Question 1

Which of the following observed client behaviors would lead a nurse to evaluate a member as assuming a maintenance group role? (Select all that apply.)

Accepted Answer

A) A client decreases conflict within the group by encouraging compromise. 
B) A client offers recognition and acceptance of others. 
C) A client outlines the task at hand and proposes solutions. 
D) A client listens attentively to group interaction. 
E) A client uses the group to gain sympathy from others. 
A) A client decreases conflict within the group by encouraging compromise. 
B) A client offers recognition and acceptance of others. 
C) A client outlines the task at hand and proposes solutions. 
D) A client listens attentively to group interaction. 
E) A client uses the group to gain sympathy from others. A, B, D

Question 2

During the sixth week of a 10-week parenting skills group, a nurse observes as several members get into a heated dispute about spanking. As a group, they decide to create a pros-and-cons poster on the use of physical discipline. At this time, what is the role of the group leader?

Accepted Answer

A) To referee the debate 
B) To adamantly oppose physical discipline measures 
C) To redirect the group to a less controversial topic 
D) To encourage the group to solve the problem collectively 
A) To referee the debate 
B) To adamantly oppose physical discipline measures 
C) To redirect the group to a less controversial topic 
D) To encourage the group to solve the problem collectively D

Question 3

The nurse should utilize which group function to help an extremely withdrawn, paranoid client increase feelings of security?

Accepted Answer

A) Socialization 
B) Support 
C) Empowerment 
D) Governance 
A) Socialization 
B) Support 
C) Empowerment 
D) Governance B

Question 4

A man diagnosed with alcohol dependence experiences his first relapse. During his AA meeting, another group member states, "I relapsed three times, but now have been sober for 15 years." Which of Yalom's curative group factors does this illustrate?

Accepted Answer

A) Imparting of information 
B) Instillation of hope 
C) Catharsis 
D) Universality 
A) Imparting of information 
B) Instillation of hope 
C) Catharsis 
D) Universality

Question 5

A nurse believes that the members of a parenting group are in the initial, or orientation, phase of group development. Which group behaviors would support this assumption?

Accepted Answer

A) The group members manage conflict within the group. 
B) The group members use denial as part of the grief response. 
C) The group members compliment the leader and compete for the role of recorder. 
D) The group members initially trust one another and the leader. 
A) The group members manage conflict within the group. 
B) The group members use denial as part of the grief response. 
C) The group members compliment the leader and compete for the role of recorder. 
D) The group members initially trust one another and the leader.

Question 6

During a therapeutic group, two clients engage in an angry verbal exchange. The nurse leader interrupts the exchange and excuses both of the clients from the group. The nurse has demonstrated which leadership style?

Accepted Answer

A) Autocratic 
B) Democratic 
C) Laissez-faire 
D) Bureaucratic 
A) Autocratic 
B) Democratic 
C) Laissez-faire 
D) Bureaucratic

Question 7

During a therapeutic group, a client talks about personal accomplishments in an effort to gain attention. Which group role, assumed by this client, should the nurse identify?

Accepted Answer

A) The task role of gatekeeper 
B) The individual role of recognition seeker 
C) The maintenance role of dominator 
D) The task role of elaborator 
A) The task role of gatekeeper 
B) The individual role of recognition seeker 
C) The maintenance role of dominator 
D) The task role of elaborator

Question 8

Which group leader activity should a nurse identify as being most effective in the final, or termination, phase of group development?

Accepted Answer

A) The group leader establishes the rules that will govern the group after discharge. 
B) The group leader encourages members to rely on each other for problem solving. 
C) The group leader presents and discusses the concept of group termination. 
D) The group leader helps the members to process feelings of loss. 
A) The group leader establishes the rules that will govern the group after discharge. 
B) The group leader encourages members to rely on each other for problem solving. 
C) The group leader presents and discusses the concept of group termination. 
D) The group leader helps the members to process feelings of loss.

Question 9

Which of the following behavioral skills should a nurse implement when leading a group that is functioning in the orientation phase of group development? (Select all that apply.)

Accepted Answer

A) Encouraging members to provide feedback to each other about individual progress 
B) Ensuring that group rules do not interfere with goal fulfillment 
C) Working with group members to establish rules that will govern the group 
D) Emphasizing the need for and importance of confidentiality within the group 
E) Helping the members to resolve conflicts and foster cohesiveness within the group 
A) Encouraging members to provide feedback to each other about individual progress 
B) Ensuring that group rules do not interfere with goal fulfillment 
C) Working with group members to establish rules that will govern the group 
D) Emphasizing the need for and importance of confidentiality within the group 
E) Helping the members to resolve conflicts and foster cohesiveness within the group

Question 10

During a community meeting, a nurse encourages clients to present unit problems and discuss possible solutions. Which type of leadership style is the nurse demonstrating?

