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?

Choice A reason: Encouraging the use of problem-solving skills is appropriate during the working phase of group development, when members are actively engaging in discussions and applying coping strategies. It is not part of the orientation phase, which focuses on establishing trust and ground rules. Choice B reason: Maintaining the group’s focus on identified issues is also part of the working phase. At this stage, the nurse helps guide discussions and ensures that members remain on track with therapeutic goals. This is not the primary task during orientation. Choice C reason: Summarizing the achievement of the group’s goals occurs during the termination phase. This phase involves closure, reflection, and evaluation of progress. It is not appropriate during orientation, which is the initial stage of group formation. Choice D reason: Explaining confidentiality to the group members is a critical action during the orientation phase. Adolescents must understand that what is shared in the group will remain private, which fosters trust, openness, and safety. Establishing confidentiality early ensures that members feel secure in expressing their thoughts and emotions. This makes it the correct answer.