A client with MDD is prescribed a TCA antidepressant. The nurse should teach the client to avoid which type of foods or beverages due to their potential interaction with TCAs?

Dairy products.

Fresh fruits.

Aged cheese.

Leafy vegetables.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Dairy products, in general, do not have a significant interaction with TCAs (Tricyclic Antidepressants). The concern with dairy products is usually related to their interaction with certain antibiotics. Therefore, avoiding dairy products is not necessary for someone taking TCAs.

Choice B rationale:

Fresh fruits do not have a notable interaction with TCAs. In fact, a diet rich in fresh fruits can be beneficial for overall health. There is no need to advise avoiding fresh fruits due to TCA use.

Choice C rationale:

(Correct Choice) Aged cheese should be avoided when taking TCAs. Aged cheeses, such as cheddar, blue cheese, and parmesan, contain tyramine, which can lead to a hypertensive crisis when consumed along with TCAs. This interaction is a result of the monoamine oxidase inhibitory effects of TCAs, which can lead to elevated levels of tyramine in the bloodstream.

Choice D rationale:

Leafy vegetables do not have a significant interaction with TCAs. Leafy vegetables are generally considered healthy and are not contraindicated when taking these medications. Therefore, there is no need for the client to avoid leafy vegetables due to TCA use.

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Correct Answer is C

Explanation

The correct answer is Choice C.

Choice A rationale: This response is not appropriate as rating a mood as 9 indicates a very high mood, possibly hypomania or mania, rather than stability.

Choice B rationale: This response incorrectly interprets the client's rating. A 9 indicates a high mood, not a low one.

Choice C rationale: Asking the client to explain why they rated their mood so high allows the nurse to gather more information about the client's current state and any possible symptoms of mania.

Choice D rationale: This response is incorrect as a mood rating of 9 indicates a high mood, not depression.

A. Antidepressants should always be used in combination with mood stabilizers. B. Antidepressants can induce or worsen manic or hypomanic symptoms. C. Antidepressants are the primary treatment for acute manic episodes. D. Antidepressants have no potential for causing side effects.

Correct Answer is B

Explanation

Choice A rationale:

While mood stabilizers are often used in combination with antidepressants for individuals with bipolar disorder, it's not an absolute requirement that antidepressants always be used alongside mood stabilizers. The choice to combine these medications depends on the individual's specific presentation and needs.

Choice B rationale:

Antidepressants can induce or worsen manic or hypomanic symptoms in individuals with bipolar disorder. This phenomenon is known as "switching" and can lead to a rapid shift from a depressive state to a manic or hypomanic state. Therefore, careful consideration is needed when prescribing antidepressants to individuals with bipolar disorder to avoid triggering manic episodes.

Choice C rationale:

Antidepressants are not the primary treatment for acute manic episodes in bipolar disorder. Antipsychotic medications and mood stabilizers are more commonly used to address the manic symptoms and stabilize the individual's mood during such episodes.

Choice D rationale:

Antidepressants, like all medications, have the potential for causing side effects. They can lead to a range of adverse effects, including gastrointestinal symptoms, changes in sleep patterns, and sexual dysfunction, among others. Monitoring for and managing these potential side effects is important in providing comprehensive care to individuals taking antidepressants.

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A client with MDD is prescribed a TCA antidepressant. The nurse should teach the client to avoid which type of foods or beverages due to their potential interaction with TCAs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with bipolar disorder rates their mood as 9 on a scale of 1 to 10, where 1 is the lowest and 10 is the highest. What could the nurse say to the client in this situation?

Correct Answer is C

Explanation

A client with bipolar disorder is prescribed an antidepressant medication as part of their treatment plan. Which of the following is an important consideration when administering antidepressants to individuals with bipolar disorder?

Correct Answer is B

Explanation

A nurse is assessing a patient with bipolar disorder. The nurse observes signs of psychomotor agitation, racing thoughts, and tangentiality. What should the nurse document about the patient's thought process?

A client in a manic episode is having difficulty concentrating and frequently changes topics during conversation. Which nursing response is appropriate in this situation?

A nurse is assessing a patient with bipolar disorder. Which aspect of the patient's psychosocial status should the nurse evaluate during the assessment?

A client with bipolar disorder is prescribed a medication to reduce psychotic symptoms during manic episodes. Which class of medications is commonly used for this purpose?

(Select all that apply): A client with MDD is prescribed an atypical antidepressant. Which statements are true about atypical antidepressants? (Select three).

A nurse is educating a support group about depressive episodes in bipolar disorder. Which statement accurately describes a symptom of a depressive episode?

A client is diagnosed with bipolar disorder and is currently experiencing a hypomanic episode. Select all the symptoms that could be present during a hypomanic episode.

A nurse is providing education to a group of nursing students about the signs and symptoms of manic episodes in bipolar disorder. Which of the following statements accurately describes a characteristic of a manic episode?