Your new patient is taking an MAOI for severe depression. What would you tell the dietary department about her upcoming meals?

No gluten.

No extra salt.

No processed lunch meat.

No caffeine.

Answer and Explanation

The Correct Answer is C

Choice A reason: Gluten is not typically restricted for patients taking MAOIs unless they have a separate condition that requires this diet.

Choice B reason: Extra salt does not interact with MAOIs, so it is not necessary to avoid it unless the patient has other health concerns that require a low-sodium diet.

Choice C reason: Processed lunch meats are high in tyramine, which can cause dangerous interactions with MAOIs, leading to hypertensive crises.

Choice D reason: While caffeine may need to be limited, it is not as critical as avoiding high-tyramine foods like processed lunch meats when taking MAOIs.

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Correct Answer is D

Explanation

Choice A reason: This approach is non-intrusive and allows the patient to become accustomed to the presence of others without feeling pressured to interact, which can be beneficial for someone with major depressive disorder who is isolating themselves.

Choice B reason: While group therapy is important, insisting that the patient comes with you when they are isolating themselves might be too forceful and could lead to increased resistance or distress.

Choice C reason: Introducing the patient to others is a good step, but it should not be the first approach if the patient is actively isolating and may not be ready for social interaction.

Choice D reason: Asking "What are you thinking about?" can be a good way to start a conversation, but it might be too direct for a patient who is not yet ready to open up and could feel invasive.

A. "Why don't you wait to speak to your provider in the morning?" B. "Go back to your room, and I'll try to get in touch with your provider in the morning." C. "You seem to be very upset about something. Tell me about it." D. "Everything will be okay until morning. You can speak with your provider then."

Correct Answer is C

Explanation

Choice A reason: This response may come off as dismissive and does not address the patient's immediate concerns or feelings.

Choice B reason: While this response offers a solution, it does not engage with the patient's current emotional state or provide immediate support.

Choice C reason: This response is therapeutic as it acknowledges the patient's emotional state and invites them to discuss their concerns, which is important in managing patients with bipolar disorder.

Choice D reason: This response might minimize the patient's feelings and does not encourage communication about the patient's current distress.

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Your new patient is taking an MAOI for severe depression. What would you tell the dietary department about her upcoming meals?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is C

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