Exam 33: Therapeutic Groups

A patient tells members of a therapy group,"I hear voices saying my doctor is poisoning me." Another patient replies,"I used to hear voices too.They sounded real,but I found out later they were not.The voices you hear are not real either." Which therapeutic factor is exemplified in this interchange?

Which outcome would be most appropriate for a symptom-management group for persons with schizophrenia? Group members will:

A patient has talked constantly throughout the group therapy session,often repeating the same comments.Other members were initially attentive then became bored,inattentive,and finally sullen.Which comment by the nurse leader would be most effective?

During a therapy group that uses existential/Gestalt theory,patients shared feelings that occurred at the time of their admission.After a brief silence,one member says,"Several people have described feeling angry.I would like to hear from members who had other feelings." Which group role is evident by this comment?

A group begins the working phase.One member has a childhood history of neglect and ridicule by parents.Which comment would the group leader expect from this member?

The next-to-last meeting of an interpersonal therapy group is taking place.The leader should take which actions? Select all that apply.

Which remark by a group participant would the nurse expect during the working stage of group therapy?

Match the group member's comment to the role it most closely represents. -"It doesn't really matter what we do.I'm just here because they make me attend."

A leader plans to start a new self-esteem building group.Which intervention would be most helpful for assuring mutual respect within the group?

Match the group member's comment to the role it most closely represents. -"We aren't getting much done; let's speed things up and make a decision."

Match the group member's comment to the role it most closely represents. -"Last week we finished our first goal and today we are starting on our second."

A therapy group adds new members as others leave.What type of group is evident?

A leader begins the discussion at the first meeting of a new group.Which comments should be included? Select all that apply.

Three members of a therapy group share covert glances as other members of the group describe problems.When one makes a statement that subtly criticizes another speaker,the others nod in agreement.Which group dynamic should the leader suspect?

A nurse at the well child clinic realizes that many parents have misconceptions about effective ways of disciplining their children.The nurse decides to form a group to address this problem.What should be the focus of the group?

During group therapy,one patient says to another,"When I first started in this group,you were unable to make a decision,but now you can.You've made a lot of progress.I am beginning to think that maybe I can conquer my fears too." Which therapeutic factor is evident by this statement?

During a support group,a patient diagnosed with schizophrenia says,"Sometimes I feel sad that I will never have a good job like my brother.Then I dwell on it and maybe I should not." Select the nurse leader's best comment to facilitate discussion of this issue.

During a group therapy session,a newly admitted patient suddenly says to the nurse,"How old are you? You seem too young to be leading a group." Select the nurse's most appropriate response.

A patient in a detoxification unit asks,"What good it will do to go to Alcoholics Anonymous and talk to other people with the same problem?" The nurse's best response would be to explain that self-help groups such as AA provide opportunities for:

A patient in a group therapy session listens to others and then remarks,"I used to think I was the only one who felt afraid.I guess I'm not as alone as I thought." This comment is an example of: