Chapter 14 (Test 3)

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A group leader is requesting input regarding the scheduling of a group meeting. The leader is exhibiting which leadership style?

Democratic

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

Anger management

Arranging seating for a group, the nurse needs to consider ...

Arranging chairs in a circle with chairs close to one another

At his wife's request, Gordon has presented to the therapist with his wife to begin couples therapy. In light of the fact that Gordon is profoundly reluctant to begin therapy, how can the therapist best put Gordon at ease about the process?

Articulate some of the tangible benefits that Gordon may experience.

When the group is attempting to determine a time and place for meetings, the leader, states, "We can discuss when it is best for most members, and then find a place that you would be comfortable with." This demonstrates which of the following leadership styles?

Democratic

Children's groups should be structured to accommodate which level of functioning?

Developmental

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

A nurse is trying to manage the situation of a disliked member in her or his 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 of the following therapeutic factors refers to the group members' relationships to the therapist and other group members?

Group cohesion

The advantage of group therapy over individual therapy for a client with a borderline personality disorder is that

Group therapy provides the client with relationship opportunities upon which to test behavior modifications

Which of the following maintenance roles is responsible for mediating differences among group members and relieves tension in conflict situations?

Harmonizer

Cohesiveness is an important factor that correlates with outcomes and must be balanced because too much cohesiveness can result in

Increased social pressure to conform to group standards

Which of the following is an example of group cohesiveness?

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

While participating in a group therapy session, one group member consistently asks for clarification of the topic the group is discussing. The nurse leading the group interprets this behavior as reflecting which group role?

Information seeker

Which of the following is the key to being a good leader?

Integrating group leadership with nursing interventions

The nurse-therapist who is leading a support group has emphasized a free-flowing, hands-off style of leadership in which the members determine the flow and content of each meeting. How best may the therapist's leadership be described?

Laissez-faire

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

Lecture

A client, John, has been talking to another client, Marcy, about her frequent denial in group for two weeks. On the third week, Marcy comes late to group. When they begin to discuss her lateness, Marcy gets up and leaves. The content of this exchange is the discussion. The process that is occurring may be ..

Marcy is angry with John for his confrontation.

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

Reminiscence groups

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

Supportive therapy group

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

Symptom management

The initiator-contributor, information seeker, information giver, and coordinator are examples of which of the following?

Task roles

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

Termination

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 nurse leader is responsible for mobilizing issues depending on the developmental stage of the group, and to prevent stagnation and support healthy group development. This refers to ...

Therapeutic factors

The nurse has begun group counseling sessions for several hospitalized patients in the psychiatric facility. Which of the following would be most effective for the nurse to do to promote group cohesiveness?

Use team-building exercises.

The working stage of group therapy is marked by ...

conflict and cooperation among group members.

One of the most therapeutic purposes of group therapy is to allow group members to

gain insight into how others see him or her or what the client is doing in various relationships.

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.


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