A nurse is collecting data from a 12-year-old child. Which of the following assessment findings would indicate a high risk for developing substance abuse? (Select All that Apply.)

A. Having a learning disability: Learning disabilities can increase vulnerability due to academic struggles and lower self-esteem. B. Inadequate sleep at night: While poor sleep can affect mood and behavior, it is not a direct high-risk factor for substance abuse. C. Substance use within immediate family: Exposure to substance use in the family normalizes such behavior, increasing the risk. D. Feeling unsafe at home: An unstable or unsafe home environment is a significant risk factor for substance abuse. E. Fighting with peers at school: Peer conflict can lead to isolation and susceptibility to negative influences like substance use.