Chapter 13: Group Interventions - PrepU
Which therapeutic factor refers to the group members' relationships to the therapist and other group members? 1- group cohesion 2- catharsis 3- altruism 4- universality
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Which type of group is usually associated with clients who have dementia and have difficulty with recent memory? 1- reminiscence groups 2- self-care groups 3- anger management groups 4- medication groups
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Clients learn about relapse prevention in the context of ... 1- anger management groups. 2- reminiscence groups. 3- psychoeducational groups. 4- symptom management groups.
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A client diagnosed with schizophrenia is having hallucinations. Which type of group would be beneficial for this client? 1- symptom management 2- self-care 3- anger management 4- medication
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During which phase of group development does the group leader develop rapport with the members? 1- beginning 2- pre-interaction 3- working 4- termination
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The nurse is beginning a group counseling session with an open group system. The nurse should explain to the group members that one advantage of an open group system is that ... 1- it can offer the best treatment outcomes. 2- the topics for the group can be controlled. 3- relationships are more easily established in the group. 4- new members can join the group at any time.
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Which action reflects group development in the initial stage? 1- Evaluating the group experience 2- Focusing on group accomplishments 3- Engaging in conflicts 4- Seeking similarities
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Which is the interaction that moves the group toward its goals? 1- Group dynamics 2- Group cohesion 3- Groupthink 4- Group process
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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? 1- Keeping the group on task by restating goals 2- Deciding how often the group will meet 3- Selecting individuals for membership in the group 4- Determining that the group's format will be closed
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Which maintenance role is responsible for mediating differences among group members and relieves tension in conflict situations? 1- harmonizer 2- encourager 3- compromiser 4- gatekeeper
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Which is a purpose of a medication group? Select all that apply. 1- Compliance 2- Management of side effects 3- Ordering medications 4- Lifestyle adjustments 5- Reviewing insurance
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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? 1- Mature 2- Initial 3- Termination 4- Working
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When leading a medication group, which educational method is least effective? 1- Lecture 2- Audiovisual materials 3- Videotapes 4- Handouts
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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? 1- task 2- decision making 3- supportive therapy 4- psychotherapy
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A group member is describing some of the painful events experienced during childhood. The member does not elaborate on the feelings surrounding the events apart from saying that they made the member feel "upset." How should the group leader best apply the leadership technique of probing? 1- "When you say that these things made you 'upset,' how exactly did you feel?" 2- "Do you feel like someone else in similar circumstances would have felt that way too?" 3- "It sounds like the events you're describing were very upsetting." 4- "It's important that you know that these events were in no way your fault."
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A nurse leader identifies that the group is experiencing a conflict. When addressing the situation, which action would be most important for the nurse leader to do first? 1- Determine the source of the conflict 2- Implement conflict resolution strategies 3- Suspend the group sessions for a time 4- Terminate the group
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A psychiatric-mental health nurse is leading a symptom management group for clients diagnosed with anxiety disorders. One of the members consistently asks for information to be clarified and explained further. This member is acting in which role? 1- Information seeker 2- Coordinator 3- Recorder 4- Opinion giver
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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? 1- Ask the member to suggest specific alternatives to what the other members suggest 2- Confront the member with the fact that the member's responses devalue the contributions of the other members 3- Remind the member that the ultimate purpose of the group is to offer solutions to other members 4- Ask the member whether the member believes the situation to be unsolvable
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According to Yalom (2005), there are 11 therapeutic factors through which changes occur in group psychotherapy. Which factor correlates with learning to give to others? 1- altruism 2- universality 3- catharsis 4- group cohesiveness
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During which type of leadership does the group leader offer little guidance to the group? 1- Indirect 2- Direct 3- Co-leadership 4- Autocratic
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Over the past several weeks, members of the group have been demonstrating clear dislike of one of the members. As a result, there is conflict and tension within the group. When dealing with this situation, which action would be the priority for the nurse leader? 1- Maintaining a neutral position about the situation 2- Voicing displeasure that the group can't get along 3- Discussing the underlying issues of the conflict 4- Asking the member to leave the group
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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? 1- Blocker 2- Dominator 3- Follower 4- Gatekeeper
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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 ... 1- participants become more cohesive as a group. 2- group can be functioning on an ongoing basis. 3- focus of the group's work can be more specific. 4- group can be led by only one person.
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The working stage of group therapy is marked by which characteristic? 1- Conflict and cooperation among group members. 2- Members' propensity to leave the group. 3- Therapists' tendency to "back off" to allow the group to work. 4- Group members' concern about confidentiality issues.
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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: 1- Can a potential member bring anything that will benefit the rest of the group? 2- Does the purpose of the group match the treatment goals of the potential member? 3- Can the potential member lead the group in case the leader is unable to attend? 4- Does the purpose of the group suit the potential member's needs and, if not, could the client observe by sitting outside of the actual group and watching?
