my chapter 12

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? Working Termination Initial Mature

Working During the working stage of group development, the group solves selected problems of working together; handles conflicts between members or between members and the leader; and works on issues of dominance, control, and power within the group.

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? "It's okay to be upset. How do other members of the group feel right now?" "I can see you're upset right now. Let's take some time to talk after group." "It's best that we deal with how you're feeling right here and right now." "If there is something wrong, maybe you should go home and come back next week."

"I can see you're upset right now. Let's take some time to talk after group."

A client being treated for bipolar disorder asks why attendance at a support group would be beneficial. Which response should the nurse make? "It gives you an opportunity to share how you are dealing with the condition." "It prevents nonadherence to prescribed medication therapy." "Talking with others improves communication skills." "It improves your socialization skills."

"It gives you an opportunity to share how you are dealing with the condition." Support groups focus on helping individuals cope with their illnesses and problems. The focus of the group is to help the members cope with situations that are common for other group members.

Individual psychotherapy consists of three phases. Which statement by the group therapist would reflect that the group is in the working phase of therapy? "James, when Shane speaks, it seems you become angry and tend to withdraw." "Each of you has shared ideas and thoughts about your personal development. This has been a difficult process, and you have all grown tremendously." "We will be meeting once each week for 90 minutes here at this office." "Shane has asked the group if it is acceptable that he be 5 minutes late to each group session because of his job."

"James, when Shane speaks, it seems you become angry and tend to withdraw." During the working phase, client behaviors and feelings are shared, and conflicts may become apparent and be talked about in the group.

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? "Do you feel like someone else in similar circumstances would have felt that way too?" "When you say that these things made you 'upset,' how exactly did you feel?" "It sounds like the events you're describing were very upsetting." "It's important that you know that these events were in no way your fault."

"When you say that these things made you 'upset,' how exactly did you feel?" Probing involves asking for more information in a tactful and empathic way. Asking the member to expand on the statement about feeling "upset" is an example of this.

A psychiatric-mental health nurse is planning to use reminiscence with a group of older adults. The nurse chooses this intervention for which reasons? Select all that apply. - Support the natural healing process of life review - Reduce the amount of thinking needed for problem solving - Identify previous coping strategies that can be useful now - Provide catharsis about current issues - Help promote self-esteem

- Identify previous coping strategies that can be useful now - Help promote self-esteem - Support the natural healing process of life review

Reminiscence therapy would be most appropriate for what group? A group of clients in the early stages of dementia Family members supporting clients with mental illness Clients diagnosed with mood disorders A group of clients recently diagnosed with schizophrenia

A group of clients in the early stages of dementia

A client diagnosed with antisocial personality disorder is exhibiting aggressive behavior. Which intervention would be most appropriate for this client? Symptom management Self-care group Reminiscence therapy Anger management

Anger management The purposes of an anger management group are to discuss the concept of anger, identify antecedents to aggressive behavior, and develop new strategies to deal with anger other than verbal and physical aggression.

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? Confront the member with the fact that the member's responses devalue the contributions of the other members Ask the member whether the member believes the situation to be unsolvable Remind the member that the ultimate purpose of the group is to offer solutions to other members Ask the member to suggest specific alternatives to what the other members suggest

Ask the member to suggest specific alternatives to what the other members suggest

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? partner each member with another member to hold each other accountable for adherence to treatment. Educate the members about the roles of nutrition and exercise in managing adverse effects perform a mini mental state examination (MMSE) with each member. Assess each member's knowledge of his or her drug regimen.

Assess each member's knowledge of his or her drug regimen.

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? - Have each member of the group take turns leading when the nurse is unable to attend - Transition the group from being closed to being open - Loosen the requirements around consistent attendance and punctuality - Avoid intervening during a meeting unless absolutely necessary

Avoid intervening during a meeting unless absolutely necessary

The working stage of group therapy is marked by which characteristic? Therapists' tendency to "back off" to allow the group to work. Conflict and cooperation among group members. Members' propensity to leave the group. Group members' concern about confidentiality issues.

Conflict and cooperation among group members.

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? Development of interpersonal relationships Need for a small group size Assumption of multiple roles of group members Avoidance of imitative behavior

Development of interpersonal relationships In Yalom's model, interpersonal relationships are very important because change occurs through a corrective emotional experience within the context of the group

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: Can a potential member bring anything that will benefit the rest of the group? Does the purpose of the group match the treatment goals of the potential member? 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? Can the potential member lead the group in case the leader is unable to attend?

Does the purpose of the group match the treatment goals of the potential member?

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? Using a large group format to promote coverage of a greater amount of information Sharing the names of the each member's prescribed medications with other members Conveying information primarily through a lecture format for consistency Encouraging members to write down information to aid in remembering

Encouraging members to write down information to aid in remembering

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? Altruism Group cohesiveness Catharsis Universality

Group cohesiveness Group cohesiveness is the development of a strong sense of group membership and alliance.

Which incorporates all the verbal and nonverbal interactions of the group? Group dynamics Group cohesion Groupthink Group process

Group dynamics Group dynamics are all the verbal and nonverbal interactions of a group.

