ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 13 Questions
Question 1 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 2 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.
Question 3 of 5
While leading a small group, the nurse sets up the ground rules at the beginning of the group?s first meeting. One of the rules established is that the group will always start at the specified time rather than waiting to start until after everyone has arrived. This rule reflects which of the following?
Correct Answer: A
Rationale: Group norms are shared rules or expectations, such as starting on time, that guide group behavior. Group cohesion refers to unity, group think is uncritical conformity, and group process involves interaction dynamics, not specific rules.
Question 4 of 5
The nurse has begun group counseling sessions for several hospitalized patients in the psychiatric facility. Which of the following would be most effective for the nurse to do to promote group cohesiveness?
Correct Answer: A
Rationale: Team-building exercises foster trust and connection among members, directly promoting group cohesiveness. Task completion focuses on goals, not unity; individual time may fragment the group; and consistent themes support structure but not necessarily cohesion.
Question 5 of 5
In an initial group therapy session, the nurse observes that one group member continually tries to monopolize the conversation. The nurse interprets this behavior as reflecting which of the following in the patient?
Correct Answer: A
Rationale: Monopolizing conversation in a group often reflects anxiety, as the patient may feel compelled to control the discussion to manage discomfort. Anger, rebellion, or fear may present differently, such as through hostility, defiance, or withdrawal, respectively.