Questions and Answers (Verified Answers)
Which diet selection by a client who is depressed and taking the MAO inhibitor
tranylcypromine sulfate (Parnate) indicates to the nurse that the client understands the
dietary restrictions imposed by this medication regimen?A) Hamburger, French fries, and
chocolate milkshake.B) Liver and onions, broccoli, and decaffeinated coffee.C) Pepperoni
and cheese pizza, tossed salad, and a soft drink.D) Roast beef, baked potato with butter,
and iced tea. - (Correct Answer) Roast beef, baked potato with butter, and iced tea.
Only (D) contains no tyramine. Tyramine in foods interacts with MAOI in the body causing
a hypertensive crisis which is life-threatening, and Parnate is classified as an MAOI
antidepressant. Some items in (A, B, and C) contain tyramine and would not be permitted
for a client taking Parnate.
A client who is known to abuse drugs is admitted to the psychiatric unit. Which medication
should the nurse anticipate administering to a client who is exhibiting benzodiazepine
withdrawal symptoms?A) Perphenazine (Trilafon).B) Diphenhydramine (Benadryl).C)
Chlordiazepoxide (Librium).D) Isocarboxazid (Marplan). - (Correct Answer)
Chlordiazepoxide (Librium)
Librium (C), an antianxiety drug, as well as other benzodiazepines, are used in titrated
doses to reduce the severity of abrupt benzodiazepine withdrawal. (A) is an antipsychotic
agent. (B) is an antihistamine and antianxiety drug. (D) is an MAO inhibitor.
A 45-year-old female client is admitted to the psychiatric unit for evaluation. Her husband
states that she has been reluctant to leave home for the last six months. The client has
not gone to work for a month and has been terminated from her job. She has not left the
house since that time. This client is displaying symptoms of what condition?A)
Claustrophobia.B) Acrophobia.C) Agoraphobia.D) Post-traumatic stress disorder. -
(Correct Answer) Agoraphobia
, Agoraphobia (C) is the fear of crowds or being in an open place. (A) is the fear of being
in closed places. (B) is the fear of high places. Remember, a phobia is an unrealistic fear
which is associated with severe anxiety. (D) consists of the development of anxiety
symptoms following a life event that is particularly serious and stressful (war, witnessing
a child killed, etc.) and is experienced with terror, fear, and helplessness--a phobia is
different.
The community health nurse talks to a male client who has bipolar disorder. The client
explains that he sleeps 4 to 5 hours a night and is working with his partner to start two
new businesses and build an empire. The client stopped taking his medications several
days ago. What nursing problem has the highest priority?A) Excessive work activity.B)
Decreased need for sleep.C) Medication management.D) Inflated self-esteem.
The most important nursing problem is medication management (C) because compliance
with the medication regimen will help prevent hospitalization. The client is also exhibiting
signs of (A, B, and C); however, these problems do not have the priority of medication
management.Correct Answer(s): C - (Correct Answer) medication management
The priority is to teach the parents that their son will need monitoring and support during
withdrawal (D) to ensure that he does not attempt suicide. Although (A and C) are true,
they are not as relevant to the parent's expressed concern. There is no information to
support (B).
The nurse is assessing the parents of a nuclear family who are attending a support group
for parents of adolescents. According to Erikson, these parents who are adapting to
middle adulthood should exhibit which characteristic?A) Loss of independence.B)
Increased self-understanding.C) Isolation from society.D) Development of intimate
relationships. - (Correct Answer) Increased self-understanding
Middle adulthood is characterized by self-reflection, understanding, and acceptance (B),
and generativity or guidance of children. (A and C) are maladaptive behaviors in middle