A 19 yeаr оld wоmаn cоmes to the clinic аt the instance of her sister. She is wearing black combat boots and a black lace nightgown over the top of her other clothes. Her hair is dyed pink with black streaks throughout. She has several pierced holes in her nares and ears and is wearing a earring through her eyebrow and heavy black makeup. Which is an appropriate conclusion for the nurse to draw?