A nurse instructs a patient taking a medication that inhibits the action of monoamine oxidase (MAO) to avoid certain foods and drugs because of the risk of

Correct Answer: B

Rationale: The correct answer is B: hypertensive crisis. MAO inhibitors can cause a buildup of tyramine in the body, leading to a sudden increase in blood pressure, potentially resulting in a hypertensive crisis. This is due to the interaction of tyramine with the medication inhibiting MAO. Other choices are incorrect because they do not directly relate to the interaction between MAO inhibitors and tyramine. The risk of hypotensive shock (choice A) is not associated with MAO inhibitors. Cardiac dysrhythmia (choice C) and cardiogenic shock (choice D) are not typically caused by the interaction of MAO inhibitors with certain foods and drugs.

Correct Answer: D

Rationale: The correct answer is D because injecting heroin typically leads to drowsiness, constricted pupils, and slurred speech due to its depressant effects on the central nervous system. Heroin acts as a sedative, causing drowsiness and slowing down brain function. Constricted pupils, known as pinpoint pupils, are a common physical sign of heroin use. Slurred speech may occur due to the drug's impact on coordination and muscle control. Choices A, B, and C are incorrect: A: Anxiety, restlessness, paranoid delusions are more commonly associated with stimulant drugs like cocaine or amphetamines. B: Muscle aching, dilated pupils, tachycardia are more indicative of stimulant drug use rather than heroin. C: Heightened sexuality, insomnia, euphoria are effects more commonly seen with stimulant drugs or hallucinogens, not heroin.

Correct Answer: A

Rationale: The correct answer is A because it addresses the fundamental issue of recognizing the need for long-term treatment, which is crucial for sustained recovery. It indicates the patient's acceptance of their condition and willingness to seek further help. Option B focuses on coping mechanisms that may hinder progress. Option C addresses anger management, which is not the immediate priority after detox. Option D, while important, does not directly relate to the patient's readiness for ongoing treatment. Overall, choosing option A ensures the patient's commitment to continuing care and increasing their chances of successful recovery.

Correct Answer: C

Rationale: The correct answer is C because assessing the availability of means and lethality of the method is crucial in preventing suicide. This information helps determine the level of immediate risk and allows for interventions to restrict access to lethal means. It is a priority over the patient's financial and educational status (A) as these factors may not directly impact suicide risk. Patient's insight into suicidal motivation (B) is important but does not address the immediate risk. Quality and availability of social support (D) is significant but assessing means and lethality takes precedence in immediate risk assessment.

Correct Answer: A

Rationale: Rationale for Correct Answer (A): 1. Genetics play a significant role in suicide risk, as studies have shown a hereditary component. 2. Identical twins share 100% of their genes, making the other twin more vulnerable. 3. Monitoring and support can help identify warning signs and provide necessary interventions. 4. Proactive measures can reduce the risk of suicide in the remaining twin. Summary of Incorrect Choices: B: Apathy is not the primary cause of suicide, and motivation alone is not a comprehensive solution. C: Identifying with a suicide victim may increase the risk of suicidal behavior in the other twin. D: Fraternal twins share only 50% of their genes, so they do not have the same high genetic risk as identical twins.