Question

In: Nursing

Natalie Shelton is a 17-year-old who is in the Woodburn Juvenile Detention Center. She was brought...

Natalie Shelton is a 17-year-old who is in the Woodburn Juvenile Detention Center. She was brought to the police station around 10 p.m. and was held overnight for her third driving under the influence offense and for driving without a license. Her blood-alcohol level was twice the legal limit. She was in the car alone and seemed to be in a great deal of emotional distress when the officer stopped her. Authorities placed a call to her mother, who was unable to come to the station at that time because she was home alone with a younger child. The family has been under a great deal of stress, as Natalie’s father committed suicide 4 months ago. Natalie was taken to the Juvenile Detention Center overnight, and her mother will meet her there in the morning.

This is Natalie's third driving under the influence offense. Her drinking problem has been exacerbated by the recent suicide of her father, and she feels her life is spiraling out of control. She lives at home with her mother and brother.

The Youth Risk Behavior Survey conducted by the Centers for Disease Control and Prevention in 2013 found that 66.2% of all ninth to twelfth graders had taken at least one drink of alcohol; 34.9% currently drink, and 20.8% reported having had at least five drinks in a row. Although this number has not significantly increased over the past several years, it still continues to be a public health concern in the United States.

Questions to consider:

  1. What are some of the issues that concern you about Natalie?
  2. What are some resources that might be available to Natalie and her family?
  3. Based on the statistics related to underage alcohol use, what are some possible prevention strategies that could be implemented?

There are many interrelated issues affecting Natalie that could be potential triggers for her underage drinking problem. Draw a concept map that depicts precipitating and contributing factors to this problem and the possible consequences of her drinking.

Include on the map the Universal Level, Selective Level, and Indicated Level of Prevention as they relate to Natalie's case.

Solutions

Expert Solution

  1. What are some of the issues that concern you about Natalie?

Natalie ia a 17 year old girl, she is going through hormonal changes during adolescent stage , more over emotional immaturity also affected her to alcohol addiction, during this age her friends also can motivate her to practice drugs, drinking habbits, smoking etc, Mostly emotional barriers worked out here and she become alcoholic.

Her drinking problem has been exacerbated by the recent suicide of her father, and she feels her life is spiraling out of control. She lives at home with her mother and brother. so she feels guilty.

2.What are some resources that might be available to Natalie and her family?

The penality can bepaid as per the govt , you can provide a medical certificate for Natalie Shelton to reduce the chances of imprisonment. Provide a psychologycal support to the family as well as arrange regular counselling to Natalie Shelton and family to over come the present situation

3.Based on the statistics related to underage alcohol use, what are some possible prevention strategies that could be implemented?

School Based approches, educate the students in time by time, focused on skill training. students can be teach skills belived to be necessary to avoid alcohol misuse including saying" no " to peer pressure . prevention by systematically linking parental involvement programs, extracurricular peer leadership, and communitywide task forces for young adolescents. teachers and parents must close monitor there children in daily basis.

Regular counselling and education for children under age about problems associated with alcohol abuse.

   There are many interrelated issues affecting Natalie that could be potential triggers for her underage drinking problem. Draw a concept map that depicts precipitating and contributing factors to this problem and the possible consequences of her drinking.

4.Include on the map the Universal Level, Selective Level, and Indicated Level of Prevention as they relate to Natalie's case.


