DSSSB -28 August 2019 (Shift-2)
Mental Health Nursing
Easy
The condition that develops after total or partial withdrawal of drugs after prolonged use is called?
Appeared in: DSSSB -28 August 2019 (Shift-2)
Explanation
- A withdrawal state, also known as an abstinence or discontinuation syndrome, is the specific set of symptoms that manifest after stopping or reducing a drug that has been used for a long time.
- The question describes the exact definition of a withdrawal state, which is a direct consequence of the body's adaptation to the chronic presence of a drug.
- This state is characterized by physical and psychological symptoms that are often the opposite of the drug's acute effects.
- The symptoms are time-limited and specific to the substance being withdrawn.
Why Other Options Were Wrong
- Option A: Poor input control is not a recognized medical or psychiatric term for a substance-related disorder. It is a vague phrase and serves as a distractor.
- Option B: Dependence syndrome is a broader concept that includes withdrawal as one of its potential components. The question specifically asks for the condition that develops after stopping the drug, which is the withdrawal state itself, not the entire syndrome of dependence.
- Option C: Acute intoxication refers to the effects of a substance while it is present in the body, causing immediate changes in consciousness, cognition, and behavior. It is the opposite of withdrawal.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Substance Withdrawal Syndrome as background academic context rather than a clinical decision trigger.
- Recognizing the signs of withdrawal is a critical nursing skill for ensuring patient safety. Untreated withdrawal from substances like alcohol or benzodiazepines can be life-threatening.
- Nurses use standardized assessment tools (e.g., CIWA-Ar for alcohol) to quantify withdrawal severity and guide treatment, preventing complications like seizures or delirium tremens.
- Patient education is vital. Nurses must teach patients about the risks of abruptly stopping certain medications and the importance of a medically supervised taper.
How to Approach the Question
- First, analyze the question stem to identify the core concept. The keywords are 'after total or partial withdrawal' and 'prolonged use'.
- This points to a condition resulting from the cessation of a substance.
- Evaluate each option based on its standard medical definition.
- Option A, 'Poor input control,' is not a clinical term. Eliminate it.
- Option C, 'Acute intoxication,' refers to the effects during drug use, which is the opposite of the scenario. Eliminate it.
- Differentiate between the remaining options: 'Dependence syndrome' and 'Withdrawal state'.
Concept Tested & Keywords
- Concept Tested: Substance Withdrawal Syndrome
- Stem keywords: withdrawal of drugs, prolonged use
- Lead-in keywords: condition
Question ID
QxA0sVkeoYGcPfJDrj5H4a
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 4610-4612, 15669-15672
E6 Pharmacology KD Tripathi Essentials 9e Part 2 p. 161-163
Practise the full DSSSB -28 August 2019 (Shift-2)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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