A concerned parent calls the school nurse because of changes in his 15-year-old's behavior
In counseling the parent, the nurse would inform him that the behavior most likely to be abnormal and indicate possible substance abuse is the adolescent's: 1. Buying baggy, oversized clothing at thrift shops and dying her hair a dark black shade.
2. Becoming very involved with participating with friends on a basketball team, 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 very moody, dramatically 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 oneself from one's parents, preferring involvement with one's peers, is a normal adolescent behavior.
3. While most teens do prefer staying up late, they usually are not so tired that they would fall asleep during the day, especially while engaged in classroom activities. This behavior is abnormal, and might indicate involvement with substance abuse or an underlying pathology.
4. Mood swings are normal adolescent behavior.
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