As a Third year student nurse you are placed at Community B for Primary Health Care Re-engineering services

.      During assessment, you came across Miss X a 16-year-old Grade 8 learner who reported that her peers are constantly mocking her for wearing old uniform including shoes. On physical examination, you noticed bruises all over her body due to negligence and abuse of her parents. She was expelled from school two weeks back due to bullying a fellow learner after being suspended numerous times for the same misconduct. Immediately after been suspended, her parents imposed stricter rules that restrict her for getting out of the yard without their permission.   Suddenly, she become ill and go to the clinic for consultation. The investigations revealed that she is pregnant and experiences difficulty in coping, the boyfriend left her immediately after expulsion, she does not have anyone to share her problems with and thinks of committing suicide.

 2.1  Apply the phases of crisis by utilizing Miss X's case scenario. (1x11=11)

  Discuss how you could have prevented bullying in Miss X's case scenario"

Putting this into Practice: Patient Miss X and the Phases of Crisis

 1. Precipitating Event:

 Miss X case involved incessant teasing and harassment by her fellow students over a worn out school uniform and shoes thus resulting in enhanced levels of stress and emotions. This bullying was then worsened by her dismissal from school due to several cases of misbehaviour. The direct trigger was her pregnancy and the situation with her boyfriend which added to it.

 2. Exposure to Stressor:

 The other source of multiple stressors entails, bullying, physical child abuse, school suspension, restriction at home, teenage pregnancy, lack of boyfriend and family support. These stressors put immense psychological and emotional pressure as is depicted below.

 3. Response to Stressor:

 In many cases, where other characters are overwhelmed with pathetic emotions, Miss X jumps from feeling lonely to depressed and even experiencing suicidal thoughts. She is clearly unable to work and maintain her present status; she is also mentally ill to the maximum point.

 4. Crisis Resolution or Adaptation:

 In this phase, the focus would be to assist her to access functional solutions for dealing with her current requirements such as; counseling services, shelters and parenting services. The outcome could comprise of counseling, support groups and a safety plan not to harm the self.

 Prevention of Bullying in a Classroom: The Case of Miss X

 1. School-Based Interventions:

 Anti-Bullying Programs: Insist on the enforcement and procedural integration of complete stamping out of bullying campaigns that inform children on the impacts of the vice and resources for the affected children. Periodic awareness creation and by holding workshops and group discussions may foster the right attitude.

 Support Systems: Ensure there is proper counseling services within the school could be in form of peer counseling services also the school should come up with a reporting center that the students could report incidences of bullying within the school.

 2. Parental Involvement:

 Parent Education: Inform parents how to recognize bullying behaviour and how to maintain a open and friendly relationship with their children. Offer educational materials and clinic performances that encompass child management techniques and alternative strategy.

 Engagement: Advise parents to be very much keen on their children’s activities both in school and all other other related activities such as meetings and engagements.

 3. Community Resources:

 Support Networks: Refer families to organizations which provide counseling and mentorship as well as support groups for families. Of these resources see to it that they are available and made known easily within the community.

 Safe Spaces: There should be other sources and forums for young people to get assistance other than teachers and schools includes center for youth and helpline.

 4. Policy and Enforcement:

 School Policies: Cultivate and educate your staff and students on your school’s anti-bullying policies with precise penalties for bullying activity. Ensure that all the staff in the institution is trained so that they may be able to identify cases of bullying or bullying behavior.

 Reporting Mechanisms: Students should be allowed to report bullying incidences in anonymity, this should be done to allow the student to report it to school authorities as soon as possible.

 If these areas could be addressed then and only then the possibility of bullying can be minimized thus improving the learning environment for a students like Miss X.