Concerned parents call the school nurse because of changes in their 15-year-old adolescent's behavior. Which behavior would the nurse indicate as indicative of adolescent substance abuse?
1. Buying baggy, oversized clothing at thrift shops and dying 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 very moody, dramatically crying and weeping one minute and then being cheerful and excited the next
Correct Answer: 3
Rationale: Mood swings, experimenting with clothes and hair, periodically distancing themselves from their parents, and preferring involvement with their peers are all normal adolescent behaviors. 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 may indicate involvement with substance abuse or an underlying pathology.
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