A patient diagnosed with major depressive disorder refuses solid foods. In order to meet nutritional needs, which beverage will the nurse offer to this patient?

Correct Answer: D

Rationale: The correct answer is D: Milk. Milk is a nutrient-dense beverage that can provide essential nutrients like protein, calcium, and vitamins D and B12, which are important for overall health and well-being. It can help meet the patient's nutritional needs despite refusing solid foods. Tomato juice (A) and orange juice (B) may not provide sufficient protein and other essential nutrients. Hot tea (C) is a non-nutrient beverage and does not offer the necessary nutrients for meeting the patient's nutritional requirements.

Correct Answer: D

Rationale: The correct answer is D because making the individual responsible for the consequences of their behavior promotes accountability and aids in their recovery. This approach empowers the individual to take ownership of their actions and understand the impact of their behavior. It also helps in setting boundaries and establishing clear expectations. Choice A is incorrect as it implies acceptance of relapses as inevitable, which can be discouraging for the individual and hinder their progress. Choice B suggests a confrontational approach that may create tension and resistance. Choice C focuses on visitation frequency rather than the effectiveness of support and guidance.

Correct Answer: B

Rationale: The correct answer is B because symptoms of opioid withdrawal typically include nausea, vomiting, diaphoresis, anxiety, and hyperreflexia. Nausea and vomiting are common gastrointestinal symptoms, diaphoresis is excessive sweating, anxiety is a psychological symptom, and hyperreflexia is an increase in reflexes. These symptoms are classic manifestations of opioid withdrawal. Choices A, C, and D do not align with the typical symptoms of opioid withdrawal. A includes symptoms more consistent with opioid intoxication, C includes nonspecific symptoms, and D includes unrelated symptoms.

Correct Answer: A

Rationale: Step 1: Substance Abuse and Mental Health Services Administration (SAMHSA) is the correct answer because it is a federal agency dedicated to improving behavioral health outcomes. Step 2: SAMHSA provides comprehensive information on epidemiology, assessment techniques, and best practices for persons with addictions. Step 3: SAMHSA's resources are evidence-based and cover a wide range of topics related to addiction. Step 4: Other choices are incorrect because the Institute of Medicine (IOM) focuses on broader health issues, the National Council of State Boards of Nursing (NCSBN) focuses on nursing regulation, and the American Society of Addictions Medicine has a narrower focus compared to SAMHSA.

Correct Answer: A

Rationale: The correct answer is A: delirium. Delirium is an acute and reversible condition characterized by sudden onset confusion, altered consciousness, inattention, and disorganized thinking. In this case, the patient's symptoms developed rapidly over a short period, suggesting an acute process. Delirium is commonly triggered by medication interactions or underlying medical conditions in older adults. The fluctuating levels of orientation, slurred speech, and unsteady gait are all indicative of delirium. Summary: B: Dementia is a chronic progressive condition with gradual cognitive decline, not sudden onset confusion. C: Amnestic syndrome is characterized by memory impairment, not the range of symptoms seen in delirium. D: Alzheimer's disease is a type of dementia and does not typically present with sudden onset confusion and fluctuating levels of orientation.