Chapter 34 Flashcards
A client tells members of a therapy group, “I hear voices saying my doctor is poisoning me.” Another client replies, “I once heard voices too. They sounded real, but I found out later they were not. The voices you hear are not real either.” Which therapeutic factor is exemplified in this interchange?
a. Catharsis
b. Universality
c. Imitative behavior
d. Interpersonal learning
d. Interpersonal learning
A leader plans to start a new self-esteem building group. Which intervention would be most helpful for assuring mutual respect within the group?
a. Describe the importance of mutual respect in the first session and establish it as a group norm.
b. Exclude potential members whose behavior suggests they are likely to be disrespectful of others.
c. Give members a brochure describing the purpose, norms, and expectations of the group.
d. Explain that mutual respect is expected and confront those who are not respectful.
a. Describe the importance of mutual respect in the first session and establish it as a group norm.
A young female member in a therapy group says to an older female member, “You are just like my mother, always trying to control me with your observations and suggestions.” Which therapeutic factor of a group is evident by this behavior?
a. Instillation of hope
b. Existential resolution
c. Development of socializing techniques
d. Corrective recapitulation of the primary family group
d. Corrective recapitulation of the primary family group
ok
During group therapy, one client says to another, “When I first started in this group, you were unable to make a decision, but now you can. You’ve made so much progress that I am beginning to think maybe I can conquer my fears too.” Which therapeutic factor is evident by this statement?
a. Hope
b. Altruism
c. Catharsis
d. Cohesiveness
a. Hope
During a group therapy session, a newly admitted client suddenly says to the nurse, “How old are you? You seem too young to be leading a group.” What is the nurse’s most appropriate response?
a. “I am wondering what leads you to ask. Please tell me more.”
b. “I am old enough to be a nurse, which qualifies me to lead this group.”
c. “My age is not pertinent to why we are here and should not concern you.”
d. “You are wondering whether I have enough experience to lead this group?
d. “You are wondering whether I have enough experience to lead this group?
A client in a group therapy session listens to others and then remarks, “I used to think I was the only one who felt afraid. I guess I’m not as alone as I thought.” This comment is an example of what phenomenon?
a. altruism.
b. ventilation.
c. universality.
d. group cohesiveness
c. universality.
A nurse at the well child clinic realizes that many parents have misconceptions about effective ways of disciplining their children. The nurse decides to form a group to address this problem. What should be the focus of the group?
a. Support
b. Socialization
c. Health education
d. Symptom management
c. Health education
Which outcome would be most appropriate for a symptom-management group for persons diagnosed with schizophrenia?
a. Group members will state the names of their medications.
b. Group members will resolve conflicts within their families.
c. Group members will
d. Group members will describe ways to cope with their illness.
d. Group members will describe ways to cope with their illness.
A client has talked constantly throughout the group therapy session, often repeating the same comments. Other members were initially attentive then became bored, inattentive, and finally sullen. Which comment by the nurse leader would be most effective?
a. Say to everyone, “Most of you have become quiet. I wonder if it might be related to concerns you may have about how the group is progressing today.”
b. Say to everyone, “One person has done most of the talking. I think it would be helpful for everyone to say how that has affected your experience of the group.”
c. Say to everyone, “I noticed that as our group progressed, most members became quiet, then disinterested, and now seem almost angry. What is going on?”
d. Say to the talkative client, “You have been doing most of the talking, and others have not had a chance to speak as a result. Could you please yield to others now?”
a. Say to everyone, “Most of you have become quiet. I wonder if it might be related to concerns you may have about how the group is progressing today.”
Guidelines followed by the leader of a therapeutic group include focusing on recognizing dysfunctional behavior and thinking patterns, followed by identifying and practicing more adaptive alternate behaviors and thinking. Which theory is evident by this approach?
a. Behavioral
b. Interpersonal
c. Psychodynamic
d. Cognitive-behavioral
d. Cognitive-behavioral
The nurse is planning a new sexuality group for clients. Which location would best enhance the effectiveness of this group?
a. The hospital auditorium
b. A small conference room
c. A common area, such as a day room
d. The corner of the music therapy room
b. A small conference room
Which remark by a group participant would the nurse expect during the working stage of group therapy?
a. “My problems are very personal and private. How do I know people in this group will not tell others what you hear?”
b. “I have enjoyed this group. It’s hard to believe that a few weeks ago I couldn’t even bring myself to talk here.”
c. “One thing everyone seems to have in common is that sometimes it’s hard to be honest with those you love most.”
d. “I don’t think I agree with your action. It might help you, but it seems like it would upset your family.”
d. “I don’t think I agree with your action. It might help you, but it seems like it would upset your family.”
Three members of a therapy group share covert glances as other members of the group describe problems. When one makes a statement that subtly criticizes another speaker, the others nod in agreement. Which group dynamic should the leader suspect?
a. Some members are acting as a subgroup instead of as members of the main group.
b. Some of the members have become bored and are disregarding others.
c. Three members are showing their frustration with slower members.
d. The leadership of the group has been ineffective.
a. Some members are acting as a subgroup instead of as members of the main group.
A therapy group adds new members as others leave. What type of group is evident?
a. Open
b. Closed
c. Homogeneous
d. Heterogeneous
a. Open
During a therapy group that uses existential/Gestalt theory, clients shared feelings that occurred at the time of their admission. After a brief silence, one member says, “Several people have described feeling angry. I would like to hear from members who had other feelings.” Which group role is evident by this comment?
a. Energizer
b. Encourager
c. Compromiser
d. Self-confessor
b. Encourager
