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mental health

Substance Abuse and Nursing Care

Substance use disorders involve harmful use of alcohol or drugs. Nurses manage intoxication, withdrawal, and support recovery non-judgementally.

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Key Points to Know

What you must know about Substance Abuse Nursing

1

Tolerance means needing more of a substance to achieve the same effect.

2

Withdrawal produces physical and psychological symptoms when the substance is stopped.

3

Alcohol withdrawal can cause tremors, seizures, and delirium tremens (a medical emergency).

4

Maintain a non-judgemental, supportive therapeutic relationship.

5

Ensure safety during withdrawal and monitor vital signs closely.

6

Support long-term recovery with counselling and referral to rehabilitation services.

NMCN Exam Tips

How this topic appears in the NMCN exam

Delirium tremens is a life-threatening alcohol-withdrawal emergency.

A non-judgemental attitude is essential in substance abuse care.

Distinguish tolerance from withdrawal in definitions.

Monitor safety and vital signs during withdrawal.

Practice Question

Test yourself

A patient undergoing alcohol withdrawal becomes confused, tremulous, and develops hallucinations 2–3 days after his last drink. The nurse recognises this as:

A.Normal sleep disturbance
B.Delirium tremens, a medical emergency✓ Correct
C.Simple anxiety
D.Intentional attention-seeking

Explanation

Delirium tremens (DTs) is a severe form of alcohol withdrawal, typically occurring 2–3 days after the last drink, marked by confusion, tremors, autonomic instability, and hallucinations. It is a medical emergency requiring urgent treatment and close monitoring.

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