A teenager is noted to have a heightened awareness of reality, feelings of depersonalization, unpredictable and sometimes violent behavior, and flashbacks. The nurse suspects that the teenager is taking which of the following chemicals?

A. Neglect: Neglect is characterized by the failure to meet the basic needs of an individual, including food, shelter, clothing, and medical care. The signs of depression, underweight, and poor personal hygiene are consistent with neglect.
B. Emotional abuse: Emotional abuse involves behaviors that harm an individual’s self-worth or emotional well-being, such as name-calling, shaming, or isolating. While emotional abuse could be present, the physical signs of underweight and poor hygiene point more towards neglect.
C. Physical abuse: Physical abuse involves causing physical harm through actions such as hitting, slapping, or burning. There are no direct signs of physical trauma mentioned in the scenario, making physical abuse less likely.
D. Exploitation: Exploitation involves taking advantage of an individual for personal gain, often financially. The scenario does not provide information about financial or other forms of exploitation.

A. Direct self-destructive behavior: Direct self-destructive behavior refers to actions taken with the intent to cause immediate harm or death, such as slashing one's wrists.
B. Indirect self-destructive behavior: Indirect self-destructive behavior refers to actions that can harm oneself over time, such as substance abuse or reckless driving, without the immediate intention to die.
C. Parasuicidal behavior: Parasuicidal behavior involves actions that are intended to cause self-harm but not necessarily result in death, often seen as a cry for help.
D. Maladaptive self-destructive behavior: Maladaptive self-destructive behavior is a broader term that can include a variety of harmful actions, not necessarily with the intention of suicide.