This case study centers on Riley Smithson, a 16-year-old boy admitted for diabetes testing, who also experiences nausea, fainting, polyuria, acne, social isolation, and mild depression. The assignment explores the factors impacting the nurse-patient therapeutic relationship, considering Riley's reluctance to communicate due to his physical and psychological issues, including his asthma and acne medication. The discussion delves into the current issues faced by Riley, including the psychological effects of diabetes, body image concerns, and social isolation, and the importance of addressing these issues. The case study emphasizes the development of a therapeutic relationship, suggesting strategies such as relatable communication, empathetic listening, and the use of technology to educate Riley about his condition. It also addresses the importance of involving Riley's parents in his care plan and outlines initial care priorities, including addressing Riley's psychological well-being, managing his diabetes through education and support, and ensuring he receives the appropriate therapeutic interventions. Ultimately, the case study concludes that by understanding Riley's struggles, communicating effectively, and involving his parents, the nurse can improve Riley's physical and psychological health.