1FAMILY NURSE PRACTITIONERInitial concern The initial concerns with the adolescent patient is the underweight and BMI below thenormal range. It is the concern because the patient asks for diet pills which are known to reduceappetite and promote weight loss. The patient is already very thin and frail. There may be thechance for diet pill addiction as the patient also complains of lack of concentration. Diet pills areknown to cause poor concentration. Further area of concern is malnutrition and weakness (West& Brown, 2013). Diagnosis The screening tool that can be used for diagnosis in this case is – “DSM-5 Self-RatedLevel 1 Cross-Cutting Symptom Measure” useful for children age 11-17. It is useful to identifythe areas of inquiry necessary for treatment and prognosis. It comes with 25 items to determinethe frequency of use of a given substance. If any item within the domain is scored more than 2on 5 point scale, it indicates further inquiry. The screening tool may be followed with “LEVEL 2—Substance Use—Child Age 11–17). It helps assess the pure domain of the substance abuse inadolescents. If multiple items are scored greater than 0, it means severity is high. To get closer tothe diagnosis the screening will be followed by detection of positive symptoms, brief assessment,in-depth assessment, and then interventions (American Psychiatric Association, 2013; AmericanPsychiatric Association Adapted NIDA Modified ASSIST Tools). Health promotion Pharmacological interventions to treat withdrawl symptoms may includeantidepressants, benzodiazepineReferral to physician Adjust medication dosages and help with detoxand address complexities Medication assessment and education Educate the patent about the side effects of the

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