National Certified Addiction Counselor, Level I (NCAC I) Practice Exam

Which symptom is associated with the late stage of alcohol dependence?

1. Increased social interactions

2. Euphoria at drinking events

3. Blackouts

4. Regular exercise

The correct answer is: Blackouts

The chosen answer, indicating that blackouts are associated with the late stage of alcohol dependence, is accurate due to the significant physiological and neurological changes that occur with prolonged heavy drinking. As alcohol dependence progresses, the individual’s tolerance to alcohol increases, often leading to episodes of impaired memory, commonly known as blackouts. During these periods, the person may engage in social activities or consume alcohol but will not retain memories of these events, reflecting the brain's inability to form new memories as affected by alcohol. In the late stages of alcohol dependence, cognitive functions are compromised due to the toxic effects of alcohol on the brain, enhancing the likelihood of blackouts. This symptom signifies severe impairment and reflects a deeper level of alcohol-related damage, indicating that the individual's relationship with alcohol has reached a critical and damaging stage. The other choices do not align with the typical symptoms or behaviors observed in late-stage alcohol dependence. Increased social interactions and euphoria at drinking events suggest a healthier relationship with alcohol, which contrasts with the reality of later stages where individuals often isolate or continue drinking despite detrimental consequences. Regular exercise indicates a commitment to health and well-being, which is not characteristic of someone struggling with the severe implications of alcohol dependence. Thus, blackouts serve as a clear indication of