Which behavior demonstrated by an adolescent should alert the school nurse to a problem of substance abuse?
a. States feelings of worthlessness
b. Increased desire for social conformity
c. Does not feel need for peer approval
d. Deterioration of relationships with family members
D
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A Feelings of worthlessness are suggestive of a depressive disorder. An adolescent
with a substance abuse problem may be depressed, but this behavior is not a
manifestation of substance abuse.
B The clinical manifestations of substance abuse are marked by an increase in
antisocial behavior as the desire for social conformity decreases and the need for
the substance increases.
C The adolescent with a substance abuse problem may demonstrate an excessive
dependence on peer influence.
D Deterioration of relationships with family members, irregular school attendance,
low grades, rebellious or aggressive behavior, and excessive dependence on peer
influence are behaviors that may indicate substance abuse.
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