
treatment but is discouraged that nothing seems to help. The psychiatrist recommends repetitive transcranial
magnetic stimulation (rTMS) on an outpatient basis as he tapers off medications.
In preparation for outpatient rTMS, the registered nurse gathers educational material for Sid and prepares for
teaching. Identify essential educational information regarding this procedure. Select all that apply.
The procedure is conducted with general anesthesia.
Seizures are a rare complication.
The only absolute contraindication for rTMS is metal in the skull, such as a cochlear implant.
rTMS is noninvasive
rTMS has US Food and Drug Administration (FDA) approval for depression
This procedure is thought to work through vagus nerve stimulation.
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