After treatment for a detached retina, a victim of intimate partner violence says, "My partner only abuses me when intoxicated. I've considered leaving, but was brought up to believe you stay together, no matter what happens. I always get an apology, and I can tell my partner feels bad after hitting me. Which nursing diagnosis applies?

A. Methadone is commonly used in the treatment of opiate dependence. It is a long-acting opioid agonist that helps reduce withdrawal symptoms and cravings, allowing patients to stabilize and recover without experiencing the highs and lows of illicit drug use.
B. Lorazepam is a benzodiazepine used to treat anxiety, insomnia, and sometimes alcohol withdrawal. It is not used for opiate dependence and can actually be dangerous if combined with opioids, as it can increase the risk of respiratory depression and overdose.
C. Subutex is a brand name for buprenorphine, which is used to treat opioid dependence. It is a partial opioid agonist that helps reduce cravings and withdrawal symptoms without producing the high associated with full opioid agonists.
D. Naltrexone is used to treat both opioid and alcohol dependence. It is an opioid antagonist that works by blocking the effects of opioids, helping to prevent relapse in individuals who have already detoxified from opioids.

A. Patient will remain safe in the environment is the priority outcome in both delirium and dementia scenarios. In both conditions, the patient is at an increased risk of harm due to confusion, misinterpretation of reality, and impaired judgment. Ensuring the patient's safety is the first and foremost concern. This could involve managing the patient's environment, preventing falls, using safety measures like bed alarms, and ensuring that wandering is minimized.
B. Patient will acknowledge reality is a desirable goal but not the immediate priority in these cases. In delirium, the patient's altered reality is typically reversible once the underlying cause is addressed. In dementia, reality orientation may be difficult or impossible to fully achieve, so safety is more important.
C. Patient will communicate verbally is important, but in these cases, the patient's safety is more critical. Communication abilities may vary depending on the severity of the delirium or dementia, and focusing on verbal communication may not address the more immediate need for safety.
D. Patient will participate actively in self-care is an important goal for promoting independence, but in the case of delirium and dementia, ensuring the patient's safety must be prioritized first, as these conditions may impair the patient's ability to perform self-care activities safely.