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A group of nursing students is reviewing information about open and closed groups. The students demonstrate understanding of the information when they identify which of the following as an example of an open group?
- A. Outpatient smoking cessation group
- B. Community clinic psychoeducation group
- C. Ambulatory psychotherapy group
- D. Inpatient anger management group
Correct Answer: A
Rationale: Open groups allow new members to join ongoing sessions, common in outpatient settings like smoking cessation groups. Closed groups, typical in inpatient or structured settings like anger management or psychotherapy, have fixed membership.
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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.
- A. Self-confessor
- B. Follower
- C. Dominator
- D. Elaborator
- E. Playboy
- F. Compromiser
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.
A nurse is preparing to lead an older adult group. Which of the following would the nurse need to keep in mind when leading this group?
- A. Focusing the group to promote learning of new information
- B. Keeping the pace of the group meetings slow
- C. Discouraging the use of life review strategies
- D. Teaching entirely new methods for coping
Correct Answer: B
Rationale: Older adult groups benefit from a slower pace to accommodate potential cognitive or sensory changes, ensuring effective participation. Learning new information or coping methods may be challenging, and life review strategies are often therapeutic, not discouraged.
A group of nursing students is reviewing the factors associated with group psychotherapy through which therapeutic changes occur. The student?s demonstrate understanding when they identify which of the following as a factor? Select all that apply.
- A. Altruism
- B. Catharsis
- C. Repressed behavior
- D. Universality
- E. Hopelessness
Correct Answer: A,B,D
Rationale: Therapeutic factors in group psychotherapy, per Yalom, include altruism (A), catharsis (B), and universality (D), which promote healing through helping others, emotional release, and shared experiences. Repressed behavior and hopelessness are not therapeutic factors; hopelessness is detrimental.
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?
- A. Group norms
- B. Group cohesion
- C. Group think
- D. Group process
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.
A nurse is acting as the leader of a newly formed group that is in the beginning stage of development. Which of the following would the nurse expect to do? Select all that apply.
- A. Develop rapport with the group members
- B. Anticipate members testing one another
- C. Work with members to develop norms
- D. Promote sharing of feelings
- E. Facilitate verbal and nonverbal communication
Correct Answer: A,B,C,E
Rationale: In the forming stage of group development, the nurse focuses on building rapport (A), anticipating testing behaviors (B), establishing norms (C), and facilitating communication (E). Promoting deep sharing of feelings (D) is more appropriate in later stages, like the working phase.