ALCOHOLISM

Question 1

What is the biggest problem in abuse?

Answer 1

Denial

Question 2

To treat denial you need to?

Answer 2

Confront them.

Question 3

How do you confront?

Answer 3

Point out the difference between what they say and what they do.

Question 4

What is the one circumstance that you as a nurse would support denial?

Answer 4

Loss and Grief

Question 5

What is dependency?

Answer 5

When the abuser gets a significant other so make decisions for them or do thing for them.

Question 6

What is codependency?

Answer 6

When the significant other gets positive self esteem from doing things or making decisions for an abuser.

Question 7

To treat dependency/codependency you ?

Answer 7

Set limits and enforce them.

Say NO and follow through.
Agree in advance on what requests are allowed, then enforce the agreement.

You also need to work or the self esteem of the codependent.

Question 8

What is manipulation?

Answer 8

When the abuser gets the significant other fo do things for them that is not in the best interest of the significant other. This can be dangerous and harmful to the significant other.

Question 9

How do you treat manipulation?

Answer 9

Set limits and enforce.

Question 10

Why is manipulation easier to treat then dependency/codependency?

Answer 10

Because no one likes being manipulated.

Question 11

DABDA - 5 Stages of Grief

Answer 11

D- Denial
A- Anger
B- Bargaining
D- Depression
A- Acceptance

Question 12

To address a patient’s psychological needs, they must be:

Answer 12

STABLE, safe, comfortable.

Question 13

What is Wernickes (Korsakoffs) Syndrome?

Answer 13

Psychosis induced by vitamin B1 (Thiamine) deficiency.

Question 14

Symptom of Wernickes Korsakoffs syndrome?

Answer 14

Amnesia with confabulation.

= Loss of memory with making up stories to fill in the gaps.

Question 15

Vitamin B1 helps breakdown?

Answer 15

Alcohol

Question 16

So without B1 what happens?

Answer 16

Alcohol isn’t metabolized correctly goes to the brain and causes Wernickes

Question 17

Primary symptom of Wernickes?

Answer 17

Amnesia with confabulation (making up stories).

Question 18

Is Wernickes preventable?

Answer 18

Yes- Take Vitamin B1

Question 19

Is Wernickes arrestable?

Answer 19

Yes- Take Vitamin B1

Arrestable means Can stop from getting worse- not imply better

Question 20

Is Wernickes reversible?

Answer 20

No

Question 21

What is the goal of patients dementia/organic brain syndrome?

Answer 21

Maintain function, Never Improve.

Question 22

What is aversion therapy?

Answer 22

When you try and make the patient hate something.

Question 23

Antabuse onset and duration is?

Answer 23

2 weeks

Question 24

Teach a patient taking Antabuse to avoid what?

Answer 24

Alcohol

Question 25

On top of alcohol a patient taking Antabuse should also avoid what other 7 things?

Answer 25

NO: 
1.)mouthwash, 
2.)aftershaves, 
3.)perfumes/colognes, 
4.)alcohol-based hand santizers
5.)insect repellants, 
6.)-elixer (Robitussin), 
7.),un-cooked icings (vanilla extract)...  
However, they CAN have RED WINE VINAGERETTE

Question 26

How long does it take for Antabuse to get out of the system so they can drink Alcohol yet?

Answer 26

2 weeks

Question 27

What are Elixirs?

Answer 27

95% of liquids. If it is not an antibiotic, assume it is an elixir, so the patient can’t have it if on antabuse.

This rule applies for diabetics too (elixers also have sugar)

Question 28

What happens if a person on Antabuse ingests alcohol?

Answer 28

Nausea, Vomiting, & Possibly Death