Exam 34: Therapeutic Groups

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 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?

A nurse assesses a patient for inclusion in group therapy. This patient has a childhood history of neglect and ridicule by parents. The patient says to the nurse, "My boss always expects more of me than the others, but talking to him would only make it worse." Which type of group would best address the patient's needs?

A patient tells members of a therapy group, "I hear voices saying my doctor is poisoning me." Another patient replies, "I once heard 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?

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

A young female member in a therapy group says to an older female member, "You are just like my mother, always trying to control me with your observations and suggestions." Which therapeutic factor of a group is evident by this behavior?

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

Guidelines followed by the leader of a therapeutic group include focusing on recognizing dysfunctional behavior and thinking patterns, followed by identifying and practicing more adaptive alternate behaviors and thinking. Which theory is evident by this approach?

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

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?

The nurse is planning a new sexuality group for patients. Which location would best enhance the effectiveness of this group?

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 behavior? The silent member

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

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

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.

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

Match the group member's comment to the role it most closely represents. -"Everyone has had good ideas so far; so, whatever you say is fine with me."

Which type of group is a staff nurse with 2 months' psychiatric experience best qualified to conduct?

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

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?