Review this case study and thoughtfully answer the questions.
You wait for your next patient, Shakyeela Al Enezi, a 19-year-old woman, referred to you by her mother, who says itâ€™s because â€œShakyeela is a habitual drug user and Iâ€™m tired of it.â€
I am only here because my mother made the appointment and said she wonâ€™t pay my phone bill if I didnâ€™t show up. She thinks I have a problem, but I donâ€™t, and I donâ€™t want to be here. [loud sigh]
I am not depressed, and I have not thought about committing suicide. How horrible. [shudder sound]
Like I said, I donâ€™t have any problems so you can stop talking to me. You will tell Mother I came, right?
Thatâ€™s enough. Iâ€™m not staying any longer. This is just a waste of time. Iâ€™m taking this call.
After Shakyeela leaves, you review her intake forms. You establish that she has been regularly using cocaine 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.
In your initial post, address the following:
- 1-What you will do next regarding Shakyeela?
- 2-What is your emotional reaction to this case presentation? Focus on your reaction as a person, not as a clinician.
- 3-How do personal feelings or responses, particularly related to cultural competency, influence the assessment or evaluation process of a psychiatric nurse practitioner?