All of the following are used for opiate dependence except

A. Librium (chlordiazepoxide) is a benzodiazepine commonly used to manage alcohol withdrawal symptoms, such as agitation, tremors, and seizures.
B. Valium (diazepam) is another benzodiazepine frequently used for alcohol withdrawal due to its long half-life and calming effects.
C. Ativan (lorazepam) is also used in alcohol withdrawal treatment, especially for patients with liver issues, as it has a shorter half-life and is metabolized differently than other benzodiazepines.
D. Zoloft (sertraline) is an SSRI antidepressant, not used for managing acute alcohol withdrawal. While it may be prescribed later for co-occurring depression or anxiety, it is not appropriate for immediate withdrawal management.

A. Providing a safe, non-intimidating, and supportive environment is the most crucial intervention. It allows the patient to feel comfortable and safe enough to disclose sensitive information, like domestic violence. Creating an environment where the patient feels supported and free from judgment is key to encouraging disclosure.
B. Speaking with the patient in the absence of her husband is important, but it is not enough by itself. While the husband may be the abuser, the emotional and physical safety provided by the healthcare team in a supportive environment is essential for disclosure.
C. Interviewing her in the presence of another healthcare professional may be helpful in some situations but can be intimidating if not done carefully. The primary concern is ensuring that the patient feels comfortable and safe to speak freely.
D. Allowing the patient to initiate the topic of violence may not always work, especially if the patient feels threatened, afraid, or emotionally overwhelmed. While it's important to respect the patient's autonomy, being proactive in providing a safe space can encourage her to disclose abuse more readily.