Accepted Answer

A) Democratic 
B) Autocratic 
C) Laissez-faire 
D) Bureaucratic 
A) Democratic 
B) Autocratic 
C) Laissez-faire 
D) Bureaucratic

Question 11

Prayer group members at a local Baptist church are meeting with a poor, homeless family they are supporting. Which member statement is an example of Yalom's curative group factor of altruism?

Accepted Answer

A) "I'll give you the name of a friend that rents inexpensive rooms." 
B) "The last time we helped a family, they got back on their feet and prospered." 
C) "I can give you all of my baby clothes for your little one." 
D) "I can appreciate your situation.I had to declare bankruptcy last year." 
A) "I'll give you the name of a friend that rents inexpensive rooms." 
B) "The last time we helped a family, they got back on their feet and prospered." 
C) "I can give you all of my baby clothes for your little one." 
D) "I can appreciate your situation.I had to declare bankruptcy last year."

Question 12

Which situation should a nurse identify as an example of an autocratic leadership style?

Accepted Answer

A) The president of Sigma Theta Tau assigns members to committees to research problems. 
B) Without faculty input, the dean mandates that all course content be delivered via the Internet. 
C) During a community meeting, a nurse listens as clients generate solutions. 
D) The student nurses' association advertises for candidates for president. 
A) The president of Sigma Theta Tau assigns members to committees to research problems. 
B) Without faculty input, the dean mandates that all course content be delivered via the Internet. 
C) During a community meeting, a nurse listens as clients generate solutions. 
D) The student nurses' association advertises for candidates for president.

Question 13

An experienced psychiatric registered nurse has taken a new position leading groups in a day treatment program. Without further education, which group is this nurse most qualified to lead?

Accepted Answer

A) A psychodrama group 
B) A psychotherapy group 
C) A parenting group 
D) A family therapy group 
A) A psychodrama group 
B) A psychotherapy group 
C) A parenting group 
D) A family therapy group

Question 14

A 10-week, prenuptial counseling group composed of five couples is terminating. At the last group meeting, a nurse notices that the two most faithful and participative couples are absent. When considering concepts of group development, what might explain this behavior?

Accepted Answer

A) They are experiencing problems with termination, leading to feelings of abandonment. 
B) They did not think any new material would be covered at the last session. 
C) They were angry with the leader for not extending the length of the group. 
D) They were bored with the material covered in the group. 
A) They are experiencing problems with termination, leading to feelings of abandonment. 
B) They did not think any new material would be covered at the last session. 
C) They were angry with the leader for not extending the length of the group. 
D) They were bored with the material covered in the group.

Question 15

A nursing instructor is teaching students about self-help groups like Alcoholics Anonymous (AA). Which student statement indicates that learning has occurred?

Accepted Answer

A) "There is little research to support AA's effectiveness." 
B) "Self-help groups used to be the treatment of choice, but their popularity is waning." 
C) "These groups have no external regulation, so clients need to be cautious." 
D) "Members themselves run the group, with leadership usually rotating among the members." 
A) "There is little research to support AA's effectiveness." 
B) "Self-help groups used to be the treatment of choice, but their popularity is waning." 
C) "These groups have no external regulation, so clients need to be cautious." 
D) "Members themselves run the group, with leadership usually rotating among the members."

Question 16

During a group session, which client statement demonstrates that the group has progressed to the middle, or working, phase of group development?

Accepted Answer

A) "It's hard for me to tell my story when I'm not sure about the reactions of others." 
B) "I think Joe's Antabuse suggestion is a good one and might work for me." 
C) "My situation is very complex, and I need professional, not peer, advice." 
D) "I am really upset that you expect me to solve my own problems." 
A) "It's hard for me to tell my story when I'm not sure about the reactions of others." 
B) "I think Joe's Antabuse suggestion is a good one and might work for me." 
C) "My situation is very complex, and I need professional, not peer, advice." 
D) "I am really upset that you expect me to solve my own problems."

Question 17

A nursing instructor is teaching about psychodrama, a specialized type of therapeutic group. Which student statement indicates that further teaching is necessary?

Accepted Answer

A) "Psychodrama provides a safe setting in which to discuss painful issues." 
B) "In psychodrama, the client is the protagonist." 
C) "In psychodrama, the client observes actor interactions from the audience." 
D) "Psychodrama facilitates resolution of interpersonal conflicts." 
A) "Psychodrama provides a safe setting in which to discuss painful issues." 
B) "In psychodrama, the client is the protagonist." 
C) "In psychodrama, the client observes actor interactions from the audience." 
D) "Psychodrama facilitates resolution of interpersonal conflicts."

