Which signs of substance abuse should a nurse monitor in adolescents?

Monitoring for signs of substance abuse in adolescents involves looking for indicators that may suggest problematic behavior or dependency. The correct choice highlights the importance of awareness and concern over one’s own potential addiction. When an adolescent is worried about being addicted, it signifies that they are reflecting on their behaviors and possibly recognizing the negative impact substances may have on their lives. This self-awareness is crucial as it can lead to further inquiry and intervention, promoting healthier choices and seeking support if needed.

In contrast, worrying about family addiction, while important, does not directly indicate the adolescent's own substance use issues. High performance in activities might suggest engagement and motivation rather than addressing substance abuse. Manifesting bizarre behavior or confusion could certainly indicate substance use; however, it is often a more advanced sign after substance abuse is already prevalent, whereas self-awareness about addiction can be an earlier cue that needs attention.