ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 13 : Group Interventions Questions
Question 1 of 5
After teaching a class about formal and informal roles of group members, the instructor determines that the teaching was successful when the class identifies which of the following as a formal role? Select all that apply.
Correct Answer: B,C
Rationale: Formal roles in groups include leader (
B), assigned to guide the group, and member (
C), the participants with defined roles. Coordinator, harmonizer, and information seeker are informal roles, adopted spontaneously to support group dynamics.
Question 2 of 5
While leading a group, a nurse leader says to a patient, 'This is the fourth time that you?ve changed the subject when we have talked about child abuse. Is something going on?' The nurse is using which technique?
Correct Answer: B
Rationale: The nurse?s statement points out a pattern of avoidance, a form of confrontation, to encourage the patient to address the issue. Support offers encouragement, summarizing recaps discussion, and clarification seeks to understand content, not challenge behavior.
Question 3 of 5
During a group session, one of the members states, 'Let?s keep this discussion going so that everyone can participate, but let?s keep the time each person speaks to about 3 minutes.' The leader interprets this member as acting in which role?
Correct Answer: B
Rationale: The gatekeeper regulates participation and time, as shown by the member?s suggestion to limit speaking time while encouraging involvement. The group observer monitors dynamics, the encourager supports contributions, and the energizer motivates action, not time management.
Question 4 of 5
When leading a group, the nurse determines that several of the group members have assumed roles that may be interfering with the group?s function. Which roles might be involved? Select all that apply.
Correct Answer: A,C,E
Rationale: Self-confessor (
A), dominator (
C), and playboy (E) roles can disrupt group function by focusing on personal issues, controlling discussions, or being disengaged, respectively. Follower, elaborator, and compromiser roles are typically constructive, supporting group progress.
Question 5 of 5
A group of nursing students is reviewing the factors associated with group psychotherapy through which therapeutic changes occur. The student?s demonstrate understanding when they identify which of the following as a factor? Select all that apply.
Correct Answer: A,B,D
Rationale: Therapeutic factors in group psychotherapy, per Yalom, include altruism (
A), catharsis (
B), and universality (
D), which promote healing through helping others, emotional release, and shared experiences. Repressed behavior and hopelessness are not therapeutic factors; hopelessness is detrimental.