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A psychiatric-mental health nurse has just reviewed the group rules at the first session. During this time, the nurse observed the verbal and nonverbal interactions among the group. The nurse is assessing for which group concept? 1- Groupthink 2- Group dynamics 3- Group themes 4- Group process
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A psychiatric-mental health nurse is leading a recovery-oriented group for patients diagnosed with severe and persistent mental illness. The group is focusing on learning about symptoms suggesting that a relapse is about to happen and how to avoid relapse. The nurse is most likely leading which type of group? 1- Medication group 2- Symptom management group 3- Self-help group 4- Anger management group
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A psychiatric-mental health nurse practitioner is conducting a psychotherapy group and applying Yalom's model of psychotherapy. The nurse integrates understanding of this model, emphasizing the importance of which aspect? 1- Need for a small group size 2- Development of interpersonal relationships 3- Assumption of multiple roles of group members 4- Avoidance of imitative behavior
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By analyzing the content and patterns of communication, the leader can determine the existence of what? 1- Enablers 2- Pathways 3- Monopolizers 4- Harmonizers
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During a group session, a nurse leader observes a member look down at the floor and change position in the chair, each time the topic of anger and violence comes up. The nurse leader says to the member, "I've noticed that any time the discussion involves anger and violence you look away and change your position. Is something going on?" The nurse leader is using which technique? 1- Reflecting feelings 2- Reflecting behavior 3- Clarification 4- Summarizing
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During which group may the client learn how to avoid relapse? 1- Anger management 2- Symptom management 3- Reminiscence 4- Self-care
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Group themes reflect the underlying concerns or feelings of the members. Identification of group themes is important for ... 1- determining the central communicator. 2- understanding the group dynamics. 3- evaluating outcomes of the group. 4- establishing future group sessions.
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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? 1- Content communication 2- Group process 3- Transference 4- Countertransference
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A client diagnosed with antisocial personality disorder is exhibiting aggressive behavior. Which intervention would be most appropriate for this client? 1- Symptom management 2- Self-care group 3- Anger management 4- Reminiscence therapy
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A client with post-traumatic stress disorder is referred to a group to help the client deal with the issues associated with the trauma and its aftereffects. Which group would be most appropriate for this person? 1- psychoeducation group 2- self-help group 3- psychotherapy group 4- task group
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A psychiatric-mental health nurse is leading a medication group for patients receiving antianxiety agents. When would the nurse to begin the evaluation process of the group's learning outcomes? 1- At the last teaching session 2- Mid-way through the group sessions 3- At the first session 4- 2 weeks after the last session
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A therapy group is in session, and one member shares feelings of hopelessness about the member's future. A second member responds by saying, "I felt hopeless once, but then I went back to school and worked and raised kids to put myself in a better position. It was hard; sometimes I don't know how I did it. But I got great grades, the kids turned out well, and I have a well-paying job." The nurse interrupts and acknolwedges the second member's contribution of information and then redirects the discussion to the first member and others in the group. The nurse identifies the second member as having assumed which role? 1- Coordinator 2- Energizer 3- Monopolizer 4- Follower
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An ongoing support group for new mothers of high-risk babies has been meeting for 3 months. A new member comments that she doesn't have time to come to a group "just to talk." Other members meet the woman's comments with silence. Which statement best explains this situation? 1- The new member is rude. 2- The group is unfriendly. 3- The new member has violated group norms. 4- The group has not accepted the new member.
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During a group session, two group members engage in a discussion, each with a conflicting opinion. A third group member acts as the mediator to relieve the conflict. The third member is acting in which role? 1- Encourager 2- Gatekeeper 3- Harmonizer 4- Follower
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During which stage of group development may the group grieve the loss of group cohesiveness? 1- Beginning 2- Working 3- Termination 4- Intermittent
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Which action by the group leader demonstrates effective leadership? 1- Firmly disciplining negative behavior 2- Using autocratic leadership strategies 3- Encouraging participation by all members 4- Conducting meetings based on personality attributes
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Which client would the nurse assess as having the priority need for attendance at a life and social skills group? 1- A 29-year-old waitress who works two jobs and plans to go back to college 2- A 20-year-old university student who has difficulty speaking in front of large groups 3- A 38-year-old homeless man with a history of chronic paranoid schizophrenia 4- A 46-year-old mother of two teenage children recently divorced and entering the dating scene
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Which of the following is accurate when dealing with older people in groups? 1- The pace of the group should move fast because of memory deficits 2- Emphasis should be placed on learning new information 3- The pace of the group should be slowed because of possible memory deficits 4- The group should avoid using reminiscence
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A group member arrives at a group session visibly upset. The member is attending a medication group that meets once a week. The group leader observes the member's appearance. Which response by the leader would be most appropriate? 1- "If there is something wrong, maybe you should go home and come back next week." 2- "It's okay to be upset. How do other members of the group feel right now?" 3- "It's best that we deal with how you're feeling right here and right now." 4- "I can see you're upset right now. Let's take some time to talk after group."
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A psychiatric-mental health nurse is conducting a medication group for clients at the health center on the use of herbal supplements with psychopharmacological agents. When developing and leading the group, which aspect would be most important for the nurse to employ? 1- Using a large group format to promote coverage of a greater amount of information 2- Sharing the names of the each member's prescribed medications with other members 3- Conveying information primarily through a lecture format for consistency 4- Encouraging members to write down information to aid in remembering
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Which group role is best reflected by the client who consistently validates members' contributions, tries to be the "mediator" between members, and interprets the group's procedures? 1- Individual 2- Task 3- Group cohesion 4- Group building and maintenance
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Which should the nurse expect may be a common problem of the members of an anger management group? 1- Timidity 2- Lack of conflict 3- Shyness 4- Impulsiveness
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