National Certified Addiction Counselor, Level 2 (NCAC II) Practice Exam Exam

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What is a sign of alcohol withdrawal that can occur within 8 hours after heavy drinking?

  1. Tremors

  2. Delirium Tremens

  3. Intoxicated behavior

  4. Hallucinations

The correct answer is: Tremors

Tremors are one of the earliest signs of alcohol withdrawal, often occurring within a relatively short time frame after the cessation of heavy drinking, typically within 6 to 8 hours. These tremors manifest as shaking, particularly in the hands, and are a physiological response to the body adjusting to the absence of alcohol, which it has become dependent on. This reaction is part of the central nervous system's attempt to stabilize after the removal of a depressant substance, creating an imbalance. Delirium Tremens, while a severe form of alcohol withdrawal, typically presents later, usually occurring 48 to 72 hours after the last drink. Intoxicated behavior reflects ongoing alcohol consumption rather than withdrawal symptoms and is not indicative of the body's response to the absence of alcohol. Hallucinations can occur in withdrawal but are also more common later in the process, often after a day or two. Thus, tremors are the most immediate and recognizable sign of withdrawal within the specified time frame.