Ch 9 Therapeutic Groups

Jane, a psych nurse, leads a supportive/therapeutic group on the psych unit. Is is an open group, and clients come & go as they are admitted & discharged. Members discuss unresolved issues & ways to cope with stress. One evening, as the group was breaking up, Jane heard a client say to another "I never thought that other people had the same problems that I have." This statement best represents which function of a group?

• Camaraderie

• Information Sharing

• Empowerment

• Normative Influence

Molly has been in the group for 2 weeks now. She dominates the conversation and doesn't permit others to participate. Molly is assuming which of the following roles within the group?

• Monopolizer

• Dominator

• Energizer

• Blocker

Several group members speak up and express dissatisfaction with Molly's behavior in the group. They encouraged other in the group to express their feelings as well. Together, they decide that from then on, all members would get a turn to talk in group, if they want to. Jane, the leader, remained silent during this group interaction. Which type of leadership style does Jane demonstrate?

• Executive

• Democratic

• Autocratic

• Laissez-faire

Although Molly talks a lot in group, Jane notices that much of her expressions are kept on the superficial level. Jane decides that Molly might benefit from psychodrama. She makes a referral to the psychodramatist. Which statement is not true about psychodrama?

• After the drama has finished, a discussion will be held with members of the audience.

• Peers will act out roles that represent individuals with whom Molly has unresolved conflicts.

• Molly can choose who will play the role of HER, while she observes the interaction from the audience.

• It provides a safe setting in which to discuss painful issues.

Mike, a BSN prepared RN with three years' experience on a psychiatric inpatient unit, has taken a position in a day treatment program where he will be leading some groups. Which of the following groups is Mike qualified to lead?

• a parenting group

• a psychotherapy group

• a psychodrama group

• a family therapy group

A nurse is conducting a diabetic medication education group for patients on a medical unit. Which of these actions by the nurse is the most important priority during the first meeting of this group?

• Ask the patients where they would like to begin.

• Try to identify what role each of the members is assuming.

• Conduct fingerstick blood sugars on each attendee.

• Explain how the meetings will be structured.

When a nurse creates an environment to facilitate healing, the nurse's actions are based on which of the following assumptions? (SATA)

• A therapeutic relationship can be a healing experience

• A healthy relationship cannot be transferred to to other relationships

• Group settings can support ego strengths

• Treatment plans can be formulated by observing social behaviors

• Counter- transference eases the establishment of the nurse-client relationship