The nurse is educating a woman diagnosed with premenstrual dysphoric disorder (PMDD). What is the best type of diet for the nurse to recommend?
High protein, low fat
High carbohydrate, high fiber
Low calorie, low fat
Low carbohydrate, high protein
The Correct Answer is B
A. High protein, low fat: A higher-protein, low-fat diet may support general health but is not the dietary pattern most associated with symptom relief for PMDD.
B. High carbohydrate, high fiber: Increasing complex carbohydrates and fiber can help stabilize blood glucose and boost serotonin synthesis, which often reduces mood-related premenstrual symptoms.
C. Low calorie, low fat: Calorie restriction and very low-fat diets do not specifically address PMDD symptoms and may worsen mood in some people.
D. Low carbohydrate, high protein: Reducing carbohydrates could decrease serotonin precursors and may worsen mood symptoms for some individuals with PMDD.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Herbal therapies have no benefits and will not help your discomfort.": Some herbal products are reported to provide relief for certain menopausal symptoms, so saying they have no benefits is an overstatement.
B. "You should begin immediately as they will help you.": Evidence for many herbal therapies is mixed and inconsistent; starting immediately with the assumption they will help is not advised without discussion of risks, evidence, and alternatives.
C. "Many herbal products have not undergone long-term testing for safety and efficacy.": Many botanical and “natural” products marketed for menopausal symptoms lack high-quality long-term safety and efficacy data and may be adulterated or interact with other medications; clinicians should counsel caution and consider evidence-based options.
D. "There are no ill effects associated with the use of herbal therapies.": Herbal products can have adverse effects, interactions with prescription drugs, and variability in formulation and dose -so saying there are no ill effects is inaccurate.
Correct Answer is C
Explanation
A. Hair loss is common: Hair loss is not a typical or common side effect of leuprolide therapy; the common effects relate to estrogen suppression.
B. Vaginal secretions will increase: Estrogen suppression from leuprolide usually causes vaginal dryness and decreased secretions rather than an increase.
C. Hot flashes are common: Leuprolide suppresses ovarian estrogen production, producing menopausal-like effects such as hot flashes and night sweats.
D. Menstruation will become regular: Menstruation usually becomes irregular and often stops (amenorrhea) with depot leuprolide due to ovarian suppression.
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