Case Study: Date Violence as a major public health problem in the United States

Dating violence is a serious public health problem in the United States. It can have a negative effect on both mental and physical health throughout a victim’s life. Teens who are victims of dating abuse (emotional, physical, and sexual) are more likely to do poorly in school. Anger and/or stress that dating abuse victims feel may lead to eating disorders (overweight or underweight), depression, and participation in unhealthy behaviors, such as drug and alcohol use. Some teens may even consider or attempt suicide. As you consider the problem presented in the case study, reflect on other related concerns that impact the well-being of vulnerable populations.
Case
Christina is a 17-year-old high school senior. She and her boyfriend Jake have been dating for 6 months. Jake gave Christina a cell phone for her birthday last month; he calls or texts her constantly. At first, she was flattered by Jake’s attention and thought it was romantic. He never leaves her alone when they are out with others, and he becomes angry with her when she goes out alone with friends. Christina is concerned and remembers a school program on teen dating abuse. Christina visits the school nurse and describes her relationship with Jake. The nurse does a physical and mental assessment.
Questions
Discuss the questions the nurse should ask during the initial and subsequent encounters with Christina.
Discuss interventions the nurse could use at the primary, secondary, and tertiary level of intervention.
Discuss collaborative community-based initiatives that will address safety related to abuse.