While leading a small group, the nurse sets up the ground rules at the beginning of the group's first meeting. One of the rules established is that the group will always start at the specified time rather than waiting to start until after everyone has arrived. This rule reflects which of the following?

Correct Answer: A

Rationale: The correct answer is A: Group norms. Setting up the rule that the group will always start at the specified time establishes an expected behavior within the group, known as a group norm. This norm guides the group's interactions and helps create a structured and efficient environment. Group cohesion (B) refers to the bond among group members, which is not directly related to the specified starting time. Group think (C) is a phenomenon where group members prioritize harmony and conformity over critical thinking, which is not reflected in the rule mentioned. Group process (D) is a broader term that encompasses all aspects of how a group functions, including communication and decision-making, but it does not specifically address the established starting time norm.

Correct Answer: B

Rationale: The correct answer is B because it follows the SOAP (Subjective, Objective, Assessment, Plan) format for problem-oriented charting. In choice B, the subjective information is the patient's statement, the objective information includes the observed behavior, assessment is the diagnosis of auditory hallucinations, and the plan includes offering medication and the outcome. Choice A lacks a clear assessment and plan, focusing more on the intervention and outcome. Choice C does not clearly link the assessment to the plan and lacks details in the subjective and objective sections. Choice D does not provide a clear separation between subjective and objective information and lacks a formal assessment section.

Correct Answer: D

Rationale: The correct answer is D because Erikson's "school age" stage focuses on developing a sense of industry and competence. By trying out for cheerleading, the 11-year-old girl is demonstrating initiative and feeling accomplished, which aligns with this stage. Choice A is incorrect as it relates more to peer pressure and moral development. Choice B is incorrect as it focuses on social interaction skills, not specifically related to Erikson's stage. Choice C is incorrect as it pertains to independent play, not directly linked to Erikson's concept of industry and competence. Overall, D best exemplifies successful completion of the "school age" stage.

Correct Answer: A

Rationale: The correct answer is A: Primary mental illness with subsequent substance use. In this scenario, the client's major depression is the primary mental illness, and the use of marijuana is a secondary behavior or coping mechanism. The client is using marijuana as a way to self-medicate or alleviate symptoms of depression. It is important to address the underlying mental health issue (major depression) as the primary concern. Choice B is incorrect because it suggests that substance abuse is the primary disorder with subsequent psychopathologic consequences, which is not the case in this scenario. Choice C is incorrect as it implies that both major depression and substance use are primary diagnoses, which is not the most accurate interpretation of the situation presented. Choice D is incorrect because it suggests a common cause for both conditions, which is not supported by the information provided.

Correct Answer: A

Rationale: Milieu therapy is the correct answer as it involves creating a therapeutic environment where clients interact with others, allowing nurses to observe their behaviors and relationships. This setting offers a holistic approach to assessment, considering how clients engage in various interactions. Electrical impulse therapy (B) is not focused on observing relationships and behaviors. Talk therapy (C) and individual therapy (D) primarily involve one-on-one interactions, limiting the nurse's ability to assess clients in diverse relationship contexts. Milieu therapy stands out for its comprehensive assessment opportunities within a dynamic social environment.