The nurse is working with a client with a somatoform disorder. Which client outcome goal would the nurse most likely establish in this situation?

Correct Answer: D

Rationale: The correct answer is D because for clients with somatoform disorders, expressing anxiety verbally can help them address underlying psychological issues rather than manifesting physical symptoms. This goal focuses on improving emotional expression and reducing reliance on physical symptoms for coping. Choice A is incorrect as it does not address the root cause of the disorder. Choice B is incorrect because coping with physical illness is not the primary goal in somatoform disorders. Choice C is incorrect as medication alone may not address the psychological aspects of the disorder.

Correct Answer: C

Rationale: The correct answer is C because focusing on the positive experience during termination helps validate the group's progress and accomplishments. It encourages reflection on the growth and learning achieved, fostering a sense of closure and satisfaction. Choice A (Deciding to continue) is incorrect as termination implies the end of the group. Choice B (Elevating group progress) is incorrect as the focus should be on reflecting on past experiences, not necessarily pushing for further progress. Choice D (Stopping attendance) is incorrect as it undermines the purpose of termination and the opportunity for closure and reflection.

Correct Answer: B

Rationale: Step 1: Alcoholics Anonymous (AA) is known for its primary goal of helping individuals maintain sobriety. Step 2: The 12-step program is a method utilized by AA to achieve the goal of sobriety. Step 3: AA provides a supportive environment for members to share experiences and offer mutual support. Step 4: Fellowship among members is a crucial aspect of AA in promoting long-term recovery. Step 5: Teaching positive coping mechanisms is important, but the main focus of AA is on supporting members in staying sober. Summary: Choice B is correct as AA's primary function is to help members maintain sobriety through a supportive community and the 12-step program. Choices A, C, and D are incorrect as they do not capture the main purpose of AA, which is supporting long-term recovery through sobriety.

Correct Answer: D

Rationale: The correct answer is D because clients with dementia often struggle with memory and cognitive functioning, making it essential to establish a routine for activities of daily living to promote independence and reduce confusion. This outcome criterion focuses on maintaining a structured schedule to support the client's ability to perform tasks consistently. A is incorrect because expecting the client to return to an adequate level of self-functioning is unrealistic given the progressive nature of dementia. B is incorrect as learning new coping mechanisms may be challenging for someone with dementia due to cognitive impairment. C is incorrect because relying on the client to seek out resources in the community may not be feasible given their cognitive limitations.

Correct Answer: B

Rationale: The correct answer is B because it emphasizes the importance of client autonomy and responsibility in decision-making. As a nurse, it is crucial to empower clients to make their own choices and decisions regarding their care. By reminding the student nurse that clients are responsible for their choices, the instructor encourages the student to focus on supporting and guiding the client rather than providing direct advice. This approach aligns with ethical principles of patient-centered care and promotes client empowerment. Choice A is incorrect because it normalizes not having the answer, which may undermine the student nurse's confidence. Choice C is incorrect as it is vague and does not provide specific guidance on how to address the student's concerns. Choice D is incorrect because it focuses on personal improvement rather than the client's autonomy, which is the key issue in this scenario.