A group leader shows films and sets out materials. Members are expected to utilize their time practicing skills they've observed. Two couples have dropped out, stating, “This is a big waste of time.” Which type of group and style of leadership is this?

• Task; democratic

• Teaching; laissez-faire

• Self-help; democratic

• Supportive/therapeutic; autocratic

A nurse is leading a group for weight loss. At their first meeting, the nurse provides suggestions and decide how often they want to meet and what they plan to do at each meeting. Which type of group and style of leadership is described in this situation?

• Self-help; laissez-faire

• Supportive/therapeutic; democratic

• Teaching; democratic

• 
  Task; autocratic

  
  

A nurse leads a group to decrease the number of med errors occurring. The leader has ideas about how to bring this about and convinces the members to adopt their ideas. Which type of group and style of leadership is described in this situation?

• Task; autocratic

• Teaching; autocratic

• Self-help; democratic

• Supportive/therapeutic; laissez-faire

The nurse, who is explaining about group “therapeutic factors” to members of the group, tells the members that group situations are beneficial because members can see they are not alone in their experiences. This is an example of which therapeutic factor?

• Altruism

• Imitative behavior

• Universality

• Imparting of information

Nancy is a new member of a bereavement group for widows. She listens to the group and learns that Jane has been a widow for 5 years. Jane has adjusted well, and Nancy thinks maybe she can too. This is an example of which therapeutic factor?

• Universality

• Imitative behavior

• Installation of hope

• Imparting of information

A member of an anger management group knows that people do not want to be their friend because of their violent temper. In the group, they learned to control their temper and form satisfactory relationships. This is an example of which therapeutic factor?

• Catharsis

• Altruism

• Imparting of information

• Development of socializing techniques

In a supportive group for individuals with anxiety disorders, one of the members, Helen, talks incessantly. When other members try to make a comment, Helen refuses to allow them to speak. What type of member role is Helen assuming in this group?

• Aggressor

• Monopolizer

• Blocker

• Seducer

A nurse who is a diabetic educator is offering a support group for clients who are having difficulty adhering to the recommended diet. Thirty people have signed up for the group. Which next action by the nurse is most appropriate?

• Change the focus of the group from a support group to an education group.

• Defer starting the group until at least 50 people have signed up.

• Limit the group size to a maximum of 15 people and consider having two separate groups.

• In lieu of meeting as a group, provide written materials with suggestions for how to adhere to dietary recommendations.

A newly admitted client asks the psychiatric unit staff nurse to describe what’s going to happen in the support group that is scheduled on the unit. Which of these actions by the nurse is most appropriate?

• Instruct the client that support groups are an opportunity for participants to share thoughts and feelings and learn ways to effectively manage stress.

• Instruct the client that this is something that only the physician is permitted to describe to the client.

• Instruct the client not to attend since the other participants have been on the unit longer.

• Instruct the client that they will just have to go and see for themselves.

A staff nurse on the psychiatric unit is approached by a psychologist who requests that the staff nurse conduct a therapy group for trauma clients. Which of these actions by the nurse is most appropriate?

• Ask the psychologist to recommend what activities should be completed.

• Offer to lead the group as long as there is a co-leader assigned.

• Instruct the psychologist that leading a therapy group is not within the scope of practice for a generalist staff nurse.

• Agree to lead the group but limit the focus to art therapy activities.