A psychiatrist prescribes a monoamine oxidase inhibitor (MAOI) for a client. When teaching the client about the effects of tyramine, which foods will the nurse caution the client to avoid?

Potato chips and diet Coke

Bagels with cream cheese and tea

Apple pie and coffee

Pepperoni pizza and red wine

Answer and Explanation

The Correct Answer is D

D. Pepperoni pizza and red wine are both high in tyramine and should be avoided when taking MAOIs. The aging and fermentation processes involved in the production of pepperoni and red wine increase the tyramine content, which can lead to a dangerous increase in blood pressure when combined with MAOIs.
A. Potato chips are generally considered safe to eat in moderation with MAOIs, as they do not contain high levels of tyramine. Diet Coke is also considered safe as it does not contain tyramine.
B. Bagels with cream cheese typically do not contain high levels of tyramine, and tea is generally considered safe to consume with MAOIs.
C. Apple pie may contain moderate levels of tyramine, particularly if it contains aged or fermented apples. However, the tyramine content in apple pie is generally not high enough to pose a significant risk when consumed in moderation. Coffee, on the other hand, contains tyramine, but the amount is usually not enough to cause a severe reaction.

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Correct Answer is C

Explanation

C. This approach involves establishing clear and consistent rules and boundaries, which are crucial for managing antisocial behaviors. It helps to create a structured environment where the consequences of actions are predictable and reinforces the understanding of acceptable behaviors.
A. Encouraging the client to explore and address underlying emotions, including feelings of fear and inferiority, can be an important aspect of therapy and may help mitigate manipulative behaviors over time.
B. Antisocial personality disorder is associated with behaviors that violate social norms and the rights of others. Positive reinforcement for these behaviors would not address the underlying issues and may inadvertently reinforce harmful patterns of behavior.
D. Ignoring inappropriate behavior may reinforce the notion that manipulation is an effective means of achieving desired outcomes and may lead to further boundary violations.

A. fluphenazine. B. methylphenidate. C. diazepam. D. haloperidol.

Correct Answer is B

Explanation

B. Methylphenidate is a central nervous system stimulant commonly used in the treatment of ADHD. It works by increasing the levels of certain neurotransmitters in the brain, which helps improve attention, focus, and impulse control in individuals with ADHD. Teaching the family about methylphenidate would be appropriate as it is one of the most commonly prescribed medications for ADHD.
A. Fluphenazine is an antipsychotic medication primarily used to treat psychotic disorders such as schizophrenia and bipolar disorder. It is not typically used as a first-line treatment for ADHD
C. Diazepam is a benzodiazepine medication primarily used to treat anxiety disorders, muscle spasms, and seizures. It is not indicated for the treatment of ADHD.
D. Haloperidol is an antipsychotic medication primarily used to treat psychotic disorders and severe behavioral disturbances. It is not a first-line treatment for ADHD.

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A psychiatrist prescribes a monoamine oxidase inhibitor (MAOI) for a client. When teaching the client about the effects of tyramine, which foods will the nurse caution the client to avoid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The intervention appropriate for a client who has been manipulating others and has a diagnosis of antisocial personality disorder is to:

Correct Answer is C

Explanation

A physician mentions to the nurse that a child with Attention Deficit-Hyperactivity Disorder (ADHD) will begin medication therapy. The nurse should prepare a plan to teach the family about:

Correct Answer is B

Explanation

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