Chapter 13: Group Interventions - Nurselytic

Questions 20

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Test Bank for Psychiatric Nursing: Contemporary Practice

Chapter 13 : Group Interventions Questions

Question 1 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 2 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.

Question 3 of 5

A psychiatric-mental health nurse is preparing to lead a medication group. Which of the following would be most important for the nurse to assess? Select all that apply.

Correct Answer: A,B,C

Rationale: For a medication group, assessing cognitive abilities (
A), medication knowledge (
B), and reading skills (
C) is critical to ensure members can understand and engage with educational content. Writing abilities (
D) are less essential, and specific medication use (E) is part of knowledge assessment.

Question 4 of 5

The nurse is preparing to form a group in an inpatient psychiatric setting for patients who have experienced trauma. In addition to the group leader, the nurse would anticipate including how many patients?

Correct Answer: C

Rationale: In inpatient psychiatric settings, trauma-focused groups typically include 7?8 members (plus the leader) to balance interaction, support, and manageability, allowing for meaningful participation while maintaining a safe environment. Smaller groups (3?4 or 5?6) may limit diversity of perspectives, and larger groups (9?10) may be overwhelming for trauma patients.

Question 5 of 5

While participating in a group therapy session, one group member consistently asks for clarification of the topic the group is discussing. The nurse leading the group interprets this behavior as reflecting which group role?

Correct Answer: C

Rationale: The information seeker role involves asking for clarification or additional information to understand the group?s discussion, as described. The coordinator organizes efforts, the recorder documents, and the standard setter establishes norms, none of which fit the behavior.

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