Psychiatric Assessment and Fundamentals Q 15

---

Which of the following foods would the nurse Trish eliminate from the diet of a client in alcohol withdrawal?

  

     A. Milk

     B. Orange Juice

     C. Soda

     D. Regular Coffee

    

    

Correct Answer: D. Regular Coffee

---

Regular coffee contains caffeine which acts as psychomotor stimulants and leads to feelings of anxiety and agitation. Serving coffee to the client may add to tremors or wakefulness. During acute alcohol intake, caffeine largely antagonizes the “unwanted” effects of alcohol by blocking A1 receptors, which mediate alcohol’s somnogenic and ataxic effects. On the other hand, an alcohol-induced increase in the extracellular concentration of adenosine can decrease the A1 receptor-mediated “unwanted” anxiogenic effects of caffeine. The mutual antagonism of “unwanted” effects gives the possibility of increasing significantly the intake of both drugs in the pursuit of the “wanted” reinforcing effects.

---

Option A: Calcium is important for strong bones. Dairy such as milk contains plenty of calcium (but don’t have too much, because of the fat content). Eating leafy greens like chard, spinach, and kale work wonders – why not make a kale and spinach omelet?

Option B: Potassium is very important for heart and muscular health. Bananas are very high in potassium, as are sweet and white baked potatoes, peas, beans, spinach, fish and seafood, dried fruits, and greens.

Option C: If you’re going to undertake an alcohol detox, a fundamental rule is to cut out sugary foods, especially those with processed sugars and meals that have a high-fat content. Although we all need particular carbohydrates that are high in fiber, it is also recommended that you cut down on carbs too, such as crisps, bread, and pasta.

---