A nurse is teaching a newly hired nurse about substance abuse in school-age children who are 6 to 12 years old. Which of the following statements made by the nurse demonstrates understanding of the teaching provided?

"Children who use tobacco are more likely to use illicit drugs."

"Individual treatment is needed for children with substance abuse."

"Reports show that children as young as 6 have reported substance use."

"Approximately 5 million children under the age of 17 live in households impacted by substance abuse."