Fifteen minutes late, Shakyeela Al Enezi, a 19-year-old Arab-American female, comes into the office for her assessment with you, a psychiatric nurse practitioner. She is irritable, mildly agitated, and unpleasant with you. She is dressed and groomed meticulously, with perfectly matching make-up and nail polish and brightly colored clothes.
Shakyeela drops into a chair and sighs loudly. She waves a latest-generation iPhone in the air. “I’m only here because my mother made the appointment and said she won’t pay my phone bill if I didn’t show up. She thinks I have a problem, but I don’t, and I don’t want to be here.” She rolls her eyes and grimaces.
You attempt to engage Shakyeela and establish a therapeutic alliance, but Shakyeela just moans and groans, “I don’t have a problem so stop talking to me.” You do manage to establish that Shakyeela has no suicidal ideas, intention, or plan, but don’t get much else from your attempts to engage her in conversation.
After a short time, Shakyeela abruptly says, “That’s enough. I’m not staying any longer. This is just a waste of time.” She gets up and leaves your office without a backward glance.
From the intake form, you establish that Shakyeela has been regularly using heroin for the past two years. She has not been in any kind of treatment but indicated that her mother has been trying to get her to do something about it.
Questions
In one post, address the following:
The next things which has to be done in regards to Shakyeela are to make sure she starts on Substance Abuse treatment or Addiction treatment for Heroin use.This substance can cause high physical dependence for this girl. Informing the parents about the necessity of the treatment can save from any major complications though she is a major.
Being in a place of a lay man or a person from non clinical background can cause emotional instability(anger,avoidance) to these types of patients because here she was well dressed but having a negative attitude, showing faces or grimaces,nominating conversations, no appropriate response, hesitancy which can make others little irritable and loss the cool .If the person of not a nurse practitioner
Some of the things which can influence the assessment or evaluation process for a psychiatric nurse practitioner are
Fifteen minutes late, Shakyeela Al Enezi, a 19-year-old Arab-American female, comes into the office for her...
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