group therapies (329 E1)

Question 1

a group

Answer 1

-a group consists of two or more people
-pursuing common goals &/or interests
-each group has characteristics that influence its progress and outcomes

Question 2

can RNs do lead a psychotherapy group

Answer 2

no -> need to be an advanced practice nurse

Question 3

psycho educational

Answer 3

groups to increase knowledge or skills about a specific psychological or somatic subject
ex: meds or health edu, dual dx, sx mgt, goal setting, rec activity

Question 4

therapeutic community meeting group

Answer 4

every interaction occurring on an inpatient milieu has the potential to be therapeutic. The community meeting is the essential venue at which unit happenings are processed and integrated into treatment
(be able to process all the different personalities on the unit)

Question 5

support & self help group

Answer 5

these groups are structured to provide patients w/ the opportunity to maintain or enhance personal and social functioning through cooperation and shared understanding of life’s challenges
(ex: AA, survivors of cancer, bereavement)

Question 6

group psychotherapy

Answer 6

this is a specialized group intervention requiring skilled leaders such as an advanced practice nurse d/t the goal being to bring out personality change

Question 7

therapeutic factors of group therapy: instillation of hope

Answer 7

leader shares optimism about successes of group treatment and members share their improvements

Question 7

therapeutic factors of group therapy: universality

Answer 7

members realize that they are not alone

Question 8

therapeutic factors of group therapy: imparting of information

Answer 8

participants receive formal teaching by the leader or advice from peers

Question 9

therapeutic factors of group therapy: altruism

Answer 9

members gain/profit from giving support to others improving self value

Question 10

therapeutic factors of group therapy: corrective recapitulation

Answer 10

members repeat patterns of behavior in the group that they learned in their families; with feedback from the leader and peers, they learn about their own behaviors

Question 11

therapeutic factors of group therapy: development of socializing skills

Answer 11

members learn new social skills based on other feedback and modeling

Question 12

when people lose hope

Answer 12

increased risk of suicide

Question 13

therapeutic factors of group therapy: imitative behavior

Answer 13

members may copy behavior from leader or peers and can adopt healthier habits

Question 14

therapeutic factors of group therapy: interpersonal learning

Answer 14

gain insight based on feedback

Question 15

therapeutic factors of group therapy: group cohesiveness

Answer 15

this arises in a mature group when each member feels connected to the other members, the leaders and the group
members can accept both positive feedback and constructive criticism

Question 16

therapeutic factors of group therapy: catharsis

Answer 16

through experiencing and expressing feelings, therapeutic discharge of emotion is shared

Question 17

therapeutic factors of group therapy: existential resolution

Answer 17

members examine aspect of life (i.e. loneliness, mortality, responsibility) that affect everyone in constructing meaning

Question 18

group therapy advantages

Answer 18

-engage multiple patients in treatment at the same time
-participants benefit from feedback, knowledge and life experiences of the leader and from pers
-provides a safe setting to try out new behaviors and communication skills
-promotes a feeling of belonging

Question 19

group therapy disadvantages

Answer 19

-time constraints in which an individual may feel cheated for participation time
-concern for confidentiality
-disruptive memberes
-not all patients benefit from group treatment

Question 20

autocratic leader

Answer 20

exerts control over the group and does not encourage much interaction

Question 21

democratic leader

Answer 21

supports extensive group interaction in the process of problem solving

Question 22

laissez faire leader

Answer 22

allows the group members to behave in any way they choose and does not attempt to control the direction

Question 23

functional roles of group members: initiator - contributor

Answer 23

suggests or proposes new ideas or different ways of regarding the problem or goal

Question 24

functional roles of group members: information seeker

Answer 24

tries to clarify the group’s roles

Question 25

functional roles of group members: information giver

Answer 25

provides facts or shares experiences as an authority figure

Question 26

functional roles of group members: coordinator

Answer 26

shows or clarifies how ideas can work

Question 27

functional roles of group members: orienteer

Answer 27

notes the groups progress toward goals

Question 28

functional roles of group members: recorder

Answer 28

keeps notes and acts as the group memory

Question 29

building & maintenance roles of group members

Answer 29

they alter or maintain the way of working to strengthen, regulate and keep the group going

Question 30

building & maintenance roles: encouragers

Answer 30

praises and seeks input from others

Question 31

building & maintenance roles: harmonizer

Answer 31

reconciles differences among members

Question 32

building & maintenance roles: gatekeeper

Answer 32

facilitates and encourages the contributions of others, to keep communication open

Question 33

building & maintenance roles: group observer

Answer 33

notes and reports what is occurring to the group process

Question 34

building & maintenance roles: follower

Answer 34

goes along with the ideas of others, assuming an audience role

Question 35

individual roles

Answer 35

hamper rather than improve group function, they are non productive

Question 36

individual roles: aggressor

Answer 36

the people who criticize or attack others ideas or feelings

Question 37

individual roles: blocker - oppositional

Answer 37

resist progress and disagree beyond reason

Question 38

individual roles: recognition seeker

Answer 38

cause lots of attention to themselves, boast themselves and talk a lot about their achievements

Question 39

individual roles: play person

Answer 39

someone always messing around

Question 40

individual roles: dominator

Answer 40

asserts authority and superiority to manipulate the group or certain members

Question 41

dealing w/ a monopolizing member

Answer 41

remind entire group to provide equal chances to contribute
speak directly to member, privately if needed

Question 42

dealing w/ demoralizing member

Answer 42

listen objectively, ask in private about cause of anger, empathize matter of factly

Question 43

dealing w/ a silent member

Answer 43

determine cause, require response to ease group discomfort, provide extra time for member to think about response and come back to them