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

Which of the following is a symptom of Stage 1 alcohol withdrawal?

1. Severe hallucinations

2. Tremor

3. Delirium tremens

4. Seizures

The correct answer is: Tremor

In Stage 1 alcohol withdrawal, tremors are a common and early symptom. This stage typically presents with mild symptoms that can occur within a few hours after the last drink. Tremors, often referred to as "shakes," are especially noticeable in the hands and signify the body's reaction to the absence of alcohol, which it has grown accustomed to. Severe hallucinations, delirium tremens, and seizures are symptoms associated with more advanced stages of alcohol withdrawal. Delirium tremens, in particular, is a severe form of alcohol withdrawal that can occur around 48 to 72 hours after the last drink and is characterized by confusion, hallucinations, and agitation. Seizures can also occur during withdrawal but are more typical of later stages, particularly if the withdrawal is not managed properly. Thus, the presence of tremors represents an early and identifiable symptom in the initial phase of alcohol withdrawal.