Chapter 12: Group Interventions Flashcards

1
Q

Group Intervention

A
  • Key nursing strategy in mental health promotion and recovery
  • Enhance self-understanding
  • Conquer unwanted thoughts and feelings
  • Learn new behaviors
  • Learn from others
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Preparing to Lead

A
  • Group can be structured or unstructured
  • Nurse must maintain professional boundaries
  • Group may include social activities
  • Nurses should avoid meeting personal social needs
  • Thoughtful planning and preparation leads to success

(Avoid sharing personal info)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Open Group

A
  • New members join at any time
  • Members leave at any time
  • New members are at a disadvantage
  • Advantage of this type: the group can continue

(Can be anyone, “Let’s discuss your medication”)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Closed Group

A
  • Members join at one time
  • No replacement members
  • Group more cohesive
  • Group more likely to dissolve when members drop out

(Eating disorder group will be a closed group: for only clients with other eating disorders)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Direct Leadership Style

A
  • Direction and information
  • Little discussion
  • “Tells members what to do”

(Eating disorder)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Indirect Leadership Style

A
  • Reflective of group members’ discussion
  • Little guidance or information to the group
  • Balance of direction and group freedom

(Talking about medication)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Arranging Seating

A
  • Space and privacy important
  • Absence of physical barriers (e.g., tables) to improve communication flow
  • Members able to see and hear each other
  • Circular arrangement enhancing group work (Group participation)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Planning First Meeting

A
  • Leader setting tone
  • Introductions (avoidance of self-disclosure by leader)
  • Explanations of group structure, purpose, and rules

-Observation of group dynamics (verbal and nonverbal interactions within the group)
(Meds? Side effects?)
(Not talking at once… one person at a time is talking)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Group Guideline Examples

A
  • Sessions begin and end on time
  • All views are heard and respected; cell phones silenced; no side conversations
  • Only one speaks at a time, no interruptions
  • Emotion is acceptable; aggression is not
  • Disagreement is expressed calmly and objectively

-All stay for entire meeting
Who we are and what is said – stays here
(discourage bullying)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Group Development

Techniques for leading groups

A
Support
Confrontation
Advice and suggestions
Summarizing
Clarification
Probing and questioning
Repeating, paraphrasing
Reflecting feelings
Reflecting behavior
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Beginning Stage

A

-Also known as honeymoon Stage

  • Rapport* getting to know each other
  • Techniques for leading groups
  • Testing by members
  • Conflict**

(Tell them from day one there is going to be a continued relationship if they want… Or if they are uncomfortable with their therapist they need to ask for a change… Make sure client is comfortable with you as their therapist)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Working Stage

A
  • Sharing of idea
  • Group personality
  • Development of norms
  • Realization of purpose
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Termination Stage

A
  • Grieve for loss of group’s closeness
  • Reestablishment of self as individual
  • Summary and future plans
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Group Communication

A
  • Facilitation of verbal and nonverbal communication
  • Encouraging interaction and active listening
  • Monitoring verbal communication
    - —Communication pathways
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Monitoring nonverbal Communication

A
  • Posture
  • Eye Contact
  • Body gestures
  • Seating Arrangement
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Challenging Group Behaviors

A
  • Monopolizer
  • “yes, but..”
  • Disliked member
  • Silent Member

(Usually a psychopath)
(bullying another patient: Manic patient may take over)
(be firm and strict with your client otherwise they will take over)

17
Q

Saying Good-Bye

A
  • Members begin to grieve for loss of group
  • Begin to reestablish individual role
  • Some members may try to bring up past issues to prolong or delay end
  • Nurse must focus on ending group and avoid being pulled into working stage issues
  • Reinforce learned skills and remind members of accomplishments
18
Q

Types of Groups

A
  • Psychoeducation groups (formally planned)
  • Task groups (group cohesiveness important)
  • Decision-making groups (possible “groupthink”)
  • Supportive therapy groups
  • Psychotherapy groups
  • Self-help groups ex: AA
  • Age-related groups
19
Q

Nursing Intervention Groups

A
  • Medication Groups
  • Symptom management groups
  • Anger management groups
  • Self-care groups