HESI Psychiatric/Mental Health Practice Exam

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HESI Psychiatric/Mental Health Practice Exam 1)The nurse should include which interventions in the plan of care for a severely depressed client with neurovegetative symptoms? (Select all that apply.)... oPermit rest periods as needed. oSpeaking slowly and simply. oPlace the client on suicide precautions. oObserve and encourage food and fluid intake. oEncourage vigorous exercise and long walks on the unit. •Neurovegetative symptoms that accompany the mood disorder of depression include physiological disruptions, such as anorexia, constipation, sleep disturbance, and psychomotor retardation. The client's plan of care should include measures that promote the client's comfort and well-being, such as rest, nutrition, suicide precautions, and simple communications. Vigorous exercise and long walks are not indicated for clients in a neurovegetative state. 2)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? oHamburger, French fries, and chocolate milkshake. oLiver and onions, broccoli, and decaffeinated coffee. oPepperoni and cheese pizza, tossed salad, and a soft drink. oRoast beef, baked potato with butter, and iced tea. Foods with tyramine interact with MAOI antidepressant, such as Parnate, and can cause a hypertensive crisis that is life-threatening. Roast beef, potatoes, butter, and tea do not contain tyramine. The other selections contain tyramine and should be avoided by the client who is taking Parnate. [Show More]

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