Jamilas Story
What Caused to switch in her family dynamic
Parents divorce
Jamila feels sad and confused inside after her parents’ divorce. Which factor is this?
Intrapersonal factor (internal thoughts, emotions, and self-perception)
Instead of “Why are you drinking?” what question would you ask?
“What is it like for you when you drink?
Jamila’s home changed after her parents’ divorce. Which determinant?
Family environment and relationships.
Which code emphasizes a non-judgemental, trusting relationship?
CNO Code of Conduct (College of Nurses of Ontario, 2024).
How did Jamilas mom influence her
Her mom used alcohol to cope, which jamila saw and copied
Jamila’s father moved out. How does this affect her relationships?
Interpersonal factor – her relationship with her father and brother becomes distant; she loses emotional support.
Jamila shares that drinking makes her feel safe. Which lens helps you focus on her experience?
Hermeneutic Phenomenological (HP) lens.
Jamila hangs with risky peers. Which determinant?
Social and peer environment
Which code suggests harm reduction instead of expecting immediate change?
CNA Code of Ethics (Canadian Nurses Association, 2025).
How old is Jamila and Who is her sibling
16, and her younger brother is Jamal
Jamila turns to alcohol to cope with stress at home. Which factor does this reflect?
Contextual factor – environmental and social pressures influencing behavior.
Jamila’s peer group pressures her to drink. Which lens examines the deeper social and structural influences?
Critical lens.
Jamila’s mental health affected by stress, loss, and uncertainty. Which determinant?
Mental and emotional health shaped by life transitions.
Name one way to help Jamila regain emotional stability
Build a calm, safe, and validating nurse-client relationship; offer emotional support and active listening.
anything else that makes sense
What is Jamilas dream career
A nurse
Jamila struggles with low self-esteem and uncertain goals. Name one intrapersonal factor at play.
Emotional distress, identity confusion, or disrupted self-esteem.
Which nursing authour has taught us about relational inquiry this whole year?
Doane and Varcoe
Toronto’s environment makes alcohol easy to access. How does this contribute to risk? + what type of factor
Contextual factor increasing opportunity and availability for alcohol use
Give one harm-reduction strategy.
Provide age-appropriate education on alcohol, explore triggers, suggest coping alternatives, and connect to youth-friendly counseling
Considering Jamila’s pre-divorce environment and her personal traits, predict how she might have coped differently with peer pressure had the divorce never occurred.
With her stable family support, structured environment, and strong academic and extracurricular engagement, she may have used problem-solving, sought guidance from parents, or relied on healthy peer networks instead of turning to alcohol as a coping mechanism.
Jamila exhibits emotional dysregulation and alcohol use. Analyze which factor: internal (intrapersonal), relational (interpersonal), or environmental (contextual) would have the most immediate impact on a nurse’s care decisions and justify why
MK Judges best response
Using both Hermeneutic Phenomenological and critical lenses, design a specific intervention that addresses both Jamila’s emotional experience and social inequities. Explain your reasoning.
MK Judges
How do family problems, peer pressure, and stress work together to make Jamila keep drinking? What can a nurse do in the short term to help stop this cycle?
MK Judges
Jamila refuses direct counseling but is open to indirect support. Using CNO and CNA codes, devise a creative approach to support her autonomy while promoting harm reduction and emotional safety.
MK Judges