Which food is safe for a patient taking monoamine oxidase inhibitors (MAOIs Quizlet)

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The individual may present with a reduction in psychomotor activity.

Psychomotor agitation is demonstrated in cases of major depression.

A slow pace and stooped posture is characteristic of psychomotor retardation.

Fidgeting is a characteristic psychomotor activity associated with depression.

Physical activity also is affected in major depression. Normally one thinks of depressed patients as having psychomotor retardation, a reduction in the amount of physical activity. This type of symptom results in less motor movement; when the patients do move, they move more slowly and posture frequently is stooped with the head down; however, patients with major depression also may have psychomotor agitation. When this occurs, the patient appears restless, changes position often, and may wring his or her hands and fidget. This is not goal-directed activity, and the patient does not feel energized.

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The nurse knows that the client understands the rationale for dietary restrictions when taking a monoamine oxidase inhibitor (MAOI) when the client makes which statement?

A. "I am now allergic to foods that are high in the amino acid tyramine such as aged cheese, organ meats, wine, and chocolate."
B. "Foods that are high in tyramine will reduce the medication's effectiveness."
C. "I should avoid foods that are high in the amino acid tyramine such as aged cheese, meats, and chocolate because this drug causes the level of tyramine to go up to dangerous levels."
D. "Certain foods will cause me to have sexual dysfunction when I take this medication."

"I should avoid foods that are high in the amino acid tyramine such as aged cheese, meats, and chocolate because this drug causes the level of tyramine to go up to dangerous levels."

Explanation:
Because the enzyme MAOI is necessary to break down the tyramine in certain foods, its inhibition results in increased serum tyramine levels, causing severe hypertension, hyperpyrexia, tachycardia, diaphoresis, tremulousness, and cardiac dysrhythmias. Taking an MAOI does not confer allergy to tyramine. Sexual dysfunction is a common side effect of MAOIs. There is no evidence that foods high in tyramine will increase sexual dysfunction or reduce the medication's effectiveness.

During an interview, the nurse has asked a client with depression about any hopes or plans for the future. In response, the client silently made a gesture of drawing the index finger from one side of the client's throat to the other. The nurse has informed the client that this must be communicated to the care team. What is the main rationale for the nurse's action?
A. Ensuring continuity of care
B. Ensuring the client's safety
C. Promoting the client's autonomy
D. Promoting collaborative practice

Ensuring the client's safety

Explanation:
Plans of suicide must be communicated in order to protect clients' safety. Even though this action is consistent with collaborative practice and continuity of care, safety is the priority rationale. This is a justifiable violation of the client's autonomy and privacy.

A client with mental illness expresses interest in having a date with the nurse. Which would be the nurse's best response in this situation?
A. Yield to the client's desire, as the client has mental illness.
B. Set boundaries of a professional relationship.
C. Scold the client for the inappropriate request.
D. Ask to be assigned another client.

Set boundaries of a professional relationship.

Explanation:
The nurse should remind the client of the boundaries of the professional relationship. Requesting to be assigned to another client may not be a viable solution. Scolding the client may cause the client to stop communicating. The nurse should not yield to the client's desire against the nurse's wishes.

The nurse is busy preparing a client for a procedure. The nurse may obtain a clients' signature on a form, but obtaining informed consent for the procedure is the responsibility of the
A. Physician
B. Manager
C. OR Technician
D. Supervisor

Physician

Explanation:
To provide informed consent for care, the patient must be given adequate information upon which to base decisions and actively participate in the decision-making process. Informed consent is not an option but is mandated by state law. Clients receiving mental health care retain all civil rights afforded to all people except the right to leave the hospital in the case of involuntary commitment. They have the right to refuse treatment, to send and to receive sealed mail, and to have or refuse visitor. Any restrictions must be made for a verifiable, documented reason.

Until the onset of the Renaissance, the general population held which belief regarding the presence of sickness?
A. It was a weakness in physical strength.
B. It was punishment for sins and wrongdoing.
C. It was based on social class.
D. It was a consequence of inadequate parenting.

It was punishment for sins and wrongdoing.

Explanation:
People of ancient times believed that sickness was a punishment for sins and wrongdoing. It was not a weakness of physical strength, based on social class, or due to inadequate parenting.

Which is true regarding mental health and mental illness?
It is easy to determine if a person is mentally healthy or mentally ill.
Persons who engage in fantasies are mentally ill.
In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability.
Behavior that may be viewed as acceptable in one culture is always unacceptable in other cultures.

In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability.

A group of nursing students are reviewing information related to drug therapy for mood disorders. The students demonstrate understanding of the information when they identify which agent as the gold standard for treating bipolar disorder?
carbamazepine
valproate
lithium
lamotrigine

lithium

Which neurological function is governed by the action of serotonin?
Mood
Intelligence
Reflexes
Heart rate

Mood

Which medication classification is used to treat psychosis and mania?
Stimulants
Antipsychotics
Antidepressants
Hypnotics

Antipsychotics

Clients taking monoamine oxidase inhibitors (MAOIs) for depression must be placed on a diet that is low in:
sodium.
sugar.
fat.
tyramine.

tyramine.

The nurse knows that the client understands the rationale for dietary restrictions when taking a monoamine oxidase inhibitor (MAOI) when the client makes which statement?
"I should avoid foods that are high in the amino acid tyramine such as aged cheese, meats, and chocolate because this drug causes the level of tyramine to go up to dangerous levels."
"Certain foods will cause me to have sexual dysfunction when I take this medication."
"I am now allergic to foods that are high in the amino acid tyramine such as aged cheese, organ meats, wine, and chocolate."
"Foods that are high in tyramine will reduce the medication's effectiveness."

"I should avoid foods that are high in the amino acid tyramine such as aged cheese, meats, and chocolate because this drug causes the level of tyramine to go up to dangerous levels."

Extrapyramidal side effects are characterized by a triad of symptoms, including what?
Sadness, flattened affect, and anxious behavior
Dystonia, akathisia, and pseudoparkinsonism
Dystonia, flat affect, and cogwheeling
Shuffling gait, cogwheeling, and drooling

Dystonia, akathisia, and pseudoparkinsonism

A client in the operating room goes into malignant hyperthermia due to an abnormal reaction to the anesthetic. The nurse knows that the area of the brain that regulates body temperature is what?
Midbrain
Thalamus
Cerebellum
Hypothalamus

Hypothalamus

A nurse observes a client talking at the end of the hall to himself. The client states, "No, I don't want to go." What does the nurse suspect regarding this information?
The client has multiple personalities.
The client is having auditory hallucinations.
The client is expressing attention seeking behavior.
The client has schizophrenia.

The client is having auditory hallucinations.

When health care professionals detect signs of elder abuse in clients, the law requires them to take which action?
Report the abuse to the state authorities.
Set up family counseling sessions.
Find temporary housing for the client.
Educate the client and family about elder abuse.

Report the abuse to the state authorities.

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Which food is safe for a patient taking monoamine oxidase inhibitors MAOIs?

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