Question 18

A single, pregnant teenager in a parenting class discloses her ambivalence toward the pregnancy and the subsequent guilt that these thoughts generate. A mother of three admits to having felt that way herself. Which of Yalom's curative group factors does this illustrate?

Accepted Answer

A) Imparting of information 
B) Instillation of hope 
C) Altruism 
D) Universality 
A) Imparting of information 
B) Instillation of hope 
C) Altruism 
D) Universality

Question 19

During a group discussion, members freely interact with each other. Which member statement is an example of Yalom's curative group factor of imparting information?

Accepted Answer

A) "I found a Web site explaining the different types of brain tumors and their treatment." 
B) "My brother also had a brain tumor and now is completely cured." 
C) "I understand your fear and will be by your side during this time." 
D) "My mother was also diagnosed with cancer of the brain." 
A) "I found a Web site explaining the different types of brain tumors and their treatment." 
B) "My brother also had a brain tumor and now is completely cured." 
C) "I understand your fear and will be by your side during this time." 
D) "My mother was also diagnosed with cancer of the brain."

Question 20

During a therapeutic group, which nursing action demonstrates a laissez-faire leadership style?

Accepted Answer

A) The nurse mandates that all group members reveal an embarrassing personal situation. 
B) The nurse asks for a show of hands to determine group topic preference. 
C) The nurse sits silently as the group members stray from the assigned topic. 
D) The nurse shuffles through papers to determine the facility policy on length of group. 
A) The nurse mandates that all group members reveal an embarrassing personal situation. 
B) The nurse asks for a show of hands to determine group topic preference. 
C) The nurse sits silently as the group members stray from the assigned topic. 
D) The nurse shuffles through papers to determine the facility policy on length of group.

Exam 10: Therapeutic Groups

Which of the following observed client behaviors would lead a nurse to evaluate a member as assuming a maintenance group role? (Select all that apply.)

During the sixth week of a 10-week parenting skills group, a nurse observes as several members get into a heated dispute about spanking. As a group, they decide to create a pros-and-cons poster on the use of physical discipline. At this time, what is the role of the group leader?

The nurse should utilize which group function to help an extremely withdrawn, paranoid client increase feelings of security?

A man diagnosed with alcohol dependence experiences his first relapse. During his AA meeting, another group member states, "I relapsed three times, but now have been sober for 15 years." Which of Yalom's curative group factors does this illustrate?

A nurse believes that the members of a parenting group are in the initial, or orientation, phase of group development. Which group behaviors would support this assumption?

During a therapeutic group, two clients engage in an angry verbal exchange. The nurse leader interrupts the exchange and excuses both of the clients from the group. The nurse has demonstrated which leadership style?

During a therapeutic group, a client talks about personal accomplishments in an effort to gain attention. Which group role, assumed by this client, should the nurse identify?

Which group leader activity should a nurse identify as being most effective in the final, or termination, phase of group development?

Which of the following behavioral skills should a nurse implement when leading a group that is functioning in the orientation phase of group development? (Select all that apply.)

During a community meeting, a nurse encourages clients to present unit problems and discuss possible solutions. Which type of leadership style is the nurse demonstrating?

Prayer group members at a local Baptist church are meeting with a poor, homeless family they are supporting. Which member statement is an example of Yalom's curative group factor of altruism?

Which situation should a nurse identify as an example of an autocratic leadership style?

An experienced psychiatric registered nurse has taken a new position leading groups in a day treatment program. Without further education, which group is this nurse most qualified to lead?

A 10-week, prenuptial counseling group composed of five couples is terminating. At the last group meeting, a nurse notices that the two most faithful and participative couples are absent. When considering concepts of group development, what might explain this behavior?

A nursing instructor is teaching students about self-help groups like Alcoholics Anonymous (AA). Which student statement indicates that learning has occurred?

During a group session, which client statement demonstrates that the group has progressed to the middle, or working, phase of group development?

A nursing instructor is teaching about psychodrama, a specialized type of therapeutic group. Which student statement indicates that further teaching is necessary?

A single, pregnant teenager in a parenting class discloses her ambivalence toward the pregnancy and the subsequent guilt that these thoughts generate. A mother of three admits to having felt that way herself. Which of Yalom's curative group factors does this illustrate?

During a group discussion, members freely interact with each other. Which member statement is an example of Yalom's curative group factor of imparting information?

During a therapeutic group, which nursing action demonstrates a laissez-faire leadership style?

The Concept of Stress Adaptation

Mental Healthmental Illness: Historical and Theoretical Concepts

Theoretical Models of Personality Development

Concepts of Psychobiology

Ethical and Legal Issues in Psychiatricmental Health Nursing

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Therapeutic Communication

The Nursing Process in Psychiatricmental Health Nursing

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Milieu Therapy - the Therapeutic Community

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Promoting Self Esteem

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Delirium, Dementia, and Amnestic Disorders

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