Mark Klimek – Alcohol UPDATED Actual
Exam Questions and CORRECT Answers
#1 problem in alcoholism is... - CORRECT ANSWER✔✔- Denial
Denial - CORRECT ANSWER✔✔- Refusal to accept the reality of a problem
How do you treat denial? - CORRECT ANSWER✔✔- 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 ____. - CORRECT ANSWER✔✔-
Abuse (Alcoholic)
NOT used for loss/grief (person lost their hand in accident)
Dependency - CORRECT ANSWER✔✔- When the abuser gets the significant other to do
things for them or make decisions for them
Codependency - CORRECT ANSWER✔✔- When the significant other derives positive self-
esteem from doing other things for or making decisions for the abuser
dependency/codependency
Tx: - CORRECT ANSWER✔✔- 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 person
, Manipulation - CORRECT ANSWER✔✔- 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: - CORRECT ANSWER✔✔- 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 - CORRECT ANSWER✔✔- 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 - CORRECT ANSWER✔✔- Disulfiram (drugs used for alcoholism)
Aversion Therapy
Onset/Duration of Antabuse/Revia (Disulfiram)? - CORRECT ANSWER✔✔- 2 weeks
Antabuse/Revia (Disulfiram)
Teaching: - CORRECT ANSWER✔✔- Avoid ALL forms of alcohol to avoid nausea,
vomiting, possibly death
-mouthwash
-aftershave
Exam Questions and CORRECT Answers
#1 problem in alcoholism is... - CORRECT ANSWER✔✔- Denial
Denial - CORRECT ANSWER✔✔- Refusal to accept the reality of a problem
How do you treat denial? - CORRECT ANSWER✔✔- 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 ____. - CORRECT ANSWER✔✔-
Abuse (Alcoholic)
NOT used for loss/grief (person lost their hand in accident)
Dependency - CORRECT ANSWER✔✔- When the abuser gets the significant other to do
things for them or make decisions for them
Codependency - CORRECT ANSWER✔✔- When the significant other derives positive self-
esteem from doing other things for or making decisions for the abuser
dependency/codependency
Tx: - CORRECT ANSWER✔✔- 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 person
, Manipulation - CORRECT ANSWER✔✔- 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: - CORRECT ANSWER✔✔- 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 - CORRECT ANSWER✔✔- 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 - CORRECT ANSWER✔✔- Disulfiram (drugs used for alcoholism)
Aversion Therapy
Onset/Duration of Antabuse/Revia (Disulfiram)? - CORRECT ANSWER✔✔- 2 weeks
Antabuse/Revia (Disulfiram)
Teaching: - CORRECT ANSWER✔✔- Avoid ALL forms of alcohol to avoid nausea,
vomiting, possibly death
-mouthwash
-aftershave