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? Keeping the group on task by restating goals Selecting individuals for membership in the group Deciding how often the group will meet Determining that the group's format will be closed

Keeping the group on task by restating goals "MAINTAINING THE GROUPS PROCESS = HAVE THEM RESTATE THEIR GOALS"

A nurse is preparing to lead a newly formed group at the community mental health center. When setting the tone of the group, the nurse understands that it is the responsibility of which person? Leader Individual group members Facility hosting the group Referring provider

Leader The leader is responsible for setting the tone of the group at the first meeting.

When leading a medication group, which educational method is least effective? Handouts Videotapes Lecture Audiovisual materials

Lecture

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? Summarizing Reflecting behavior Reflecting feelings Clarification

Reflecting behavior The statement is an example of reflecting behavior; that is, the statement identifies behaviors that are occurring.

Near the end of a medication group session, the nurse leader says, "Okay, we've talked about the client's medication problems and will be following up with the health care provider." The nurse leader is using which technique? Summarizing Clarification Reflecting feelings Advice and suggestions

Summarizing

During which group may the client learn how to avoid relapse? Self-care Reminiscence Anger management Symptom management

Symptom management MANAGE to prevent relapse

During which stage of group development may the group grieve the loss of group cohesiveness? Beginning Intermittent Termination Working

Termination grieve = dead = termination...

Which of the following is accurate when dealing with older people in groups? Emphasis should be placed on learning new information The pace of the group should move fast because of memory deficits The group should avoid using reminiscence The pace of the group should be slowed because of possible memory deficits

The pace of the group should be slowed because of possible memory deficits The pace of the group meetings should be slowed.

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? Working Initial Mature Termination

Working During the working stage of group development, the group solves selected problems of working together; handles conflicts between members or between members and the leader; and WORKS ON issues of dominance, control, and power within the group.

Group leadership behavior that is authoritarian and controls the interaction by giving directions and information, while allowing little discussion, refers to ... indirect leadership. direct leadership. laissez-faire leader. member leadership.

direct leadership. authoritarian and controls the interaction = direct = dictator.....

The nurse leads a small group that is discussing the impact of eating disorders on everyday life. Which action does the nurse implement as the group recorder? stimulating the group to action documenting group suggestions defining group position in relation to goals offering the group facts or generalizations

documenting group suggestions recorder = documenting

The psychiatric-mental health nurse will be leading a group that will consist exclusively of older adults. When leading this group, the nurse should: avoid topics that may cause members anxiety. encourage members' children and caregivers to attend. limit the group size to five or six members, if possible. encourage the therapeutic use of reminiscence.

encourage the therapeutic use of reminiscence. Reminiscence is VALUABLE in groups consisting of older members.

The nurse leader of a group observes a group member attempting to stimulate the group to action or decision. The nurse interprets this member as fulfilling which role? recorder coordinator orienter energizer

energizer

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 ... ask the person to leave the group. identify another leader to take over the group. disband the group. get supervision from an experienced group leader.

get supervision from an experienced group leader.

Which therapeutic factor refers to the group members' relationships to the therapist and other group members? group cohesion universality catharsis altruism

group cohesion Group cohesiveness refers to the group members' relationships to the therapist and other group members

Which maintenance role is responsible for mediating differences among group members and relieves tension in conflict situations? gatekeeper compromiser encourager harmonizer

harmonizer In a group, the harmonizer mediates differences among members and relieves tension in conflict situations.

A group is in the working stage and developing the rules and standards for acceptable behavior in the group. The group is developing group: norms themes cohesiveness process.

norms

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? performing forming norming storming

performing According to Tuckman, during the performing phase, a group reaches consensus and develops cooperative relationships. idk tuckman - performing = TP temp pulse??

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?

psycho-therapy group

A psychiatric-mental health nurse is preparing to lead a group of individuals experiencing anxiety. Which information would be most important for the nurse to keep in mind when determining the amount of structure and types of activities? size of the group purpose of the group needs of the potential members degree of socialization permitted

purpose of the group

The nurse prepares a chart for a client's medical record. Which group would the nurse consider as a viable plan for this client? medication reminiscence symptom management self-care

reminiscence Reminiscence therapy has been shown to be a valuable intervention for older clients

Which type of group is usually associated with clients who have dementia and have difficulty with recent memory? medication groups reminiscence groups self-care groups anger management groups

reminiscence groups

A psychiatric-mental health nurse is interviewing the family members of a client diagnosed with Alzheimer's disease. The members mention that they feel all alone and are having problems dealing with the everyday and long-term issues of caring for the client. The nurse determines that a referral to a group would be beneficial. Which type of group would be most appropriate for the nurse to suggest? psychotherapy group psychoeducation group supportive therapy group self-help group

supportive therapy group

A client diagnosed with schizophrenia is having hallucinations. Which type of group would be beneficial for this client? self-care symptom management anger management medication

symptom management In symptom management groups, members learn when a symptom indicates that relapse is imminent and what to do about it.