A 43-year-old man presents to the psychiatric-mental health nurse practitioner complaining of depressed mood and inability to sleep for the past 3 weeks. The PMHNP diagnoses major depressive disorder. The patient states that in the past, when he had similar episodes, he was placed on a monoamine oxidase inhibitor (MAOI) that proved effective. The PMHNP agrees to use an MAOI because it is the patient's request and it has been successful in the past. Which of the following foods must be completely avoided by this patient while on this medication?
Chocolate
Coffee
Cheddar Cheese
Potato Chips
The Correct Answer is C
Choice A reason: Chocolate contains small amounts of tyramine and phenylethylamine, which may pose a mild risk when consumed in large quantities while on MAOIs. However, it is not considered a high-risk food requiring complete avoidance. Moderation is generally advised, but it is not strictly prohibited.
Choice B reason: Coffee does not contain significant levels of tyramine and is not contraindicated with MAOIs. While caffeine may exacerbate anxiety or insomnia, it does not interact dangerously with MAOIs in the same way tyramine-rich foods do.
Choice C reason: Cheddar cheese is an aged cheese and contains high levels of tyramine, which can lead to hypertensive crisis when consumed with MAOIs. Tyramine is normally broken down by monoamine oxidase, but when this enzyme is inhibited, tyramine accumulates and can cause dangerous spikes in blood pressure. Therefore, aged cheeses like cheddar must be strictly avoided.
Choice D reason: Potato chips are not fermented or aged and do not contain significant tyramine levels. They are not contraindicated with MAOIs, although excessive salt or fat intake may be discouraged for general health reasons.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Cognitive behavioral therapy (CBT) focuses on identifying and changing negative thought patterns and behaviors. It is not classified as humanistic and was not developed by Carl Rogers.
Choice B reason: Dialectical behavioral therapy (DBT) is a form of CBT developed by Marsha Linehan, primarily for borderline personality disorder. It incorporates mindfulness and emotion regulation but is not humanistic.
Choice C reason: Rational emotive behavioral therapy (REBT) was developed by Albert Ellis and focuses on challenging irrational beliefs. It is cognitive-behavioral in nature, not humanistic.
Choice D reason: Person-centered therapy, developed by Carl Rogers, is a humanistic approach that emphasizes unconditional positive regard, empathy, and the client's capacity for self-healing. It is the correct answer.
Correct Answer is C
Explanation
Choice A reason: Automatically assuming abuse based on masturbation in a 4-year-old is inappropriate and may cause unnecessary alarm. While sexual behavior can be a red flag, it must be assessed in context. This response lacks clinical judgment and violates trauma-informed principles.
Choice B reason: While evaluation is important if abuse is suspected, suggesting it is “possible” without further context may reinforce fear unnecessarily. This response is cautious but not the most appropriate initial reassurance.
Choice C reason: Masturbation in young children is often a normal part of development. At age 4, exploratory behavior is common and not necessarily indicative of abuse. This response provides reassurance while remaining clinically accurate.
Choice D reason: This question may feel accusatory and lacks sensitivity. It could damage rapport and does not reflect a trauma-informed or developmentally appropriate approach.
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