RAMP Identifying Intoxication 2 — Questions and Answers
Question 1: A customer who was previously engaging in normal conversation suddenly becomes unusually quiet and has glassy eyes. What should a RAMP-trained server do first?
- Immediately cut off service and call a cab
- Observe the customer more closely and assess other signs of intoxication (Correct answer)
- Ask the customer's friends if they think he is drunk
- Continue serving since one sign is not enough to act on
Correct answer: Observe the customer more closely and assess other signs of intoxication
A single behavioral change warrants closer observation to assess whether a pattern of intoxication signs is developing before taking action.
Question 2: Which physiological factor causes women to typically reach higher BAC levels than men after consuming the same amount of alcohol?
- Women have a faster metabolism
- Women generally have a higher proportion of body fat and less body water (Correct answer)
- Women produce more alcohol dehydrogenase
- Women absorb alcohol more slowly through the stomach
Correct answer: Women generally have a higher proportion of body fat and less body water
Women typically have a higher percentage of body fat and lower percentage of body water than men, causing alcohol to be less diluted and resulting in higher BAC.
Question 3: A guest orders their fourth drink in 90 minutes. Under RAMP guidelines, what is the most important factor to consider before serving?
- The type of alcohol ordered
- The guest's apparent level of impairment relative to drinks consumed (Correct answer)
- Whether the guest paid cash or used a card
- How busy the establishment is
Correct answer: The guest's apparent level of impairment relative to drinks consumed
The guest's visible level of impairment is the primary indicator that must be assessed regardless of how many drinks have been ordered.
Question 4: Which of the following is considered a LATE-stage sign of intoxication requiring immediate intervention?
- Slightly slurred speech
- Increased talkativeness
- Inability to stand without support (Correct answer)
- Louder than normal voice
Correct answer: Inability to stand without support
Inability to stand without support indicates severe impairment and is a late-stage sign requiring immediate stoppage of service.
Question 5: A customer's BAC is estimated at 0.06%. How would you expect this person to appear under observation?
- Completely normal with no visible signs
- Mild relaxation and slight impairment of judgment (Correct answer)
- Slurred speech and staggering gait
- Stupor and possible unconsciousness
Correct answer: Mild relaxation and slight impairment of judgment
At 0.06% BAC, individuals typically exhibit mild relaxation, slight lowering of inhibitions, and beginning impairment of judgment.
Question 6: Which scenario best illustrates the 'threshold effect' that servers should watch for in intoxication assessment?
- A guest who drinks slowly all evening
- A guest who appears fine, then suddenly shows multiple signs of intoxication (Correct answer)
- A guest who eats a large meal before drinking
- A guest who alternates alcoholic and non-alcoholic drinks
Correct answer: A guest who appears fine, then suddenly shows multiple signs of intoxication
The threshold effect occurs when alcohol absorbed earlier suddenly overwhelms the body, causing rapid onset of visible intoxication signs.
Question 7: A patron becomes argumentative when you ask how they're doing. In a RAMP context, argumentativeness is considered what type of intoxication indicator?
- Physical indicator
- Behavioral/emotional indicator (Correct answer)
- Cognitive indicator
- Environmental indicator
Correct answer: Behavioral/emotional indicator
Argumentativeness, aggression, and emotional volatility are classified as behavioral or emotional indicators of intoxication.
RAMP Identifying Intoxication 2
A customer who was previously engaging in normal conversation suddenly becomes unusually quiet and has glassy eyes.
What should a RAMP-trained server do first?