All of the following are medications for alcoholism except

A. "I will help you leave this relationship" is not an appropriate response because it assumes the nurse knows what is best for the patient and does not respect her autonomy or immediate choices. The patient has clearly stated she does not want to leave the relationship at this time.
B. "You need to report your husband to the police" is an invasive and potentially coercive statement. While reporting abuse is important, the nurse should provide information and support, not force actions the patient may not be ready to take. Pressuring her could escalate the situation and harm the patient’s trust in healthcare providers.
C. "Let's develop a safety plan for repeated violence" is the most supportive and patient-centered response. It acknowledges the reality of the abuse while offering a non-judgmental, practical approach to help her stay safe. The nurse is giving the patient the option to make informed decisions about her safety, which is empowering.
D. "Here is a list of services that can help you" is helpful, but it lacks the active engagement the patient may need. Developing a personalized safety plan is more immediate and relevant for someone experiencing ongoing abuse.

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.