When providing instructions to a patient who has just been prescribed Isocarboxazid (Marplan), it is important for the nurse to include:

Correct Answer: A

Rationale: The correct answer is A because Isocarboxazid is an MAOI, which can have dangerous interactions with other medications resulting in serious side effects. It is crucial for the nurse to educate the patient about potential drug interactions to prevent harm. Choice B is incorrect as Isocarboxazid does not require a tyramine-free diet like other MAOIs such as phenelzine. Choices C and D are unrelated side effects of Isocarboxazid and not the key information that needs to be communicated to the patient.

Correct Answer: D

Rationale: In the context of core concepts of patient family care, understanding risk factors for pathological gambling is crucial for healthcare professionals to provide comprehensive care. The correct answer, option D - All of the above, is the most appropriate choice as it encompasses all three significant risk factors for pathological gambling. Impulsivity, option A, is a known risk factor for developing gambling problems as individuals with impulsive tendencies may find it challenging to control their impulses to gamble excessively. Alcohol abuse, option B, is another common risk factor as it can lower inhibitions and impair judgment, leading individuals to engage in risky behaviors like compulsive gambling. Parents who gamble, option C, can also contribute to the development of gambling issues in their children through learned behavior and normalization of gambling activities within the family. It is essential to highlight that while each of the individual options (A, B, C) presents a valid risk factor for pathological gambling, the comprehensive understanding comes from recognizing that all three factors collectively increase the likelihood of developing gambling problems. By selecting option D, healthcare providers can be better equipped to assess, intervene, and support individuals and families affected by pathological gambling. Educationally, this question helps reinforce the interconnectedness of risk factors in complex health issues like pathological gambling. It underscores the importance of a holistic approach to patient care that considers various contributing factors. By understanding these risk factors, healthcare professionals can offer targeted interventions, support, and resources to address pathological gambling within the framework of patient family care.

Correct Answer: D

Rationale: The correct answer is D) Unit 423. In the Graduate Diploma in Family Medicine (GDFM) / MMed(Family Medicine) modular course, the topic of depression in the elderly is covered in Unit 423 because this unit specifically focuses on mental health issues in the elderly population. This unit delves into the unique challenges and considerations when diagnosing and managing depression in older adults, considering factors such as comorbidities, medications, and social support structures. Option A) Unit 523 is incorrect because this unit typically covers topics related to chronic disease management and preventive care, not specifically focusing on mental health issues in the elderly. Option B) Unit 411 is incorrect as it usually covers topics related to pediatric care and developmental milestones, which are not directly related to depression in the elderly. Option C) Unit 213 is incorrect as it generally covers introductory topics in family medicine, such as history-taking and physical examination skills, rather than delving into specific mental health issues in the elderly. Understanding the specific unit where a topic is covered is crucial for learners to navigate the curriculum effectively and deepen their knowledge in a structured manner. By correctly placing the topic of depression in the elderly within Unit 423, learners can access targeted information and resources to enhance their understanding and skills in managing mental health issues in this population.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Disadvantaged patients may interpret end-of-life care as an attempt to deny essential treatments. This is because financially disadvantaged individuals often face barriers to accessing healthcare services and may have experienced disparities in treatment due to their socio-economic status. End-of-life care can be particularly complex for disadvantaged patients who may have concerns about the cost of care, availability of resources, and the quality of treatment they will receive. Option A is incorrect because financially secure patients may have access to a wider range of healthcare options and may not necessarily insist on aggressive interventions to prolong their life. Option C is incorrect as the desire to spend one's last days outside the hospital is not solely determined by socio-economic status. Option D is incorrect because the choice to move to assisted living facilities is a personal decision that may not be solely influenced by financial security. Educationally, understanding how socio-economic status impacts perspectives on end-of-life care is crucial for healthcare providers to deliver patient-centered care. By recognizing the unique challenges faced by disadvantaged patients, healthcare professionals can tailor their approach to end-of-life discussions and care planning to ensure equitable and compassionate treatment for all patients, regardless of their financial circumstances.

Correct Answer: B

Rationale: The correct answer is B) Negotiating a plan for outside visitors, especially the Imam. This is the most appropriate service for terminally ill Muslim patients because spiritual and religious support is crucial for their well-being. In Islam, having the Imam visit and provide spiritual guidance is highly valued during times of illness and especially at the end of life. This support can bring comfort, peace, and help the patient and their family cope with the challenges they are facing. Option A) Referring the patient for additional tests is not relevant in this context as terminally ill patients typically do not benefit from more tests but rather focus on quality of life and comfort care. Option C) Providing patients with motivational pamphlets may not address the specific spiritual and cultural needs of Muslim patients facing end-of-life care. Option D) Serving regular hospital meals does not cater to the dietary restrictions or preferences that may be important for terminally ill Muslim patients. Educationally, this question highlights the importance of culturally sensitive care in healthcare settings. Understanding and respecting the religious and cultural beliefs of patients is vital in providing holistic and patient-centered care, particularly in end-of-life situations. Healthcare providers need to be aware of diverse cultural practices to ensure they are meeting the unique needs of each patient.