ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 13 : Group Interventions Questions
Question 1 of 5
A nurse is leading a group on an adolescent psychiatric unit. A new member in the group is from out of state; his accent and his way of dressing set him apart from the other patients; and it is obvious that the group, for the most part, dislikes this patient. During the group session, the nurse has the members draw the emotion they are feeling and then has them present their drawings and explain them to the group. Which of the following would be the most effective way to address the group?s dislike for the new member?
Correct Answer: C
Rationale: Complimenting the patient?s drawing fosters inclusion and validates his contribution, countering the group?s dislike without confrontation. Skipping him or delaying his turn risks further isolation, and demanding explanations may escalate hostility, disrupting group dynamics.
Question 2 of 5
A group of nursing students is reviewing information about the different types of group. The students demonstrate understanding of the information when they identify which of the following as a characteristic of a self-help group that differentiates it from a supportive therapy group?
Correct Answer: B
Rationale: Self-help groups are typically led by consumers (peers with shared experiences), unlike supportive therapy groups, which are led by professionals. Both may focus on specific problems, and no identified leader is less common in structured settings.
Question 3 of 5
A nurse is preparing to lead an older adult group. Which of the following would the nurse need to keep in mind when leading this group?
Correct Answer: B
Rationale: Older adult groups benefit from a slower pace to accommodate potential cognitive or sensory changes, ensuring effective participation. Learning new information or coping methods may be challenging, and life review strategies are often therapeutic, not discouraged.
Question 4 of 5
A group of nursing students is reviewing information about open and closed groups. The students demonstrate understanding of the information when they identify which of the following as an example of an open group?
Correct Answer: A
Rationale: Open groups allow new members to join ongoing sessions, common in outpatient settings like smoking cessation groups. Closed groups, typical in inpatient or structured settings like anger management or psychotherapy, have fixed membership.
Question 5 of 5
A nurse is deciding about the size of the group. The nurse determines that a large group would be best based on which of the following?
Correct Answer: A
Rationale: Large groups (10?20 members) reduce intense transference and countertransference due to diluted focus, making them suitable for certain settings. Cohesiveness is stronger in smaller groups, interactions increase with size, and specific issues are better addressed in smaller, focused groups.