CH 13 PrepU
When leading a medication group, which educational method is least effective?
Lecture
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.
Which maintenance role is responsible for mediating differences among group members and relieves tension in conflict situations?
harmonizer
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
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.
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
Which incorporates all the verbal and nonverbal interactions of the group?
Group dynamics
Which action reflects group development in the initial stage?
Seeking similarities
The main difference between growth groups and psychotherapeutic groups is what?
The members' functional level
Group themes reflect the underlying concerns or feelings of the members. Identification of group themes is important for ...
understanding the group dynamics.
Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) are examples of which type of service?
Self-help groups
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
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 nurse is leading a group and notes that the group members are adopting opinions that are consistent with the nurse as the leader. The nurse interprets this as which situation?
Groupthink
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
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 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.
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."
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."
During a group session, the nurse leader uses clarification to check the meaning of a member's statement. Which statement would be most appropriate?
"What I'm hearing you say is that you feel quite overwhelmed today."
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 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
A client diagnosed with antisocial personality disorder is exhibiting aggressive behavior. Which intervention would be most appropriate for this client?
Anger management
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
Which is a purpose of a medication group? Select all that apply.
Compliance Management of side effects Lifestyle adjustments
The working stage of group therapy is marked by which characteristic?
Conflict and cooperation among group members.
A psychiatric-mental health nurse is forming a group and deciding on the group's size. Which characteristic would support the nurse's decision to form a large group? Select all that apply.
Decreased risk for transference Increased opportunities for conflicts
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 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?
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
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
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 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 type of leadership does the group leader offer little guidance to the group?
Indirect
A nurse is leading a medication group and is exhibiting direct leadership. Which behavior would the nurse most likely demonstrate? Select all that apply.
Instructing what to do Giving directions Allowing little discussion
A member of the group is clarifying the goals of the group. The member is exhibiting which role?
Orienter
By analyzing the content and patterns of communication, the leader can determine the existence of what?
Pathways
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
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
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
Which is an example of group cohesiveness?
Members wearing T-shirts that they made to a group session
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?
Monopolizer
A newly admitted client has joined an anger management group as part of treatment in the hospital. Which type of group would be appropriate for this client?
Open
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
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.
Which of the following is accurate when dealing with older people in groups?
The pace of the group should be slowed because of possible memory deficits
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 group is in the working stage and developing the rules and standards for acceptable behavior in the group. The group is developing group:
norms.
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
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 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
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.
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
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 ...
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
A psychiatric-mental health nurse is responsible for leading a newly formed group. Which individual would be responsible for determining an individual's suitability for the group?
group leader
Within a group, facilitating verbal and nonverbal communication to meet treatment goals individually and with the entire group refers to the
group leader.
Which type of group is usually associated with clients who have dementia and have difficulty with recent memory?
reminiscence groups
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
A client diagnosed with schizophrenia is having hallucinations. Which type of group would be beneficial for this client?
symptom management
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
While participating in a group therapy session, one group member consistently asks for clarification of the topic the group is discussing. The nurse identifies that this group member is assuming which role?
task