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When should a caregiver's substance abuse be reported as potential child abuse?

  1. If the caregiver consumes alcohol socially

  2. Whenever substance abuse affects the caregiver's ability to care for the child

  3. Only if the caregiver is in legal trouble for substance abuse

  4. If the caregiver appears unwell after a night out

The correct answer is: Whenever substance abuse affects the caregiver's ability to care for the child

The correct choice focuses on the impact of the caregiver's substance abuse on their ability to provide adequate care for the child. If the caregiver's substance use interferes with their responsibilities, it can create an unsafe or unstable environment for the child. This may manifest in neglect, inadequate supervision, or even dangerous situations, which can lead to harm or emotional distress for the child. The other choices, while they touch on aspects of substance use, do not directly relate to the central concern of a child's safety and well-being, which is the primary focus in cases of potential child abuse. For example, social drinking does not inherently imply a harmful condition, and legal troubles do not necessarily affect caregiving capability. Similarly, appearing unwell on a specific occasion doesn’t provide a comprehensive view of the caregiver's overall ability to care for the child. Thus, the emphasis on whether the substance abuse affects caregiving is critical for appropriate reporting and intervention.