A woman said, "I can't take anymore! Last year my husband had an affair and now we don't communicate. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college." What is the nurse's priority assessment?

Correct Answer: D

Rationale: The correct answer is D: Clarify what the patient means by "I can't take anymore." Rationale: 1. Assessing the patient's statement helps to understand her current emotional state and concerns. 2. It allows the nurse to prioritize the patient's immediate needs and provide appropriate support. 3. Understanding the patient's perceived inability to cope can guide the nurse in addressing her distress effectively. Summary of other choices: A: Improving couple communication is important but not the priority when the patient is expressing overwhelming distress. B: Concerns about a possible mastectomy are valid but not the immediate priority compared to the patient's emotional distress. C: The husband's affair is relevant, but the patient's current emotional state and distress take precedence.

Correct Answer: A

Rationale: The correct answer is A because establishing mutual respect as a group norm from the beginning sets clear expectations and encourages all members to uphold it. By emphasizing the importance of respect in the first session, the leader proactively guides the group towards a positive and respectful environment. This approach promotes a shared understanding among all members, fostering a supportive and inclusive atmosphere. Choices B, C, and D are incorrect because they do not focus on proactively establishing mutual respect as a fundamental value within the group. B excludes potential members based on assumptions, which may not align with the goal of building self-esteem. C provides information but does not actively promote respect within the group. D, while addressing disrespectful behavior, does not lay the groundwork for mutual respect as a core principle.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Subgroup formation: The covert glances and subtle criticism indicate a potential subgroup forming within the therapy group. 2. Lack of inclusivity: The behavior suggests that these members are excluding others and forming a separate clique. 3. Disruptive dynamics: Subgroups can disrupt the cohesion and effectiveness of the main group. 4. Nodding in agreement: This behavior reinforces the idea of a separate subgroup agreeing with each other. Summary: B: Disregarding others due to boredom does not explain the specific behaviors observed. C: Frustration with slower members would manifest differently and would not involve covert glances and subtle criticism. D: Ineffectiveness of leadership may contribute to subgroup formation, but it does not directly explain the observed behaviors.

Correct Answer: B

Rationale: The correct answer is B: Medication education group. A staff nurse with 2 months' psychiatric experience is best qualified to conduct a medication education group. This choice aligns with the nurse's level of expertise and scope of practice, focusing on providing education about medications commonly used in psychiatric settings. Psychodynamic/psychoanalytic group (A) requires advanced training and expertise. Existential/Gestalt group (C) and Family therapy group (D) involve complex dynamics and specialized skills beyond the nurse's current experience level. Conducting a medication education group allows the nurse to utilize their knowledge to support patients in understanding and managing their medications effectively.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.