Chapter 14: WORKING WITH GROUPS, TEAMS AND PARTNERS Flashcards

1
Q

The ability to work with diverse groups is an important skill required in community health nursing. Which of the following best defines cohesion, one of the core concepts of working in groups?
a.
Cohesion is anything a member does that makes an intentional contribution to the group’s purpose.
b.
Cohesion is the perception of a definite move toward meeting the group’s goals and tasks.
c.
Cohesion is encouraging all members to describe the experiences in their families and workplaces that they perceive as relevant.
d.
Cohesion is a measure of attraction between individual members and the group.

A

D
Group cohesion is the attraction between individual members and the group, a sense of togetherness often described as a sense of “we-ness.”

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2
Q
Which one of the following is the main influence on the effectiveness of a group’s work?
a.
The general knowledge of group members
b.
The group’s leadership
c.
Group diversity
d.
The group’s health behaviours
A

B

Leadership, an important and complex group concept, has a decided influence on the effectiveness of the group’s work.

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3
Q

Which one of the following options best defines the term aggregate?
a.
An aggregate is a large group.
b.
An aggregate is a collection of individuals and families.
c.
An aggregate is group within a population.
d.
An aggregate is another name for a demographic group.

A

C
The term aggregate is defined as a group within a population. Examples of a subpopulation (aggregate) within the population of a district are high-risk infants younger than 1 year, unmarried pregnant adolescents, or individuals exposed to a certain harmful incident, such as a chemical spill.

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4
Q
A community health nurse (CHN) is the leader of a group that has the stated purpose of improving cardiovascular fitness. Which leadership style can the CHN adopt to increase member involvement and the group’s progress toward health goals?
a.
Authoritarian
b.
Democratic
c.
Patriarchal
d.
Paternal
A

B
Democratic leadership is cooperative and promotes and supports members’ involvement. Patriarchal and paternal leadership styles are types of authoritarian leadership; these are not effective leadership styles to achieve this type of goal because members may fail to learn how to function independently, and they may be hindered in accomplishing health goals, especially when a member or the leader leaves the group or if the group dissolves.

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5
Q

Which of the following examples best illustrates task role behaviour within a group whose purpose is to prepare partners for childbirth?
a.
A specific group member arranges a comfortable setting that allows for adequate space and is conducive to a positive experience.
b.
A specific group member encourages other members who are talking about work issues to focus on the purpose of the group.
c.
A specific group member prepares the agenda for each meeting and guides members through each item on the agenda.
d.
A specific group member reminds other members not to bring their children to the group meetings.

A

B
The task role focuses on or directs movement toward the main work of the group, which is best illustrated by the group member who encourages other members to focus on the group’s stated purpose. The other options are examples of group building and group maintenance roles, rather than task role behaviour.

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6
Q
The CHN is preparing to organize a small group with the purpose of sustaining weight loss in obese individuals. What is the ideal number of members for this group?
a.
12 members
b.
18 members
c.
25 members
d.
30 members
A

A

Group size is important. Generally, an ideal number of people for a small group is 12 members.

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7
Q
A group member who has exhibited an angry emotional outburst tearfully apologizes to the group for being “hateful.” The group leader responds, “I believe I speak for all of us when I say that you did not appear hateful. You just appeared to be passionate about your beliefs.” In this scenario, which of the following behaviours is the group leader exhibiting?
a.
Analyzing
b.
Clarifying
c.
Evaluating
d.
Reflecting
A

D

Reflecting behaviour involves giving feedback on how an individual’s behaviour appears to others.

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8
Q
A group leader attempts to resolve conflict among members by asking questions to uncover the meanings underlying their interactions and restating them for verification. This behaviour would fall into which classification?
a.
Advising
b.
Analyzing
c.
Clarifying
d.
Confronting
A

C
In clarifying behaviour, the leader checks out meanings of interaction and communication by asking questions and making restatements.

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9
Q
Which one of the following would be designated as a group in the community?
a.
Clients in the emergency room (ER) waiting area
b.
Shoppers in a mall elevator
c.
Passengers waiting at a bus stop
d.
Teens who socialize on weekends
A

D
A group is a collection of two or more individuals in face-to-face interactions with a common purpose(s) and who are in an interdependent relationship. A random collection of individuals, such as a number of persons standing at a bus stop, sitting in the ER, or sharing an elevator, is not a group.

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10
Q

Which of the following options is an example of an intradisciplinary team?
a.
A registered nurse; 4 licensed/registered practical nurses
b.
Two registered nurses; a social worker, a physician
c.
A physician, a dietitian; a registered nurse
d.
A registered nurse; a licensed/registered practical nurse; a social worker

A

A
An intradisciplinary team refers to nurses working with other nurses. For example, an intradisciplinary team could consist of several registered nurses and several registered practical nurses.

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11
Q
Which kind of team consists of members that work independently but come together to make client-based decisions?
a.
Intradisciplinary team
b.
Multidisciplinary team
c.
Interdisciplinary team
d.
Interprofessional team
A

B
A multidisciplinary team contains members who have expertise from a variety of disciplines, such as nurses, social workers, dietitians, physiotherapists, and physicians, who work independently but come together to make client-based decisions.

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12
Q
In your textbook, which one of the following is described as being a competency of emotional intelligence?
a.
Norming
b.
Group cohesion
c.
Self-management
d.
Adjourning
A

C
It is important for CHNs, when working with teams, to consider the competencies of emotional intelligence—that is, self-awareness, self-management, social awareness, and social skill.

