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?

Introduction: The orientation phase of group development focuses on establishing boundaries, defining the purpose of the group, and fostering a sense of psychological safety through the clarification of structural rules and expectations. A. Summarizing the achievement of the group's goals is a primary task of the termination phase, not the orientation phase. During termination, the leader helps members review their progress, process the emotions associated with the group ending, and plan for the future maintenance of behavioral changes. B. Explaining confidentiality is a critical component of the orientation phase. Members must understand the parameters of privacy within the group to develop the trust necessary for self-disclosure. This is especially vital in adolescent groups to ensure they feel safe sharing sensitive information regarding their illness and emotions. C. Maintaining the group's focus on identified issues is a characteristic of the working phase. During the working phase, the group leader facilitates the actual work of the group, helping members stay on task as they explore problems, share experiences, and support one another in achieving their therapeutic goals. D. Encouraging the use of problem-solving skills is an intervention utilized during the working phase. Once trust is established and the group has moved past the initial orientation, the leader assists members in developing active strategies to manage stressors, such as the challenges associated with a cancer diagnosis.