Janie Douglas is a 14-year-old Caucasian female brought for an initial evaluation by her father, Alexander Douglas, age 38. Mr. Douglas found a roach clip and a bong in Kylie’s room. When confronted, Janie admitted she has been smoking cannabis every day for a year. She also has been smoking half a pack of cigarettes per day since age 12. Janie states that she has tried beer and vodka but she “doesn’t drink much.” She also admitted to taking ecstasy once at a party.
Mr. Douglas wants Janie admitted to the hospital immediately. He states Janie is failing in school, has been breaking her curfew, and has been constantly fighting with her mother, who was too upset to come to the appointment today. Janie is irritable, sleeps 10–12 hours per day, and has a decreased appetite. She is well-groomed and polite to you during the interview.
Answer the following questions from your perspective as her psychiatric nurse practitioner.
1. How you would approach this interview and situation with Kylie and her father?
2. Based on the DSM-5, identify a possible diagnosis and a differential diagnosis for Kylie. Provide a rationale for your answer.
3. What level of care would you recommend to Kylie and why?
4. What pharmacological and/or nonpharmacologic interventions would suggest for Kylie and her family?
5. What challenges you would anticipate in working with Kylie and her family?
cheat in any case. This might be on the grounds that they measured the choices, and they observed bamboozling to be the best strategy and worth going out on a limb to do as such, or the people thinking could be that they simply don’t have any higher yearnings or objectives. Whatever the case might be, guardians, educators, the network, and even officers of the law ought to do all in their capacity to underline the significance of being straightforward all through school, and the effect that duping and going astray could have on them if they somehow managed to dismiss all that they had conferred themselves to finishing. This accentuation on duty will help frame all the more balanced people who are better adjusted to work in the public arena than those that take the path of least resistance. The social obligation of inclusion assumes a fundamental part in averting wrongdoing in the cutting edge world also. At the point when people have nothing to do, frequently they go searching for something. What they find may not be the best activity and thusly may have a counter-profitable impact on their life. Illustrations incorporate joining groups, underage drinking and smoking, sharing in the utilization of opiates, taking and the rundown goes on. Guardians and schools frequently endeavor to enlist their kids and understudies into extracurricular exercises so as to keep them involved and out of the scope and impact that numerous repulsive exercises can have on youthful and creating minds. The social obligation of association and responsibility are frequently associated in light of the fact that people regularly confer a substantial segment of their sit out of gear time to these exercises and would prefer not to chance being not able take an interest in them again on the grounds that they’ve submitted a degenerate demonstration. Regardless, association in solid exercises is imperative in the battle to keep kids on the straight and restricted because of its capacity to possess their spare time with profitable exercises rather than others that may lead them down a way towards wrongdoing. The more the significance of contribution is focused on, the better the odds that an ever increasing number of people will avoid wrongdoing. The last social bond that Hirschi brought light to is the social obligation of conviction. Conviction is a peculiar and amusing thing since some have a ton of it, while others have apparently none. The individuals who don’t hold solid convictions in the standards of society are not by any stretch of the imagination bound by the obligation of conviction. At the point when individuals trust that decides that are set up are quite for a reason, they wind up bound to conviction. This is generally something worth being thankful for, accepting that the tenets set up are for the advancement of society all in all and not only for the few. It’s likewise about regard as it were. People who are instructed to regard authentic laws, individuals, and other such things are considerably less liable to veer off from them than one who isn’t educated to regard, however to rather revolt. Conviction must be imparted from a youthful age amid a similar time the connection bond begins to frame. On the off chance that guardians trust that laws and other such things are authentic, at that point their kids will in all likelihood perceive that and receive the same into their conduct. Those whose guardians have powerless bonds with their youngsters will have a significantly more troublesome if not nonexistent time attempting to ingrain these qualities and convictions. It ought to be noticed that conviction can be totally relinquished in a moment and ought to be treated with the most extreme delicacy. The more guardians, good examples, and noteworthy figures put accentuation on and use conviction amid the young’s more susceptible years, the more probable it will be that the adolescent does not share in degenerate exercises. Hirschi’s Social Bond Theory has surely achieved what it set out to clarify. The motivation behind why individuals don’t carry out wrongdoing is a result of their connections to other huge individuals in their lives, their duty to completing what they began and not losing their advance, their inclusion in solid non freak conduct, and in conclusion the conviction that laws and requirements are established for a decent and real reason. Hirschi’s Social Bond Theory has much quality to support its and not very many shortcomings. One of the shortcomings is that when teenagers are associated with a considerable measure of reprobate exercises outside of their home, the bond they have with their folks debilitates. This is on account of Hirschi didn’t mull over that bonds change after some time, and that solid obligations of connection and contribution can happen among peers notwithstanding when parental bonds are solid. One of the two bonds will undoubtedly defeat the other. Another shortcoming that Hirschi’s hypothesis has is that it “depends on the supposition that people are normally self-intrigued and subsequently require no exceptional inspiration to overstep the law” (Lilly, Cullen, and Ball, 2011). This is certainly not a decent supposition at all in light of the fact that not all individuals are correspondingly propelled. The qualities of Hirschi’s hypothesis are their effortlessness and that the real utilizations of the bonds do prompt less misconduct happening among young people. The act of imparting these bonds in the young of today is vital to the future to come. Everyone must do their part in the battle against misconduct. Works Cited De Li, S. (n.d.). the effects of restraint social bonds on adolescent wrongdoing in a national example of midadolescents. Freak Behavior, pp. 351-373. Doherty, E. E. (n.d.). Restraint, social bonds, and desistance: A trial of life-course association. Criminology: An Interdisciplinary Jornal, XLIV(4), pp. 807-833. Gault-Sherman, M. (2012, February). It’s a Two-Way Street: The Bidirectional Relationship Between Parenting and Delinquency. Diary of Youth and Adolescence, LXXII(2), 121-145. Krohn, M. D., and Massey, J. L. (n.d.). Social Control and Delinquent Behavior: An Examination of the Elements of the Social Bond. The Sociological Quarterly, XXI(4), pp. 529-544. Lac, A., Crano, W. D., Berger, D. E., and Alvaro, E. M. (2013, August). Connection hypothesis and hypothesis of arranged conduct: An integrative model anticipating underage drinking. Formative Psychology, XLIX(8), 1579-1590. doi:10.1037/a0030728 Lilly, J. R., Cullen, F. T., and Ball, R. A. (2011). Criminological Theory. Thousand Oaks, California, United States of America: SAGE Publications.>