A concerned parent calls the school nurse because of changes in his 15-year-old's behavior
In counseling the parents, the nurse would inform them that the behavior that is most likely to be abnormal and indicate possible substance abuse is the adolescent's: 1. Buying baggy, oversized clothing at thrift shops and dyeing her hair black.
2. Becoming very involved with friends and in activities related to the basketball team that she is on; never seeming to be home; and, when she is home, preferring to be in her room with the door shut.
3. Receiving numerous detentions lately from teachers for sleeping in class.
4. Becoming moody, crying and weeping one minute and then cheerful and excited the next.
3
Rationale:
1. Experimenting with clothes and hair is a normal adolescent behavior.
2. Periodically distancing themselves from their parents and preferring involvement with their peers are normal adolescent behaviors.
3. Even though most teens do prefer staying up late, they are not usually so tired that they would fall asleep during the day, especially while engaged in classroom activities. This behavior is abnormal, and could indicate involvement with substance abuse or an underlying pathology.
4. Mood swings are normal adolescent behaviors.
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The nurse is beginning a sleep assessment on a patient. Which question will be most appropriate for the nurse to ask initially?
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