psych quiz / chapter 13

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?

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

Which incorporates all the verbal and nonverbal interactions of the group?

Group dynamics

During which type of leadership does the group leader offer little guidance to the group?

Indirect

Which is a purpose of a medication group? Select all that apply.

Compliance Management of side effects Lifestyle adjustments

When leading a medication group, which educational method is least effective?

Lecture

During which group may the client learn how to avoid relapse?

Symptom management

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?

Group cohesiveness

The nurse is leading an open stress management group that began with nine participants but that has grown in size to between 16 and 18. Because of this increase in size, which action would be most appropriate?

Choose interventions that promote engagement by attendees.

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?

Determine the source of the conflict.

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

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?

Group dynamics

Within a group, facilitating verbal and nonverbal communication to meet treatment goals individually and with the entire group refers to the...

Group leader

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?

Blocker

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?

Group process

Which is the interaction that moves the group toward its goals?

Group process

Which of the following is an example of a verbal communication technique?

Group theme

A psychiatric-mental health nurse is working to ensure that the decision-making group the nurse is leading is effective. The nurse implements an open leadership style and ensures that time pressures are avoided. The nurse is working to prevent which situation?

Groupthink

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?

Harmonizer

Which client would the nurse assess as having the priority need for attendance at a life and social skills group?

A 38-year-old homeless man with a history of chronic paranoid schizophrenia

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

Harmonizer

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.

Harmonizer Compromiser Standard setter

During which phase of group development does the group leader develop rapport with the members?

Beginning

A nurse leader observes the members of a group during the group sessions. One of the members often boasts about achievements in the workplace, talking about "all of the awards won for being the best in the field." The nurse interprets this member's behavior as indicating which role?

Recognition seeker

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?

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

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?

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

Which statement would indicate that the group is in the working phase of development?

"I don't understand why Mary doesn't see my point of view, and frankly it really irritates me when she does that!"

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."

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?

"When you say that these things made you 'upset,' how exactly did you feel?"

A psychiatric-mental health nurse is leading a group that is in the honeymoon stage. Which behavior by group members would the nurse most likely observe? Select all that apply.

- Politeness toward other members of the group - Intellectualization of the problems - Attempts to test the trust of others

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?

Avoid intervening during a meeting unless absolutely necessary.

A nurse is leading a group. During the session, the nurse observes the members testing each other to see if they can trust each other. The nurse leader also notes that the members are testing the nurse, too. The nurse interprets this behavior as characteristic of which phase?

Beginning

Reminiscence therapy would be most appropriate for what group?

A group of clients in the early stages of dementia

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?

Altruism

A client diagnosed with antisocial personality disorder is exhibiting aggressive behavior. Which intervention would be most appropriate for this client?

Anger management

Client 1 has been talking to Client 2 about Client 2's frequent denial in the group for two weeks. On the third week, Client 2 comes late to the group. When they begin to discuss Client 2's lateness, Client 2 gets up and leaves. The content of this exchange is the discussion. The process that is occurring may be that...

Client 2 is angry with Client 1 for the confrontation.

The working stage of group therapy is marked by which characteristic?

Conflict and cooperation among group members.

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:

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

The psychiatric-mental health nurse will be leading a group that will consist exclusively of older adults. When leading this group, the nurse should:

Encourage the therapeutic use of reminiscence.

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?

Encouraging members to write down information to aid in remembering.

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?

Energizer

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?

Reflecting behavior

Which type of group is usually associated with clients who have dementia and have difficulty with recent memory?

Reminiscence groups

Which action reflects group development in the initial stage?

Seeking similarities

A psychiatric-mental health nurse is assessing a client who has come to the community mental health center for an evaluation. The client has a history of alcohol abuse. During the assessment, the client says, "I've been clean and sober for the last 10 years, but I continue to go to my meetings at least once a week." The nurse interprets the client's statement as indicating participation in which type of group?

Self-help group

The nurse is preparing to form a small group in an inpatient psychiatric setting. In addition to the group leaders, the nurse should select...

Seven to eight clients

A psychiatric-mental health nurse is preparing to conduct a symptom management group at the community mental health center. When planning the location and arrangement of the room, which setting would be most effective?

Small conference room with members sitting on chairs arranged in a circle

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...

Participants become more cohesive as a group.

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?

Gatekeeper

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?

Group building and maintenance

Which therapeutic factor refers to the group members' relationships to the therapist and other group members?

Group cohesion

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

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?

Limit repeated episodes and redirect discussion.

One particular member of a medication group always seeks out the nurse for one-on-one conversation before each meeting and during scheduled breaks during meetings. What should be the nurse's initial response?

Make a point of engaging with other group members before and after meetings and during breaks.

Which is an example of group cohesiveness?

Members wearing T-shirts that they made to a group session

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...

New members can join the group at any time.

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

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?

Psychotherapy group

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?

Supportive therapy group

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?

Symptom management group

Clients learn about relapse prevention in the context of...

Symptom management groups

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?

Task

The initiator-contributor, information seeker, information giver, and coordinator are examples of what?

Task roles

During which stage of group development may the group grieve the loss of group cohesiveness?

Termination

The main difference between growth groups and psychotherapeutic groups is what?

The members' functional levels

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?

The new member has violated group norms.

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

A basic function of psychiatric nurses is to implement a group that focuses on helping individuals coping with their illness. This refers to...

a supportive therapy group.

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...

groupthink