A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which of the following findings indicates the client's adherence to the treatment plan?

Choice A rationale:

Documenting the client's behavior every 15 minutes is a valid nursing action when a client is placed in seclusion. However, it is not the most critical step to take in this situation. The safety and well-being of the client and staff are paramount, and obtaining the provider's prescription is more crucial.

Choice B rationale:

The correct choice. Obtaining the provider's prescription within 60 minutes is essential when a client is placed in seclusion. Seclusion is an intervention that restricts the client's freedom, and it should only be done under the supervision of a licensed healthcare provider. The nurse must obtain a prescription for this intervention as soon as possible to ensure that the client's rights and safety are respected.

Choice C rationale:

Offering the client food and fluids every 2 hours is a valid nursing action in a seclusion situation. However, it is not the most immediate priority. Obtaining the provider's prescription takes precedence to ensure the appropriateness of the intervention.

Choice D rationale:

Monitoring the client's vital signs every 4 hours is an important nursing action, but it is not the primary step to take immediately after placing a client in seclusion. Obtaining the provider's prescription is more urgent to ensure the legality and appropriateness of the intervention.

A. Manage conflict within the group.Conflict management is an important skill for a group facilitator, but it is generally more applicable during the working phase of the group when members begin to express differing opinions and emotions.

B. Encourage the use of problem-solving skills.While encouraging problem-solving is beneficial for group members, this intervention is more appropriate for later phases of the group process, once rapport is established and members are actively discussing their issues.

C. Maintain the group's focus on identified issues.Keeping the group focused on specific issues is important for effective group work. However, in the orientation phase, the primary goal is to introduce the group, establish guidelines, and build relationships.

D. Establish a rapport with group members.In the orientation phase of a support group, the nurse's primary objective is to establish trust and build rapport. Creating a supportive and welcoming environment is essential for adolescents, as it sets the stage for open communication.