Psych: Ch 34 Questions

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

"What you are thinking is very important to the group."

A client on the psychiatric unit 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? "You will attend group therapy and find solutions for each other's problems." "You will give and receive feedback from a group of your peers who may also have similar problems to work through." "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." "Group work is the work that you do beforehand so you can present it to the group when you meet."

"You will give and receive feedback from a group of your peers who may also have similar problems to work through."

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

A group directed toward anger management

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

Altruism

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? Remain silent and nod slightly to signal that the client should continue. Say, "Tell us more about how you are feeling." Ask, "Does this shaky feeling occur often?" Ask the group to give feedback about how the client appears to them.

Ask the group to give feedback about how the client appears to them.

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

At the first session

A key quality indicator that might be identified for successful outcome in a medication education group could be that clients will engage in which activity? Stating they respected the leader Demonstrating a bond among members of the group Describe modes of transmission of sexually transmitted diseases Confer with health care provider before changing medication regimen

Confer with health care provider before changing medication regimen

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

Encouraging group members to reflect on progress made while providing group feedback.

What are the advantages of therapy groups? (Select all that apply.) Feedback from peers Treatment of multiple people at one time Promotion of independence in problem solving Provision of an opportunity to practice communication Promotion of a feeling of belonging Promotion of confidentiality

Feedback from peers Treatment of multiple people at one time Provision of an opportunity to practice communication Promotion of a feeling of belonging

When the group leader suggests that a client "choose the problem that is troubling you most at this time and tell us about it." The leader is promoting what action? Insight Focusing Reframing Feedback

Focusing

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? Autocratic Authoritarian Democratic Laissez-faire

Laissez-faire

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

No new members will be allowed.

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." Preorientation Orientation Working Termination

Orientation

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

Orientation

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? Group content Confrontation Subgrouping Providing feedback

Providing feedback

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? Remove the patient from the group because this behavior is disrupting the group process for other participants. Respond neutrally to the patient's comments, ask for group feedback, and talk privately with the patient to form a therapeutic connection. Spend an entire group session focused on that patient and try to get him/her to open up to other members in depth. 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.

Respond neutrally to the patient's comments, ask for group feedback, and talk privately with the patient to form a therapeutic connection.

When several group members always sit together and nod or smirk as others are talking, the leader assesses this behavior using which term? Confronting Blocking Subgrouping Imitating

Subgrouping

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

Support group

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

Termination

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

Universality