A nurse in an acute mental health facility is caring for a client who has major depressive disorder. Since her admission 3 days ago, she has not put on clean clothes, washed her hair, or participated in any of the unit activities. On this day, the nurse observes that she is wearing clean clothes and has combed her hair. Which of the following responses should the nurse make?

"Your mood must be lifting because you have on clean clothes and have combed your hair.".

"Oh, I'm so pleased that you finally put on clean clothes.".

"I see that you have on clean clothes and have combed your hair.".

"Why did you wear clean clothes and comb your hair today?".

Answer and Explanation

The Correct Answer is C

A. "Your mood must be lifting because you have on clean clothes and have combed your hair.": This makes an assumption about the client’s mood, which may not be accurate and can be interpreted as minimizing the client’s ongoing struggle.

B. "Oh, I'm so pleased that you finally put on clean clothes.": This response might come across as condescending or patronizing, which can negatively impact the therapeutic relationship.

C. "I see that you have on clean clothes and have combed your hair."This response is an example of therapeutic communication that acknowledges the client’s actions without making assumptions or passing judgment. It is an observational statement that recognizes the client's effort, which can help to encourage further positive behavior without imposing interpretations on the client's motivations.

D. "Why did you wear clean clothes and comb your hair today?": This could be interpreted as questioning the client's actions in a way that might make them feel defensive or uncomfortable.

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Correct Answer is D

Explanation

a.Frozen peas are low in tyramine and are generally safe to consume while taking MAOIs like phenelzine.

b.Cottage cheese is low in tyramine compared to aged cheeses and is typically safe to eat while on phenelzine.

c. Fresh Shellfish are not high in tyramine and can generally be eaten without issue when taking phenelzine.

d.Salami is a type of aged, fermented, and cured meat, which is high in tyramine. Consuming salami while taking phenelzine can lead to a dangerous hypertensive crisis due to the interaction with tyramine.

A. Medicate the client with a sedative. B. Suggest that the client rest in bed. C. Have the client join a therapy group. D. Remain with the client for a while.

Correct Answer is D

No explanation

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Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client with a new prescription for phenelzine. The nurse should instruct the client to avoid which of the following foods when taking this medication?

Correct Answer is D

Explanation

A nurse on an inpatient mental health unit is admitting a client who has panic-level anxiety. After showing the client to his room, which of the following nursing actions is most therapeutic at this time?

Correct Answer is D

When prescribing a tricyclic antidepressant, which patient would we be most concerned about dispensing the medication to?

A nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?

A nurse is planning care for a client newly admitted with major depressive disorder. Which of the following actions should the nurse plan to take?

A nurse is making a home visit for a 16-year old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?

A nurse is caring for a client following a recent suicide attempt. Which of the following actions should the nurse take?

A nurse is caring for a client who has depression. The client refuses to get out of bed, go to activities, or participate in any of the unit's programs. Which of the following responses should the nurse make?

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following responses is an indication the client is in the denial phase of the grief process?

A nurse is caring for a client who has bipolar disorder. The client states, "I feel like Superman. I can do anything. I can fly home today and then become a U.S. Senator." Which of the following findings is this client exhibiting?