Mark Klimek - Alcohol Exam Questions and Answers 2024 Correctly done

1 problem in alcoholism is... - Denial Denial - Refusal to accept the reality of a problem How do you treat denial? - 1. Confront it by pointing out to the person the difference between what they say and what they do. 2. In contrast, support the denial of loss and grief (b/c the use of denial is serving a functioning person) Confrontation is only used for _____. It is NOT used for ____. - Abuse (Alcoholic) NOT used for loss/grief (person lost their hand in accident) Dependency - When the abuser gets the significant other to do things for them or make decisions for them Codependency - When the significant other derives positive self-esteem from doing other things for or making decisions for the abuser dependency/codependency Tx: - 1. Set BOUNDARY (limits) and ENFORCE them. Agree in advance on what requests are allowed then enforce the agreement 2. Work on the SELF-ESTEEM of the codependent personManipulation - When the abuser gets the significant other to do things for him/her that are not in the best interest of the significant other. The nature of the act is dangerous or harmful to the significant other Manipulation Tx: - 1. Set limits and enforce 2. It's easier to treat than dependency/codependency because nobody likes to be manipulated Wernicke's (Korsakoff's) Syndrome - Psychosis induced by Vitamin B1/Thiamine deficiency S/Sx: AMNESIA & Confabulation (making up stories to fill in memory loss - believe as true) 1. Prevention: give B1 vitamins 2. Arrestable: can stop from getting worse - not imply better 3. Irreversible: dementia symptoms do NOT get better - only worse Antabuse/Revia - Disulfiram (drugs used for alcoholism) Aversion Therapy Onset/Duration of Antabuse/Revia (Disulfiram)? - 2 weeks Antabuse/Revia (Disulfiram) Teaching: - Avoid ALL forms of alcohol to avoid nausea, vomiting, possibly death -mouthwash -aftershave-perfumes/cologne -insect repellent -vinigarettes (salad dressings) - vanilla extract -elixirs -alcohol prep pad -alcohol hand sanitizers ***What drugs are uppers? - Caffeine Cocaine PCP/LSD Methamphetamines (speed) ADHD - adderral/Ritalin Bath salts