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13
Q

Which of the following is the correct definition of group involvement?
a.
Group involvement is the degree of attraction and commitment of group members.
b.
Group involvement is how the group works as a unit and how members interact.
c.
Group involvement is how the group members connect and relate to each other.
d.
Group involvement is the attraction between individual members and the group.

A

A

Group involvement is the degree of attraction and commitment of group members.

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14
Q

Which of the following defines group process?
a.
Group process is the degree of attraction and commitment of group members.
b.
Group process is how the group works as a unit and how members interact.
c.
Group process is how the group members connect and relate to each other.
d.
Group process is the attraction between individual members and the group.

A

B
Group process refers to how the group as a unit is working and how group members interact with one another. Group involvement is the degree of attraction and commitment of group members. Group interaction refers to how the group members connect and relate to each other, whereas group cohesion is the attraction between individual members and the group.

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15
Q
According to Tuckman and Jensen’s (1977) five stages of group development, a group is in which stage when it is working on the task and related issues and some level of comfort has been established?
a.
Forming
b.
Storming
c.
Norming
d.
Performing
A

B

Stage 2, storming, occurs as the group works on the task and related issues and some level comfort is established.

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16
Q
Which group-building and maintenance role describes the person who tracks group process in writing and conveys information to the group?
a.
Coordinator
b.
Encourager
c.
Orienter
d.
Commentator
A

D

The commentator is the person who tracks in writing the group’s process and conveys findings to the group.

17
Q
Which group-building and maintenance role describes the person who monitors group process to ensure that the group stays focused and identifies departures from the group’s stated goals or procedures?
a.
Coordinator
b.
Encourager
c.
Orienter
d.
Commentator
A

C
The orienter is the one that monitors so that the group stays focused and identifies departures from goals and procedures and may make suggestions for improvements in group functioning.

18
Q
Which leadership style is most appropriate for the CHN to assume when he or she is involved in disaster management, for example, that of the severe acute respiratory syndrome (SARS) outbreak?
a.
Autocratic
b.
Democratic
c.
Bureaucratic
d.
Transactional
A

A
The autocratic leadership style is best used in situations where decisions need to be made quickly or when high productivity is needed. This style of leadership is best used, for example, in emergency or crisis situations, such as CHNs involved in disaster management circumstances like the SARS outbreak, or CHNs working on projects with short deadlines, such as planning a vaccination program for the H1N1 immunizations.

19
Q
Transforming conflict by incorporating variety within the group, through sharing leadership and promoting communication skill development, is an example of which one of the following?
a.
The power of diversity
b.
The power of solidarity
c.
The power of shared responsibility
d.
The power of bilateral friction
A

B
By using the power of solidarity, which refers to incorporating variety within the group through sharing of leadership and promoting communication skill development, conflict can be transformed.

20
Q
Which type of conflict may be experienced when a CHN who does not personally support abortion is working with a group of teenagers to teach them about sexual health and pregnancy?
a.
Interpersonal conflict
b.
Intrapersonal conflict
c.
Intergroup conflict
d.
Interdisciplinary conflict
A

B
Intrapersonal conflict can arise when a CHN does not personally support abortion but must work with a group of teenagers to teach them about sexual health and pregnancy. The CHN may therefore experience internal conflict when providing information about this option and about the available community clinics providing abortion.

21
Q
Which group conflict resolution strategy is most concerned with the self, or “I-ness”?
a.
Competing
b.
Avoidance
c.
Compromising
d.
Accommodating
A

B
Avoidance is the group conflict resolution strategy that is most concerned with the self. On a horizontal continuum that displays “I-ness” (concern for the self) on the left and “we-ness” (concern for the group) on the right, the conflict resolution strategies would appear in the following order: avoidance, competing, compromising, accommodating, and collaborating.

22
Q
Which type of conflict may be experienced when a CHN supports a palliative care client’s decision to die at home, but the family physician believes that the client should be in hospital?
a.
Interpersonal conflict
b.
Intrapersonal conflict
c.
Intergroup conflict
d.
Interdisciplinary conflict
A

A
Interpersonal conflict refers to conflict between two or more people who have different values and beliefs. This scenario, in which the CHN supports a palliative care client’s decision to die at home but the family physician believes that the client should be hospitalized, is an example of interpersonal conflict.

23
Q
According to the five stages of group development outlined by Tuckman and Jensen (1977), the group is in which stage of group development when it focuses on the group work with a sharing of ideas in a supportive group environment?
a.
Forming
b.
Storming
c.
Norming
d.
Performing
A

D
According to Tuckman and Jensen’s (1977) theory, stage 4, performing, occurs when the group members focus on the group work with the sharing of ideas in a supportive group environment.

24
Q
Which one of the following is an example of a nonfunctional group role?
a.
Opinion giver
b.
Recognition seeker
c.
Follower
d.
Feasibility tester
A

B
The recognition seeker is an example of a nonfunctional group role, but this person’s interest is in focusing attention on him- or herself and not on meeting the stated goals of the group. The opinion giver and feasibility tester are examples of task roles, and the follower is an example of a group-building and maintenance role.

25
Q

Which one of the following would be considered an effective group norm?
a.
Group meetings generally do not start on time, but they do end on time.
b.
Group members share positive and negative feelings about what is happening.
c.
Group members often have hidden agendas to meet other purposes.
d.
The group leader makes most of the group decisions.

A

B
Group norms are the rules and standards that set the stage for how the group will make decisions, how work is assigned, and what is acceptable group behaviour. The sharing of positive and negative feelings about what is happening in the group is an example of an effective group norm. Other effective group norms include starting and ending meetings on time; avoiding hidden agendas; and ensuring shared decision making.