A nurse is planning to conduct a support group for adolescents who have cancer.
Which of the following actions should the nurse include during the orientation phase?
Maintain the group's focus on identified issues.
Encourage the use of problem-solving skills.
Manage conflict within the group.
Establish a rapport with group members.
The Correct Answer is D
Choice A rationale:
Maintaining the group's focus on identified issues is a valuable aspect of group therapy, but it is not specific to the orientation phase. This action should be integrated throughout the entire support group process.
Choice B rationale:
Encouraging the use of problem-solving skills is an important part of support group facilitation, but this is also not unique to the orientation phase. Problem-solving skills can be encouraged and developed throughout the support group sessions.
Choice C rationale:
Managing conflict within the group is an essential skill for a support group leader, but again, this is not specific to the orientation phase. Conflict management should be an ongoing process in group therapy.
Choice D rationale:
Establishing a rapport with group members is a critical action during the orientation phase of a support group. This phase sets the tone for the group and helps build trust and comfort among the members. It is essential for the nurse to create a safe and supportive environment where group members feel comfortable sharing their experiences and emotions. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Expressing frustration regarding unit rules is a possible behavior, but it doesn't directly relate to transference. It may reflect the client's general frustration or non-compliance with the rules, but it doesn't necessarily involve the transfer of feelings from a past relationship.
Choice C rationale:
Refusing to participate in group activities can be a behavior related to a personality disorder, but it's not specifically indicative of transference. It may be more related to the client's avoidance or social difficulties.
Choice D rationale:
Talking negatively about other staff members is another behavior that may occur in individuals with personality disorders, but it doesn't directly demonstrate transference. It could be a manifestation of their interpersonal difficulties or conflicts with staff.
Correct Answer is B
Explanation
Choice A rationale:
Obtaining consent from the client's family member is not the appropriate action in this scenario. The client has the right to make decisions about their own medical treatment, and the consent should come from the client themselves, not a family member.
Choice B rationale:
Informing the client that they have the legal right to refuse treatment at any time is the correct action. Informed consent is a fundamental principle of medical ethics, and the nurse should respect the client's autonomy and right to make decisions about their own healthcare.
Choice C rationale:
Requesting another nurse to review the procedure with the client may be helpful in providing additional information and support, but it does not address the client's right to refuse treatment. The primary responsibility is to ensure that the client is aware of their right to refuse.
Choice D rationale:
Encouraging the client to have the procedure goes against the principle of respecting the client's autonomy and right to make their own decisions about their healthcare. The nurse should not pressure the client into having the procedure.
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