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A group of nursing students is reviewing information about the different types of group. The students demonstrate understanding of the information when they identify which of the following as a characteristic of a self-help group that differentiates it from a supportive therapy group?
- A. The group is led by a professional.
- B. The group is led by a consumer.
- C. There is no identified leader.
- D. The group is focused on a specific problem.
Correct Answer: B
Rationale: Self-help groups are typically led by consumers (peers with shared experiences), unlike supportive therapy groups, which are led by professionals. Both may focus on specific problems, and no identified leader is less common in structured settings.
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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.
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?
- A. Support
- B. Confrontation
- C. Summarizing
- D. Clarification
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.
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.
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.