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    Mental Health Finals Proctored Exam

    A patient begins a new program to assist with building social skills In which part of the plan of care should a nurse record the item, "Encourage patent to attend one psycho-educational group daily"?

    Explanation & Rationale

    Reasoning: Choice A reason: Implementation refers to the actual carrying out of the nursing actions. Recording the instruction to encourage a patient is setting the strategy for the shift; the act of actually speaking to the patient and facilitating their attendance would be the implementation phase of the nursing process. Choice B reason: Assessment involves the collection of data, such as observing social withdrawal or poor communication skills. The statement provided is an action-oriented goal or intervention, which is developed after the data has been analyzed and the nursing diagnosis has been established, not during the data collection phase. Choice C reason: Evaluation is the phase where the nurse determines if the intervention worked. This would involve recording whether the patient actually attended the group and if their social skills improved, rather than documenting the initial intent or the specific instruction to provide encouragement for the daily activity. Choice D reason: Planning involves developing a strategy to achieve a goal. Stating "Encourage patient to attend one psycho-educational group daily" is a specific nursing intervention formulated during the planning phase to address the patient's social skill deficit. It serves as a directive for the nursing staff to follow during care.

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