Edith is the mother of a 16-year-old who is being seen in the emergency department for a minor injury when he was involved in a motor vehicle accident
Edith told the nurse assessing her son that during the past 3 months he has been increasingly difficult to get along with and has been spending most of his time in his room. Which of the following topics is most important for the nurse to discuss with Edith? A. Accident prevention measures
B. Enrolling her son in a defensive driving course
C. The possibility of substance abuse
D. The importance of automobile insurance
C
To assess for possible substance abuse, have parents look for environmental and psychosocial clues. Environmental clues include the presence of drug-oriented magazines, beer and liquor bottles, drug paraphernalia, blood spots on clothing, and the continual wearing of long-sleeved shirts in hot weather and dark glasses indoors. Psychosocial clues include failing grades, change in dress, increased absenteeism from school, isolation, increased aggressiveness, and changes in interpersonal relationships.
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