During an inpatient educational group, a client shouts out, This information is worthless. Nothing you have said can help me. These statements indicate to the nurse leader that the client is assuming which group role?

Correct Answer: D

Rationale: In group dynamics, the role of a blocker is to consistently oppose other group members' ideas, suggestions, or actions. They may use negative attitudes or behaviors to thwart progress and hinder the group from achieving its goals. In the scenario provided, the client shouting that the information is worthless and nothing said can help indicates a negative attitude and an unwillingness to engage constructively with the group. This behavior aligns with the characteristics of a blocker in a group setting.

Correct Answer: C

Rationale: In psychodrama, the client is not simply an observer from the audience but actively participates as the protagonist. The protagonist takes on a role and interacts with other group members, often reenacting real-life situations to gain insight and work through emotions. This active involvement is a key aspect of psychodrama therapy, so the statement that the client observes actor interactions is incorrect and indicates a need for further teaching on how psychodrama therapy works.

Correct Answer: A

Rationale: Group therapy provides the opportunity to learn and practice new coping skills. By participating in group sessions, clients can gain support from peers, receive feedback on their thoughts and behaviors, and develop social skills. It can also help individuals feel less isolated and more connected with others who are going through similar experiences. Even if the client feels they are there just to rest, engaging in group therapy can still be beneficial for their overall well-being and treatment progress.

Correct Answer: C

Rationale: A democratic form of self-government in the therapeutic milieu contributes to client therapy by setting community expectations wherein all clients are treated on an equal basis. This fosters a sense of respect, fairness, and inclusivity within the therapeutic environment, enhancing the overall therapeutic experience for each individual. By promoting equal treatment and shared responsibilities, clients in such a democratic setting can feel empowered, respected, and valued, leading to better engagement in therapy and a more supportive community atmosphere. This sense of egalitarianism can also help to build trust among clients and between clients and therapy staff, ultimately facilitating positive therapeutic outcomes.

Correct Answer: C

Rationale: In this scenario, the mother's anxiety and refusal to leave the postpartum unit are most likely due to an acute response to the external situational stressor of becoming a new mother. Postpartum anxiety and difficulties adjusting to the new role are common experiences for many new mothers and can precipitate a crisis situation. This crisis is not caused by preexisting psychopathology or normal life-cycle transitions, but rather by the specific stressors associated with the new maternal role. Recognizing this as an acute response to an external situational stressor will guide the nurse in providing appropriate care and support for the mother during this sensitive time.