In obtaining a teenage client's history, what should the nurse consider as an early indicator of substance abuse?
1. An increasing tolerance for alcohol
2. Drinking beer with friends after a football game
3. A desire to stop drinking
4. Six absences from school in 1 year
Answer: 1
1. An increased tolerance indicates a maladaptive pattern and can progress to substance dependency.
2. Drinking with friends is not a positive sign, but is typical teenage behavior and would not be the best indicator of an abuse problem.
3. A desire to stop is positive.
4. Absences from school can be attributed to any of many reasons.
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