What does substance abuse primarily involve?

Substance abuse primarily involves excessive use of drugs or alcohol, which can lead to a range of harmful consequences for the individual and those around them. This behavior often results in both physical and psychological dependence on these substances, affecting overall health, relationships, and the ability to fulfill daily responsibilities. In the context of long-term care and nursing assistance, understanding substance abuse is essential, as it can significantly impact patient care and safety. Recognizing the signs of substance abuse can also aid caregivers in addressing these issues effectively, ensuring better support for individuals affected by such dependencies.

The other options, although they may correspond to issues in healthcare settings or general well-being, do not accurately define the concept of substance abuse. Working environment issues relate to workplace dynamics and conditions, failing to provide care pertains to neglect or lack of service, and physical attacks against staff represent violent behavior rather than substance-related concerns.