MARK KLIMEK LECTURES 1 TO 12 ACTUAL TEST
2026 QUESTIONS WITH VERIFIED ANSWERS
◉ What type of relationship does dependency and co-dependency
have? Answer: it is a symbiotic yet pathological relationship. the
dependent gets a "free ride" from the co-dependent while the co-
dependent feels good from doing stuff for the abuser
◉ How to treat dependency/co-dependency? Answer: - Confront the
abuser
- Teach the co-dependent pt how to set limits and enforce them
(learning how to say no, agree in advance on what requests are
allowed, work on self-esteem)
◉ What is manipulation? Answer: 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.
◉ How is manipulation similar to dependency? Answer: in both, the
dependent person gets the co-dependent person to do things or
make decisions
,◉ What is the difference between manipulation and dependency?
Answer: if what the significant other is being asked to do is not
inherently dangerous and harmful, then it is dependency/co-
dependency
◉ How to treat manipulation? Answer: set limits and enforce them
◉ What is Wernicke-Korsakoff? Answer: psychosis induced by
vitamin B1 (thiamine) deficiency
◉ What are the primary s/s of Wernicke-Korsakoff? Answer: -
Amnesia (severe memory loss)
- Confabulation (making up stories that the pt truly believes is
reality)
◉ How to respond to confabulation? Answer: Redirect the pt
◉ What are the 3 characteristics of Wernicke-Korsakoff? Answer: 1.
Preventable (take B1)
2. Irreversible (will kill brain cells)
3. Arrestable (take B1)
,◉ What does Vitamin B1 do? Answer: Metabolizes alcohol. A
thiamine deficiency will cause alcohol in to build up in the body and
kill brain cells.
◉ What does Antabuse do? Answer: Alcohol deterrent
◉ What is aversion therapy? Answer: a type of behavior therapy
designed to make a patient give up an undesirable habit by causing
them to associate it with an unpleasant effect.
works better in theory than reality
◉ What is the onset and duration of Antabuse/Revia? Answer: 2
weeks
◉ What should you include in your patient teaching for a pt on
Antabuse/Revia? Answer: Avoid all forms of alcohol to avoid N/V,
death
- Ex: Mouthwash, hand sanitizer, cologne, perfume, aftershave, elixir,
most OTC liquid medicine, insect repellant, vanilla extract (unbaked
icing), vinaigrette
◉ True or false: Red wine vinaigrette has alcohol in it Answer: false
, ◉ What is the first thing you should ask if you get an
overdose/withdrawal question? Answer: "Is the drug an upper or a
downer?"
◉ What are examples of "upper" drugs? Answer: - Caffeine
- Cocaine
- PCP/LSD
- Methamphetamines
- Adderall
◉ What are examples of "downer" drugs? Answer: if it is not an
upper, then it is a downer
◉ What are some s/s of "upper" drugs? Answer: Things go UP!
- Euphoria
- Seizures
- Restlessness
- Irritability
- Hyperreflexia
- Tachycardia
- Increased bowel sounds
2026 QUESTIONS WITH VERIFIED ANSWERS
◉ What type of relationship does dependency and co-dependency
have? Answer: it is a symbiotic yet pathological relationship. the
dependent gets a "free ride" from the co-dependent while the co-
dependent feels good from doing stuff for the abuser
◉ How to treat dependency/co-dependency? Answer: - Confront the
abuser
- Teach the co-dependent pt how to set limits and enforce them
(learning how to say no, agree in advance on what requests are
allowed, work on self-esteem)
◉ What is manipulation? Answer: 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.
◉ How is manipulation similar to dependency? Answer: in both, the
dependent person gets the co-dependent person to do things or
make decisions
,◉ What is the difference between manipulation and dependency?
Answer: if what the significant other is being asked to do is not
inherently dangerous and harmful, then it is dependency/co-
dependency
◉ How to treat manipulation? Answer: set limits and enforce them
◉ What is Wernicke-Korsakoff? Answer: psychosis induced by
vitamin B1 (thiamine) deficiency
◉ What are the primary s/s of Wernicke-Korsakoff? Answer: -
Amnesia (severe memory loss)
- Confabulation (making up stories that the pt truly believes is
reality)
◉ How to respond to confabulation? Answer: Redirect the pt
◉ What are the 3 characteristics of Wernicke-Korsakoff? Answer: 1.
Preventable (take B1)
2. Irreversible (will kill brain cells)
3. Arrestable (take B1)
,◉ What does Vitamin B1 do? Answer: Metabolizes alcohol. A
thiamine deficiency will cause alcohol in to build up in the body and
kill brain cells.
◉ What does Antabuse do? Answer: Alcohol deterrent
◉ What is aversion therapy? Answer: a type of behavior therapy
designed to make a patient give up an undesirable habit by causing
them to associate it with an unpleasant effect.
works better in theory than reality
◉ What is the onset and duration of Antabuse/Revia? Answer: 2
weeks
◉ What should you include in your patient teaching for a pt on
Antabuse/Revia? Answer: Avoid all forms of alcohol to avoid N/V,
death
- Ex: Mouthwash, hand sanitizer, cologne, perfume, aftershave, elixir,
most OTC liquid medicine, insect repellant, vanilla extract (unbaked
icing), vinaigrette
◉ True or false: Red wine vinaigrette has alcohol in it Answer: false
, ◉ What is the first thing you should ask if you get an
overdose/withdrawal question? Answer: "Is the drug an upper or a
downer?"
◉ What are examples of "upper" drugs? Answer: - Caffeine
- Cocaine
- PCP/LSD
- Methamphetamines
- Adderall
◉ What are examples of "downer" drugs? Answer: if it is not an
upper, then it is a downer
◉ What are some s/s of "upper" drugs? Answer: Things go UP!
- Euphoria
- Seizures
- Restlessness
- Irritability
- Hyperreflexia
- Tachycardia
- Increased bowel sounds
