The nurse is providing teaching to a client starting monoamine oxidase inhibitor (MAOI) drug therapy. Which over- the-counter medications should the nurse instruct the client to avoid?

Multivitamins

Laxatives

Cold and allergy medications

Antiulcer medications

Answer and Explanation

The Correct Answer is C

A. Multivitamins: Most multivitamins do not interact significantly with MAOIs unless they contain high levels of tyramine, which is rare. They are generally safe but should still be reviewed by the healthcare provider.
B. Laxatives: Laxatives are not known to have direct interactions with MAOIs. However, excessive use could alter electrolyte balance, which might complicate overall medication management but not specifically with MAOIs.
C. Cold and allergy medications: Many over-the-counter cold and allergy drugs contain sympathomimetic agents like pseudoephedrine, which can cause hypertensive crises. This is because these decongestatnts increase norepinephrine levels while MAOIs prevent the breakdown of norepinephrine. This combination is dangerous and must be strictly avoided.
D. Antiulcer medications: Most antiulcer drugs, such as proton pump inhibitors and H2 blockers, do not significantly interact with MAOIs. They should still be reviewed, but they are not commonly contraindicated.

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Correct Answer is ["A","B","E"]

Explanation

A. Learn about stress management education and join a support group: Education and peer support help clients understand anxiety and reduce isolation. These tools promote healthy coping strategies and improve long-term emotional resilience.
B. Re-establish priorities and strike a healthy balance between work and play: Balancing responsibilities with enjoyable activities reduces stress and prevents burnout. Prioritizing tasks allows clients to manage anxiety more effectively and feel more in control.
C. Avoid verbalizing or writing about feelings of anxiety: Avoidance can worsen anxiety over time. Verbalizing or journaling emotions allows clients to process and release anxious thoughts rather than suppressing them.
D. Delay stressful tasks as desired: Delaying tasks may provide short-term relief but can increase stress and anxiety later. Timely task completion supports a sense of accomplishment and reduces prolonged worry.
E. Engage in a daily exercise program: Regular physical activity helps regulate mood and lowers anxiety levels. Exercise reduces stress hormones and improves mental clarity, making it an effective coping strategy.

A. "Life is challenging. I take it as it comes." B. "I am making it through and just barely holding on." C. "I am not able to juggle all of the balls of life." D. "What can you do, it is what it is."

Correct Answer is A

Explanation

A. "Life is challenging. I take it as it comes.": This statement reflects psychological hardiness — a resilience trait marked by commitment, control, and seeing stress as a challenge rather than a threat. It shows adaptive coping and a proactive mindset in facing life’s difficulties.
B. "I am making it through and just barely holding on.": This response indicates high stress and limited coping capacity. It suggests the person is overwhelmed, which is inconsistent with hardiness, which involves confidence in managing stress.
C. "I am not able to juggle all of the balls of life.": This reflects perceived helplessness and difficulty managing life's demands. It lacks the sense of control and adaptability associated with a hardy personality.
D. "What can you do, it is what it is.": While this may seem like acceptance, it reflects resignation more than resilience. A hardy individual typically views stressors as manageable and worth engaging with, not passively accepted.

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The nurse is providing teaching to a client starting monoamine oxidase inhibitor (MAOI) drug therapy. Which over- the-counter medications should the nurse instruct the client to avoid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing ways to foster effective coping skills with a client who has an anxiety disorder. What should the nurse include in the teaching? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

The nurse is consulting with a client who verbalizes extreme stress. When the nurse asks the client how life is, which response represents hardiness in character?

Correct Answer is A

Explanation

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