MH Chapter 13 PrepU
self-help groups
Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) are examples of which type of service?
the members functional level
The main difference between growth groups and psychotherapeutic groups is what?
group-leader
Within a group, facilitating verbal and nonverbal communication to meet treatment goals individually and with the entire group refers to the...
groupthink
A nurse is leading a group and realizes participants are overly invested in maintaining the status quo and feelings of unity become too intense. This refers to...
does the purpose of the group match the treatment goals of the potential member
A nurse is planning to start a new group on the unit. To ensure a well-functioning and successful group, the nurse needs to consider individual suitability for membership and consider:
get supervision from an experienced group leader
A nurse is trying to manage the situation of a disliked member in the group and is encountering difficulties in managing the situation. The best action of the nurse is to...
group dynamics
Which incorporates all the verbal and nonverbal interactions of the group?
a supportive therapy group
A basic function of psychiatric nurses is to implement a group that focuses on helping individuals coping with their illness. This refers to
anger management
A client diagnosed with antisocial personality disorder is exhibiting aggressive behavior. Which intervention would be most appropriate for this client?
symptom management
A client diagnosed with schizophrenia is having hallucinations. Which type of group would be beneficial for this client?
engage the client privately to detmeurine the motivation behind the silence
A client has been attending a closed medication group since its formation several weeks ago. The client attends faithfully but has never contributed to any of the discussions during group meetings. The nurse who is leading the group should:
task
A group has been given the assignment of completing the arrangements for a day trip to the aquarium. This is an example of which type of group?
working
A group is trying to handle issues related to dominance, control, and power within the group. In what stage of group development is this group?
orienter
A member of the group is clarifying the goals of the group. The member is exhibiting which role?
open
A newly admitted client has joined an anger management group as part of treatment in the hospital. Which type of group would be appropriate for this client?
use team-building exercises
A nurse has begun group counseling sessions for several hospitalized clients in the psychiatric facility. Which would be most effective for the nurse to do to promote group cohesiveness?
harmonizer, compromiser, standard setter
A nurse is conducting a medication group. Which role would the nurse interpret as an example of a maintenance role for a group member? Select all that apply.
limit repeated episodes and redirect discussion
A nurse leading group therapy identifies an individual's participation of self-disclosure with personal problems that are inconsistent with the purpose of the group. Which action by the nurse would be most appropriate?
avoid intervening during a meeting unless absolutely necessary
A psychiatric-mental health nurse has been leading a symptom management group for several weeks. The nurse and the participants express satisfaction with the group's activities and the nurse has identified that an indirect leadership style will be appropriate. How should the nurse apply this leadership style?
performing
A psychiatric-mental health nurse is integrating Tuckman's model of group development when leading a medication group. The group is reaching a consensus and developing cooperative relationships. The nurse identifies this as which phase of development?
disrupt group functioning
A psychiatric-mental health nurse is leading a group. The nurse identifies that the several group members are assuming individual roles within the group. The nurse understands that individual roles in group dynamics have which effect on group functioning?
assess each member's knowledge of his or her drug regimen
A psychiatric-mental health nurse will soon begin a medication group for clients who have been prescribed atypical antipsychotics. What is the nurse's best initial action?
ask the member to suggest specific alternatives to what the other members suggest
A support group member talks at length about the situations that trigger the member's anxiety. Other group members offer thoughtful suggestions from time to time, and the member consistently agrees with them but then goes on to explain why they would be ineffective. What is the nurse leader's best action?
pathways
By analyzing the content and patterns of communication, the leader can determine the existence of what?
developmental
Children's groups should be structured to accommodate which level of functioning?
keeping the group on task by restating goals
Which indicates that the nurse, acting as a leader for a group of recovering clients with alcohol abuse, is addressing the responsibility of maintaining the group's process?
gatekeeper
During a group session, one of the members states, "Let's keep this discussion going so that everyone can participate, but let's keep the time each person speaks to about 3 minutes." The leader interprets this member as acting in which role?
clarification
During a group therapy session, a nurse restates the interaction with the client to check the client's meaning. The nurse is using which technique?
beginning
During which phase of group development does the group leader develop rapport with the members?
termination
During which stage of group development may the group grieve the loss of group cohesiveness?
indirect
During which type of leadership does the group leader offer little guidance to the group?
psychoeduational groups
Enhancing knowledge and improving skills to solve problems, including task groups, refer to...
members wearing t-shirts that they made to a group session
Which is an example of group cohesiveness?
direct leadership
Group leadership behavior that is authoritarian and controls the interaction by giving directions and information, while allowing little discussion, refers to...
harmonizer
Which maintenance role is responsible for mediating differences among group members and relieves tension in conflict situations?
group process
In group, Client 1 talks about how stressful and important Client 1's job is. Client 2 comments that Client 1 seems to think Client 1 is "better than the rest of us." Client 3 supports Client 1's comment and says Client 3 doesn't understand why everyone wants Client 1 to "break down and cry." This dynamic illustrates what?
the pace of the group should be slowed because of possible memory deficits
Which of the following is accurate when dealing with older people in groups?
a group of clients in the early stages of dementia
Reminiscence therapy would be most appropriate for what group?
group cohesiveness
Several members of a self-help group are making T-shirts for the group to wear in a parade. This is an example of which element of group therapy?
blocker
The nurse has been asked to sit in and observe a support group for individuals who were once addicted to drugs. The nurse notices that one group member disagrees with statements made by all other group members. What role is this individual playing in the group?
participants become more cohesive as a group
The nurse is counseling a group of clients in a closed group system. The nurse should explain to the group members that one advantage of a closed group system is that the...
exclude the client from the group and select more appropriate interventions
The nurse is in the process of creating a group aimed at enhancing the life skills of patients living with schizophrenia. A colleague has referred a client whose condition is unstable and who has frequent symptom exacerbations. What is the nurse's best action?
group cohesion
Which therapeutic factor refers to the group members' relationships to the therapist and other group members?
reminiscence groups
Which type of group is usually associated with clients who have dementia and have difficulty with recent memory?
encourage the therapeutic use of reminiscence
The psychiatric-mental health nurse will be leading a group that will consist exclusively of older adults. When leading this group, the nurse should:
conflict and cooperation among group members
The working stage of group therapy is marked by which characteristic?
lecture
When leading a medication group, which educational method is least effective?
encouraging participation by all members
Which action by the group leader demonstrates effective leadership?
