Which nursing statement is a good example of the therapeutic communication technique of focusing?

Correct Answer: D

Rationale: Option D, "You mentioned your relationship with your father. Let's discuss that further," is a good example of the therapeutic communication technique of focusing. Focusing involves bringing attention to a specific topic or issue that the individual has raised. In this statement, the nurse is acknowledging what the person mentioned about their relationship with their father and is directing the conversation towards exploring that topic in more depth. This can help the individual delve deeper into their feelings and thoughts related to the specific issue, fostering a more meaningful and therapeutic conversation.

Correct Answer: B

Rationale: The client talking about personal accomplishments to gain attention is displaying the individual role of a recognition seeker within the therapeutic group. Recognition seekers often seek attention and approval from others by focusing on themselves, their achievements, or their experiences. This behavior can detract from the therapeutic process and group dynamics, as the focus shifts to the individual rather than the group as a whole. It is important for the nurse to identify this role and address it appropriately to ensure the group remains focused on therapeutic goals and mutual support among group members.

Correct Answer: D

Rationale: This scenario illustrates the curative group factor of Universality. Universality involves the realization that one is not alone in their struggles and that others in the group have experienced similar feelings or thoughts. In this case, the pregnant teenager is able to see that she is not the only one who has felt ambivalent about their pregnancy, as the mother of three also admits to having had similar feelings. This sense of shared experiences can help reduce feelings of isolation, shame, and guilt, ultimately fostering a sense of connection and mutual understanding within the group.

Correct Answer: D

Rationale: In the initial, or orientation, phase of group development, members are typically focused on building relationships, establishing trust, and getting to know each other and the leader. In this stage, there is a sense of positivity, support, and cooperation among the members. The fact that the group members initially trust one another and the leader supports the assumption of being in the orientation phase. Complimenting the leader and competing for the role of recorder also indicate an early stage of group development where members are trying to establish roles and understand the dynamics within the group.

Correct Answer: A

Rationale: The most optimal configuration for a therapeutic group in group therapy is open-ended membership with a circle of chairs and a group size of 5 to 10 members. Open-ended membership allows for flexibility in attendance, which is important in group therapy where individuals may have varying schedules and needs. A circle of chairs promotes equality and encourages interaction among group members, fostering a sense of community and support. A group size of 5 to 10 members is considered ideal as it allows for a diversity of perspectives and experiences while still maintaining an intimate setting where each member can actively participate and receive adequate attention. This configuration promotes a safe and engaging environment for group therapy sessions.