A shy 12-year-old girl who must change school systems just before she begins junior high school begins cutting her arms to relieve the stress that she feels about leaving long-standing friends, having to develop new friendships, and meeting high academic standards in her new school. After she has been cutting for a few weeks, her parent discovers the injuries and takes her to a psychiatrist who prescribes a therapeutic group at the local mental health center and medication to help decrease her anxiety. The nurse who is leading the group would determine that the girl had made appropriate progress toward recovery when which of the following occurred? Select all that apply.
1. The girl indicated that she had joined three clubs at school and agreed to be an officer in one of them.
2. The girl says she has developed a friendship with a girl in her class and one in her therapy group.
3. The girl wears short-sleeved and/or sleeveless tops when the weather is warm.
4. The girl's grades are good, and her hours of study are not excessive.
5. The girl begins saying she must study hard so she can get into a good university.
6. Managing Care Quality and Safety
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