Week 2 - Chap 13 Group Interventions

A support group member talks at length about the situations that trigger his anxiety. Other group members offer thoughtful suggestions from time to time, but 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 nurse leading group therapy identifies an individual's participation of self-disclosure with personal problems that are inconsistent with the purpose of the group. The nurse should ...

Limit repeated episodes and redirect discussion

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 of the following is an example of group cohesiveness?

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

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

group theme

Which of the following occurs when group members form opinions consistent with group consensus?

groupthink

A member of the group is clarifying the goals of the group. The member is exhibiting which role?

orienter

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.

By analyzing the content and patterns of communication, the leader can determine the existence of which of the following?

pathways

All except which of the following are therapeutic factors identified by Yalom?

regulation

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 of the following statements 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 of the following statements 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 that she experienced during her childhood. The member does not elaborate on her feelings surrounding the events apart from saying that they made her 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 will soon begin a medication group for clients who have been prescribe atypical antipsychotics. What is the nurse's best initial action?

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?

Avoid intervening during a meeting unless absolutely necessary.

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

Beginning

Group leadership behavior that is authoritarian and controls the interaction by giving directions and information, while allowing little discussion, refers to ...

Direct leadership

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 nurse is in the process of creating a group aimed at enhancing the life skills of patients living with schizophrenia. A colleague has referred a client whose condition is unstable and who has frequent symptom exacerbations. What is the nurse's best action?

Exclude the client from the group and select more appropriate interventions

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 group roles 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 of the following therapeutic factors refers to the group members' relationships to the therapist and other group members?

Group cohesion

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

Indirect

Enhancing knowledge and improving skills to solve problems, including task groups, refer to ...

Psychoeducational 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

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

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

Task roles

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

The members' functional level

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 of the following statements 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

According to Yalom (2005), there are 11 therapeutic factors through which changes occur in group psychotherapy. Which of the following factors correlates with learning to give to others?

altruism

During a group therapy session, a nurse restates the interaction with the client to check the client's meaning. The nurse is using which technique?

clarification

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

developmental

Individual roles in group dynamics have what effect on group functioning?

disrupt

Which group member attempts to stimulate the group to action or decision?

energizer

A client has been attending a closed medication group since its formation several weeks ago. The client attends faithfully but has never contributed to any of the discussions during group meetings. The nurse who is leading the group should:

engage with the client privately to determine the motivation behind the silence.

Which of the following should the nurse expect may be a common problem of the members of an anger management group?

impulsiveness

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

lecture

While conducting a group therapy session, the nurse observes that one participant consistently mediates differences among the participants. The nurse determines that this client is performing a group role termed ...

maintainance

In group counseling sessions, one critical element in both maintaining an individual's existing behaviors and attitudes and changing them are the group's ...

norms

A group member is describing some of the things that she did during a recent manic phase. As the member is describing these actions, another member is audibly snickering. The nurse identifies a need to apply the technique of reflecting the second member's behavior. The nurse should:

say something like, "You seem to finding the things Kim is describing humorous because you're laughing."

Which of the following actions reflects group development in the initial stage?

seeking similarities

Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) are examples of which type of service?

self-help groups

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

symptom management

A group has been given the assignment of planning their weekend trip. 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 should identify this participant as performing a group role termed ...

task

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

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

During which phase of group development does the group realize its purpose?

working

Large groups are often used in which environment?

workplace

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

7-8 clients

Which of the following clients 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

Reminiscence therapy would be most appropriate for what group?

A group of clients in the early stages of dementia.

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

Which of the following indicates the nurse acting as a leader for a group of recovering male with alcohol abuse is addressing the responsibility of maintaining the group's process?

Keeping the group on task by restating goals

A nurse has begun group counseling sessions for several hospitalized clients 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 nurse has been asked to sit in and observe a support group for individuals who were once addicted to drugs. You notice that one group member disagrees with statements made by all other group members. What role is this individual playing in the group?

blocker

Maintenance roles are assumed by those who help keep the group together. Which of the following is an example of this type of role?

compromiser

The working stage of group therapy is marked which of the following characteristics?

conflict and cooperation among group members.

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

When the group leader uses team-building exercises, the leader is trying to promote which of the following?

group cohesiveness

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

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

In group, Jan talks about how stressful and important her job is. Debbie comments that Jan seems to think she is "better than the rest of us." Linda supports Jan's comment and says she doesn't understand why everyone wants Jan to "break down and cry." This dynamic illustrates what?

group process

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

group process

Research supports that a closed leadership style and time pressures support symptoms of ...

groupthink

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

harmonizer

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 the nurse's response be initially?

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

A therapy group is in session, and one member shares that she feels hopeless about her future. Another 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. You can do it, too." The role this member is playing in this situation is an example of what?

monopolizer

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.

During which phase of Tuckman's model of group development does a group reach a consensus and develop cooperative relationships?

performing

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

reminisce

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

termination