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?

Manage conflict within the group.

Encourage the use of problem-solving skills.

Maintain the group's focus on identified issues.

Establish a rapport with group members.

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is A

No explanation

A. Refusing to participate in group activities. B. Talking negatively about other staff members. C. Reacting to the nurse as though she were his mother. D. Expressing frustration regarding unit rules.

Correct Answer is C

Explanation

The correct answer is c. Reacting to the nurse as though she were his mother.

Choice A rationale:

Refusing to participate in group activities can be a sign of social anxiety,withdrawal,or other mental health issues,but it's not specifically indicative of transference.
Individuals with personality disorders may withdraw from social interactions for various reasons,such as fear of rejection,discomfort in social settings,or a preference for isolation.
While refusal to participate in group activities could be a manifestation of transference in some cases,it's not the most typical or defining characteristic.

Choice B rationale:

Talking negatively about other staff members can occur due to dissatisfaction with treatment,personality traits,or interpersonal conflicts.
It's not directly related to transference,which involves projecting feelings and expectations from past relationships onto current ones.
While individuals with personality disorders may engage in negative talk about others,this behavior doesn't necessarily stem from transference.

Choice C rationale:

Reacting to the nurse as though she were his mother is a classic example of transference.
In this case,the client is unconsciously transferring feelings,thoughts,and behaviors associated with his mother onto the nurse.
This can manifest in various ways,such as seeking excessive attention or reassurance from the nurse,becoming overly dependent on her,or reacting with anger or hostility if she doesn't meet his expectations.
This behavior is a key indicator that the client is using transference as a coping mechanism.

Choice D rationale:

Expressing frustration regarding unit rules can be a sign of difficulty with authority or adjusting to the structure of a treatment setting.
It's not inherently a sign of transference,as it doesn't involve projecting feelings from past relationships onto the current one.
Individuals with personality disorders may struggle with rules and authority,but this behavior is not a direct manifestation of transference.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is caring for a client who is in the continuation phase of major depressive disorder. The client states, "I feel unmotivated and don't feel like leaving my home." Which of the following recommendations should the nurse make to address the client's social isolation?

Correct Answer is A

A nurse is caring for a client who has a personality disorder and is using transference to cope. Which of the following behaviors should the nurse expect?

Correct Answer is C

Explanation

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