A client is being treated for depression with phenelzine ...

[littleanan]

A client is being treated for depression with phenelzine (Nardil).
 
  The indicator that would be useful
  to monitor the outcome client will understand the potential side effects of monoamine oxidase
  inhibitor (MAOI) antidepressants is that the client
  a. wears supportive shoes.
  b. elevates legs when sitting.
  c. eats at Chinese restaurants.
  d. avoids over-the-counter medications.

Question 2

In a treatment team planning meeting a nurse states her concern about whether the staff is behaving
  ethically in using restraint to prevent one client from engaging in self-mutilating behavior when the
  care plan for another self-mutilating
 
  client calls for one-on-one supervision. The ethical principle
  that should govern the situation is
  a. beneficence.
  b. autonomy.
  c. fidelity.
  d. justice.

[aadams68]

Answer to Question 1

D
Over-the counter medicines may contain vasopressor agents or tyramine, a substance that must be
avoided when the client takes MAOI antidepressants. Medications for colds, allergies, or congestion
or any preparation that contains ephedrine, phenylephedrine, or phenylpropanolamine may
precipitate a hypertensive crisis. Options A and B: MAOI antidepressant therapy is unrelated to the
need for specific shoe types or leg elevation. Option C: This is undesirable. Chinese dishes often
contain fermented soy products, which are high in tyramine. MAOIs interact with
tyramine-containing foods to produce dangerously high blood pressure.

Answer to Question 2

ANS: D
The nurse is concerned about justice, that is, fair treatment with the least restrictive methods for both
clients. Option A: Beneficence means promoting the good of others. Option B: Autonomy is the
right to make one's own decisions. Option C: Fidelity is the observance of loyalty and commitment
to the client.