Chapter 10

Question 1

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?

Answer 1

The individual role of recognition seeker

Question 2

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?

Answer 2

Autocratic

Question 3

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

Answer 3

The nurse sits silently as the group members stray from the assigned topic.

Question 4

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?

Answer 4

Democratic

Question 5

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

Answer 5

Without faculty input, the dean mandates that all course content be delivered via the Internet.

Question 6

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?

Answer 6

Universality

Question 7

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?

Answer 7

Instillation of hope

Question 8

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?

Answer 8

“I found a Web site explaining the different types of brain tumors and their treatment.”

Question 9

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?

Answer 9

“I can give you all of my baby clothes for your little one.”

Question 10

During an inpatient educational group, a client shouts out, “This information is worthless. Nothing you have said can help me.” These statements indicate to the nurse leader that the client is assuming which group role?

Answer 10

The group role of aggressor

Question 11

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?

Answer 11

The group members compliment the leader and compete for the role of recorder.

Question 12

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

Answer 12

“I think Joe’s Antabuse suggestion is a good one and might work for me.”

Question 13

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

Answer 13

The group leader helps the members to process feelings of loss.

Question 14

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

Answer 14

“Members themselves run the group, with leadership usually rotating among the members.”

Question 15

The nurse should utilize which group function to help an extremely withdrawn, paranoid client increase feelings of security?

Answer 15

Support

Question 16

When planning group therapy, a nurse should identify which configuration as most optimal for a therapeutic group?

Answer 16

Closed membership; circle of chairs; group size of 5 to 10 members

Question 17

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?

Answer 17

To encourage the group to solve the problem collectively

Question 18

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?

Answer 18

They are experiencing problems with termination, leading to feelings of abandonment.

Question 19

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?

Answer 19

A parenting group

Question 20

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

Answer 20

“In psychodrama, the client observes actor interactions from the audience.”

Question 21

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.

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.

Answer 21

A, B, D

Question 22

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.

A. Encouraging members to provide feedback to each other about individual progress
B. Ensuring that rules established by the group 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

Answer 22

B, C, D