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Health, 16.06.2021 19:10 vane1161

As the school health nurse, one of your students is an 11-year-old boy with a diagnosis of attention-deficit hyperactivity disorder (ADHD). Recently, he has been experiencing behavioral difficulties in class and an increase in his anxiety. His family structure consists of a same-sex couple, whom he refers to as Ma and Mamasan, and minimal extended family. There is a known history of substance abuse in Mamasan. When you meet with the student today, he appears disheveled, is dressed in visibly soiled clothes, has lost a significant amount of weight and appears extremely thin, and smells of marijuana. You know from speaking to his teachers that he has been caught smoking outside before school starts for the day with several other boys known to use marijuana. You recall that children of substance abusers may inherit a predisposition to alcoholism and substance abuse. a. Given the student’s presentation, how will you proceed from here? What is your planned intervention?

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