Exam 34: Therapeutic Groups

The next-to-last meeting of an interpersonal therapy group is taking place.One would expect the leader to take which action(s)? Select all that apply.

A new nurse is reviewing the various types of groups available on her new unit.One group adds new members as others leave.She recognizes this type of group as a(n)________ group.

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

A young female member in a therapy group relates to an older female patient as one might to a mother,accusing her of trying to control her whenever the older member offers observations or suggestions to her.Which therapeutic factor of a group is represented by this behavior?

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

A patient,Mary,has talked constantly throughout the group therapy session.She has repeated the same material several times.Other members were initially attentive then became bored,inattentive,and finally sullen.Which intervention would be most effective for the nurse leader to take?

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

A group is in the working phase,and one member states,"That is the stupidest thing I've ever heard.I have never been in a group like this.Everyone is just whining and telling everyone else what to do when they have no clue,and people just sit there and take it.This is a waste of time." Which response by the group leader would be most therapeutic?

Three members of the therapy group share covert glances as other members of the group bring up problems.One of them often makes a statement that subtly puts down another speaker or takes exception to a comment by the group leader.The others then nod in agreement.What explanation should the leader suspect underlies this group dynamic?

"You folks have had good ideas so far,so whatever you guys say is OK with me."

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

During an inpatient therapy group that uses existential/Gestalt theory,feelings experienced by patients at the time of their admission to the unit are discussed.As a silence falls,one member mentions,"We have heard from several people who describe feeling angry.I would like to hear from some people who experienced other feelings." The nurse identifies this comment as an example of the group role of:

A group has two more sessions before it ends.One member who previously has been vocal and has shown much progress has grown silent.Which response by the leader would be most helpful for the quiet member and others as well?

Which remark would the nurse expect to hear during the working stage of group therapy?

A nurse assigned to the well child clinic realizes that a number of the mothers have misconceptions about the most effective ways of disciplining their children.The nurse decides that forming a group to resolve this problem would be an effective strategy.The focus of the group should be:

The nurse is co-leader of a group.The guidelines followed by the leaders include focusing on recognizing dysfunctional behavior and thinking patterns,then identifying and practicing alternate behaviors and thinking that are more adaptive.What theory is represented by this group approach?

A patient tells the members of the inpatient therapy group that he hears voices saying his doctor is going to poison him.Another patient replies,"I used to hear voices too.They sounded real,but I found out later they were my imagination.The voices you hear are not real either." Which phenomenon common to groups is exemplified in this interchange?

A group is in the working phase,and one member has a history of being left alone as a 4- and 5-year-old when his parents worked or drank.His parents also belittled him and criticized him mercilessly;nothing he did was ever right or good in their eyes.Which comment would the group leader expect to be made by this member?

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

A group is in the working phase,and one member states,"That is the stupidest thing I've ever heard.I have never been in a group like this.Everyone is just whining and telling everyone else what to do when they have no clue,and people just sit there and take it.This is a waste of time." Which response by the group leader would be most therapeutic?