The nurse provides a referral to Alcoholics Anonymous to a client who describes a 20-year history of alcohol abuse. The primary function of this group is to:

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: 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.

Correct Answer: B

Rationale: The correct answer, B, is an example of offering self, a therapeutic communication technique where the nurse offers to provide assistance or support to the patient. By offering to accompany the patient to their electroconvulsive therapy treatment, the nurse shows willingness to be present and provide comfort during a potentially distressing experience, thereby building trust and rapport. Choice A is incorrect because it focuses on the group session rather than offering personal support. Choice C is incorrect as it observes the patient's behavior without offering direct assistance. Choice D is incorrect as it involves a social invitation after discharge rather than offering support during the current therapy session.

Correct Answer: A

Rationale: The correct answer is A: members of cultural groups that have a different view of time. Hispanic American and Native American cultures may have different perceptions of punctuality and time management. Hispanic American cultures may prioritize relationships over strict adherence to schedules. Native American cultures may have a more fluid concept of time. It is important for the nurse to understand and respect these cultural differences to provide effective care. Choices B, C, and D are incorrect because they make assumptions about the patients' behaviors based on stereotypes or psychological theories that are not relevant to the situation. It is crucial to avoid making unfounded judgments and instead focus on cultural competence when providing healthcare services.

Correct Answer: A

Rationale: The correct answer is A: Stand very close to the patient while teaching. This approach is important when teaching patients of Mexican heritage as they tend to value close interpersonal relationships. Standing close conveys a sense of warmth and connection, facilitating trust and understanding. Maintaining direct eye contact (B) can be perceived as confrontational in some cultures. Maintaining a neutral emotional tone (C) may come across as disinterested or cold. Sitting 4 feet or more away (D) can create a sense of distance and may be seen as disrespectful or uninviting.