A group is in the working phase. One member says,

Question 1 of 5

A group is in the working phase. One member says, That is the stupidest thing Ive ever heard. Everyone whines and tells everyone else what to do. This group is a total waste of my time. Which comment by the group leader would be most therapeutic?

A. You seem to think you know a lot already. Since you know so much, perhaps you can tell everyone why you are back in the hospital? B. I think you have made your views clear, but I wonder if others feel the same way. How does everyone else feel about our group? C. It must be hard to be so angry. Direct this comment to another group member, You were also angry at first but not now. What has helped you? D. I would like to remind you that one of our group rules is that everyone is to offer only positive responses to the comments of others.

Correct Answer: C

Rationale: The members comments demean the group and its members and suggest that the member is very angry. Labeling the emotion and conveying empathy would be therapeutic. Focusing on members who are likely to be more positive can balance the influence of demoralizing members. You seem to know a lot conveys hostility from the leader, who confronts and challenges the member to explain how he came to be readmitted if he was so knowledgeable, implying that he is less knowledgeable than he claims. This comment suggests countertransference and is non-therapeutic. Shifting away from the complaining member to see if others agree seeks to have others express disagreement with this member, but that might not happen. In the face of his anger, they might be quiet or afraid to oppose him, or they could respond in kind by expressing hostility themselves. A rule that only positive exchanges are permitted would suppress conflict, reducing the effectiveness of the therapy group.

Question 2 of 5

Linda says that she feels confused and anxious. In addition, Linda feels unorganized and states, 'It is as not bad as it seems.' What phase of crisis is Linda experiencing?

A. Precrisis B. Impact C. Adaptive D. Postcrisis

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

The desired outcome from humor therapy is:

A. The patient will feel accepted. B. The patient will have increased feelings of depression. C. The patient will demonstrate a more positive outlook. D. The patient will be discharged sooner.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

The category of medication that promotes alertness, diminishes appetite, and combats narcolepsy and attention deficit hyperactivity disorder is:

A. stimulant B. antidepressant C. mood stabilizer D. anticonvulsant

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which of the following may affect African Americans seeking to comply with medical or mental health treatment?

A. Usually receive treatment from primary health care provider rather than a mental health specialist B. More likely to receive substandard treatment C. Approximately 20% to 30% of this group do not have health insurance. D. Tend to be more receptive to taking medications than any other group

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A group is in the working phase. One member says, That is the stupidest thing Ive ever heard. Everyone whines and tells everyone else what to do. This group is a total waste of my time. Which comment by the group leader would be most therapeutic?

Nurselytic

ATI RN

ATI RN

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