A patient diagnosed with major depressive disorder was hospitalized for 8 days. Treatment included six electroconvulsive therapy sessions and aggressive dose adjustments of antidepressant medications. The patient owns a small business and was counseled not to make major decisions for a month. Select the correct rationale for this counseling.
Antidepressant medications alter catecholamine levels, which impair decision-making abilities.
The patient needs time to reorient him or herself to a pressured work schedule.
Temporary memory impairments and confusion can be associated with electroconvulsive therapy.
Antidepressant medications may cause confusion related to a limitation of tyramine in the diet.
The Correct Answer is C
A. This is not the primary reason for the counseling. The decision-making recommendation is
more related to the effects of the electroconvulsive therapy and the need for the patient to recover from its associated side effects.
B. While readjustment to a work schedule might be a consideration, the primary reason for counseling against major decisions for a month is related to the potential side effects of
electroconvulsive therapy.
C. Temporary memory impairments and confusion are potential side effects of electroconvulsive therapy, which might interfere with decision-making abilities, hence the advice to refrain from major decisions.
D. Antidepressant medications causing confusion related to dietary limitations with tyramine is not directly relevant to the counseling against making major decisions after electroconvulsive therapy.
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Related Questions
Correct Answer is D
Explanation
A. Fidelity pertains to faithfulness, loyalty, and keeping promises, which may not directly address the fairness of resource allocation or treatment.
B. Beneficence refers to doing good and promoting the patient's well-being. While it's relevant to patient care, it might not specifically address the fair distribution of resources or actions among different patients.
C. Autonomy emphasizes a patient's right to make decisions about their care and treatment, which doesn't directly address the fairness or justice in the scenario described.
D. Justice concerns the fair and equitable distribution of resources, treatment, and decisions among individuals. In this case, it's about ensuring fairness in the application of care plans and resources for patients who self-mutilate.
Correct Answer is C
Explanation
A. Contains foods high in tyramine like avocado, ham, and chocolate cake.
B. Includes smoked sausage and yeast rolls which are high in tyramine
C. This meal consists of foods typically low in tyramine content, suitable for a tyramine- restricted diet.
D. Macaroni and cheese, hot dogs, and banana bread can contain high levels of tyramine
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