Exam 35: Therapeutic Groups

"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 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 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?

"Everyone has had good ideas so far; so, whatever you say is fine with me."

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

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?

A patient in a support group says, "I'm tired of being sick. Everyone always helps me, but I will be glad when I can help someone else." This statement reflects which of the following?

A group has two more sessions before it ends. One member was previously vocal and has shown much progress but has now grown silent. What explanation most likely underlies this behaviour?

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 phase of group therapy?

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

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.

"We aren't getting much done; let's speed things up and make a decision."

"It doesn't really matter what we do. I'm just here because they make me attend."

The nurse has been working with a large group of patients and has noticed that there are six members that have experienced sexual abuse and tend to talk only amongst themselves. Which type of group does this reflect?

A group is in the working phase. One member says, "That is the stupidest thing I've ever heard. Everyone whines and tells everyone else what to do. This group is a total waste of my time." Which comment by the group leader would be most therapeutic?

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

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 which of the following?

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?