ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 13 Questions
Question 1 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 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
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 4 of 5
A nurse is leading a group in which members are encouraged to discuss their feelings and emotions. The group session is just starting when a patient stomps into the room, slams his notebook down on a table, and sits down. His affect is one of anger and hostility. Which response by the nurse would be most appropriate?
Correct Answer: A
Rationale: The patient?s angry affect suggests a need for de-escalation to ensure group safety. Keeping the focus off the patient allows time for calming without escalating tension. Asking the patient to leave or discuss anger may intensify emotions, and private counseling is not immediate.
Question 5 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.