A former client called. He is 71 and has been sober for five years. He reports he binged with a quart of vodka last night but he is not drinking now. What should be done first?
  1. Have the former client call AA immediately.
  2. Send an ambulance to pick him up to be medically assessed.
  3. Talk to him about reentering treatment.
  4. Schedule a TLFD to establish the pattern and intensity of the relapse.
Explanation
Answer: B - The first action should be to get the alcoholic medically physically assessed. In situations when alcoholics have become physically dependent on the chemical and then without alcohol for a long period of time the reaction to consuming that much alcohol and then withdrawing again can be most severe. For example elevated blood pressure might need to be controlled.
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