Lecture 2- Mark Klimek Exam Questions and Answers 2024;full solution pack

What is the #1 psychological problem when dealing with alcohol? - Answer-Denial How do you respond/treat to Pts in denial? - Answer-- Confront them by pointing out the difference between what they say/do - Pay attention to whether the Pt is dealing with a loss or abusive situation "Support= Loss / Confront= Abuse" What is the #2 psychological problem - Answer-Dependency or Co-Dependency How do you treat dependency/ codependency? - Answer-- Dependent Pts are "abusers" ... Confront them - Co-dependent Pts have self esteem issues ... teach Pts how to set limits and enforce them - Agree in advance on what request have are allowed then enforce them - Teach significant other to say no - Work on self esteem on the co-dependent How is manipulation like dependency? - Answer-- In both situations the dependent person gets the codependent person to do things or make decisions - If what the significant other is being asked to do is not inherently dangerous and harmful, then this is dependency/ co-dependency - If significant other is being asked to do something inherently dangerous/harmful then this is manipulation Wernicke (Korsakoff) Syndrome - Answer--Wernicke is an encephalopathy -Korsakoff is a psychosis -Wernicke and Korsakoff tend to go together Wernicke and Korsakoff - Answer-- Psychosis induced by vitamin B1, thiamine deficiency- Situation where Pt looses touch with reality due to it B1 deficiency -The primary S/Sx are amnesia (memory loss) and confabulation How to deal with a Pt with Wernicke and Korsakoff who is confabulating about going to a meeting with Elvis Presley? - Answer-- Redirect the Pt to something they can do What are the characteristics of Wernicke and Korsakoff syndrome? - Answer-- Preventable ... Take B1 - Arrestable (stop it from getting worse) ... TakeB1 - Irreversible (70%) ... Will kill human brain cells -What is Antabuse - Answer-Alcohol deterrent What is Revia - Answer-Antidote What is Aversion Therapy? - Answer-a type of behavior therapy designed to make a patient give up and undesirable habit by causing them to associate it with and unpleasant effect What are the onset and duration of Antabuse/Revia - Answer-2 Weeks Teach Pt to avoid ___ forms of EtOH. Not doing so may lead to symptoms of ____, even death - AnswerAll, n/v (On exam do not pick Red Wine Vinaigrettes they do not have alcohol) What is the first thing to ask yourself during an overdose? - Answer-Is it an upper or a downer? What are the 5 UPPERs to memorize for the NCLEX? - Answer--Caffeine -Cocaine - PCP/LSD -Methamphetamines -Adderall -What are the signs and symptoms of an upper? - Answer-Euphoria, seizures, restlessness, hyperreflexia, tachycardia, increased bowels, diarrhea