Related Solutions

Winnow is a 9 month old child who is brought to the urgent care center with...
Winnow is a 9 month old child who is brought to the urgent care center with a red, rough textured, peeling rash covering portions of her torso, groin, and right arm. The rash is tender and warm upon palpitation. Skylar is mildly dehydrated, but drinking plenty of fluids. She does not have a fever. Culture of fluid from the blisters is negative. Bloodwork reveals normal WBC but elevated Erythrocyte sedimentation rate. What disease does Winnow have? What organism causes this...
A 17 year old mother brought her 9 month old infant son in for a health...
A 17 year old mother brought her 9 month old infant son in for a health maintenance check up. You note the baby appears a little pale, capillary refill is greater than 5seconds and his conjunctiva are pale? You ask mom how the baby is eating and what she is feeding him. a) What are you trying to ascertain, in other words, what are some of the medical diagnosis that come to mind? b) what nursing care should you implement?...
The next patient to arrive is an 85 year old woman who was brought to the...
The next patient to arrive is an 85 year old woman who was brought to the ED following three days of nausea, vomiting and diarrhea. 1. What electrolyte imbalances might the nurse expect to be present? What fluid imbalance is most likely present? 2. What are the nurse’s priority assessments to determine the presence of a fluid imbalance? 3. Given the patient’s symptoms, age, and the fluid imbalance that is likely present, what safety factors must the nurse consider when...
A 75 year old man was brought into the clinic by his daughter after she noticed...
A 75 year old man was brought into the clinic by his daughter after she noticed that his right eyelid was drooping. She wasn’t sure how long his symptoms had been going on for. During the physical examination, you notice that although his right eyelid was drooping, eye movements were normal. His right pupil appeared to be smaller than the right. 1. What is your differential diagnosis? 2. What part of the nervous system appears to be malfunctioning?
A 13-year old girl is brought to hospital by her mother. She is reported to have...
A 13-year old girl is brought to hospital by her mother. She is reported to have a sudden onset of fever (1030 F), lightheadedness, nausea, vomiting and watery diarrhea. Physical examination reveals a desquamating rash of her palms and soles. She has no sick contact and there is no evidence of food poisoning. Upon questioning the patient says she started menstruating (menarche) a little over a month ago and she currently just finished her periods. It is Staphylococcus aureus. Explain...
A 13-year old girl is brought to hospital by her mother. She is reported to have...
A 13-year old girl is brought to hospital by her mother. She is reported to have a sudden onset of fever (1030 F), lightheadedness, nausea, vomiting and watery diarrhea. Physical examination reveals a desquamating rash of her palms and soles. She has no sick contact and there is no evidence of food poisoning. Upon questioning the patient says she started menstruating (menarche) a little over a month ago and she currently just finished her periods. What is the microbial agent?...
The 8-year-old girl who was naughty. 8-year-old girl brought to her pediatrician by her 26-year-old mother...
The 8-year-old girl who was naughty. 8-year-old girl brought to her pediatrician by her 26-year-old mother • Chief complaint: fever and sore throat Psychiatric History • While evaluating the patient for an upper respiratory infection, the pediatrician asks if school is going well • The patient responds “yes” but in the background the mother shakes her head “no” • The mother states that her daughter is negative and defi ant at home and she has similar reports, mostly of disobedience,...
The nurse is caring for Troy, a. 6-year-old boy who has juvenile idiopathic arthritis( JIA) and...
The nurse is caring for Troy, a. 6-year-old boy who has juvenile idiopathic arthritis( JIA) and is being treated with methotrexate daily to control his pain. He was diagnosed with a strep infection four days ago. He now has a low-grade fever, tea colored urine, and some swelling around his eyes. He is admitted for acute glomerulonephritis( AGN). He weight 48 pounds. 1) identify the therapeutic and nursing management that would be included in Troy's plan of care given his...
1. Setting: Emergency Room  This is a case of a 47-year-old lady who was brought...
1. Setting: Emergency Room  This is a case of a 47-year-old lady who was brought to the emergency room due to the complaint of abdominal enlargement and abdominal pain at her hypogastric area. Hence, referred to Surgery Department for further management.  At 5:15pm patient ABC is seen & examined by Dr. M (Surgeon). The attending physician ordered for admission. The admitting diagnosis of Bilateral Ovarian Cysts, Larger at the Left Ovary most likely a Dermoid Cyst with the...
The first patient the nurse sees is a 37-year-old landscaper who is brought to the ED...
The first patient the nurse sees is a 37-year-old landscaper who is brought to the ED after collapsing on a job at the local country club. He is slightly confused but is able to state that he feels dizzy and weak. His skin is flushed, dry, and with poor turgor. He has dry, sticky mucous membranes. The preceptor identifies a nursing diagnosis of deficient fluid volume.The ED provider orders IV fluids for this patient. The preceptor initiates an IV site...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT