Ch 34

A client on the psychiatric unit who is scheduled to start group therapy asks the nurse, "What does group work mean? I was told I would be going to group and doing group work." How should the nurse respond to provide the best answer to the client's question? A "You will attend group therapy and find solutions for each other's problems." B "You will give and receive feedback from a group of your peers who may also have similar problems to work through." C "You will share your issues with the group and then split up to work separately on solutions based on the ideas the other members provide." D "Group work is the work that you do beforehand so you can present it to the group when you meet."

B

At what point in the life of a group lasting 12 sessions should confidentiality be explained and discussed? A At the first session B As the working phase begins C Just before the group terminates D At the time each client is interviewed

A

Sharing similar experiences in a group setting is referred to using which term? A Universality B Imparting information C Socializing D Catharsis

A

When a group member supports and encourages another group member and feels "good" about doing so, which group phenomenon is being demonstrated? A Altruism B Catharsis C Cohesiveness D Instillation of hope

A

Which group phase is most influenced and managed by the group leader? A Orientation B Working C Termination D Post-termination

A

What are the advantages of therapy groups? A Feedback from peers B Treatment of multiple people at one time C Promotion of independence in problem solving D Provision of an opportunity to practice communication E Promotion of a feeling of belonging F Promotion of confidentiality

ABDE

A patient diagnosed with borderline personality disorder is attending a court-ordered therapy group. The patient projects an angry affect, does not speak much, except to make a snide comment about another member of the group or the group's leader. What is the best way for the leader to handle this patient's behavior? A Remove the patient from the group because this behavior is disrupting the group process for other participants. B Respond neutrally to the patient's comments, ask for group feedback, and talk privately with the patient to form a therapeutic connection. C Spend an entire group session focused on that patient and try to get him/her to open up to other members in depth. D Confront the patient firmly each time he/she makes a rude comment and let him/her know they will be taken out of group if the behavior continues.

B

At what phase of group development would the nurse hear the following interchange? Client 1: "I do not feel comfortable here." Client 2: "I wonder what we are supposed to talk about." Client 3: "Let's ask the leader to explain things again." A Preorientation B Orientation C Working D Termination

B

A democratic group leadership style is most appropriate for which purpose? A 30-minute meetings to discuss unit rules B Creating meaningful trauma-related artwork C A group directed toward anger management D The organization the unit's holiday celebration

C

The nurse reading in a group's protocol notes that it is a closed group understands that the group demonstrates which characteristic? A Discussion topics will be restricted. B Membership is limited to one gender. C No new members will be allowed. D The group is focused on demonstrating cohesiveness.

C

What is the group leader's responsibility in the termination phase? A Allowing members to exchange contact information so they may remain as a support for each other. B Removing himself or herself from the group so they can function independently. C Encouraging group members to reflect on progress made while providing group feedback. D Encouraging group members to fill out evaluation forms so the group leader can further improve his or her therapeutic technique.

C

When a client is encouraged to talk with others who have had similar problems, the nurse is suggesting a which type of group? A Cognitive-behavioral B Time-limited C Support group D Milieu group

C

Which phase of group therapy does the group deal with feelings associated with separation and loss? A Orientation B Working C Termination D Post-termination

C

The advanced practice nurse running a group on the adolescent unit makes no attempt to control the topic and makes no comment unless asked a direct question. What leadership style is the nurse implementing? A Autocratic B Authoritarian C Democratic D Laissez-faire

D

The group goals are to learn to express feelings comfortably rather than keep them covert. When a group member shares with the group how expressing these feelings makes her feel, she is engaging in what activity? A Group content B Confrontation C Subgrouping D Providing feedback

D

What response demonstrates an effective strategy to encourage a nonparticipating member to speak during a group session? A "You are letting the group down when you fail to contribute." B "Your opinions about what just happened are important." C "You must be feeling safe enough to enter the discussion by now." D "What you are thinking is very important to the group."

D

When a member tells the group, "I think the committee saw how unsure of myself I am. I felt all shaky inside during the promotion interview, just like I am feeling and acting right now." To present reality the leader should provide which response? A Remain silent and nod slightly to signal that the client should continue. B Say, "Tell us more about how you are feeling." C Ask, "Does this shaky feeling occur often?" D Ask the group to give feedback about how the client appears to them.

D