In obtaining a teenage client's history, which of the following would the nurse consider an early indicator of substance abuse?

A)

six absences from school in 1 year
B)

drinking beer with friends after a football game
C)

an increasing tolerance for alcohol
D)

a desire to stop drinking


C
Explanation:

A)

An increased tolerance indicates a maladaptive pattern and can progress to substance dependency. Absences from school can be attributed to many things. Drinking with friends is not a positive sign, but is typical teenage behavior and would not be the best indicator of an abuse problem. A desire to stop is positive.
Comprehension
Assessment
Psychosocial Integrity: Psychosocial Adaptation
B)

An increased tolerance indicates a maladaptive pattern and can progress to substance dependency. Absences from school can be attributed to many things. Drinking with friends is not a positive sign, but is typical teenage behavior and would not be the best indicator of an abuse problem. A desire to stop is positive.
Comprehension
Assessment
Psychosocial Integrity: Psychosocial Adaptation
C)

An increased tolerance indicates a maladaptive pattern and can progress to substance dependency. Absences from school can be attributed to many things. Drinking with friends is not a positive sign, but is typical teenage behavior and would not be the best indicator of an abuse problem. A desire to stop is positive.
Comprehension
Assessment
Psychosocial Integrity: Psychosocial Adaptation
D)

An increased tolerance indicates a maladaptive pattern and can progress to substance dependency. Absences from school can be attributed to many things. Drinking with friends is not a positive sign, but is typical teenage behavior and would not be the best indicator of an abuse problem. A desire to stop is positive.
Comprehension
Assessment
Psychosocial Integrity: Psychosocial Adaptation

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