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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.
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After teaching a class about formal and informal roles of group members, the instructor determines that the teaching was successful when the class identifies which of the following as a formal role? Select all that apply.
- A. Coordinator
- B. Leader
- C. Member
- D. Harmonizer
- E. Information seeker
Correct Answer: B,C
Rationale: Formal roles in groups include leader (B), assigned to guide the group, and member (C), the participants with defined roles. Coordinator, harmonizer, and information seeker are informal roles, adopted spontaneously to support group dynamics.
A patient has been placed in an anger management group because he has trouble controlling his angry outbursts. The nurse interprets this type group as an example of which of the following?
- A. Psychotherapy
- B. Self-help
- C. Psychoeducation
- D. Supportive therapy
Correct Answer: C
Rationale: Anger management groups focus on teaching skills and strategies to manage emotions, characteristic of psychoeducation. Psychotherapy involves deeper psychological exploration, self-help groups are peer-led, and supportive therapy emphasizes emotional support, not skill-building.
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.
A psychiatric-mental health nurse is preparing to lead a medication group. Which of the following would be most important for the nurse to assess? Select all that apply.
- A. Cognitive abilities
- B. Medication knowledge
- C. Reading skills
- D. Writing abilities
- E. Use of a specific medication
Correct Answer: A,B,C
Rationale: For a medication group, assessing cognitive abilities (A), medication knowledge (B), and reading skills (C) is critical to ensure members can understand and engage with educational content. Writing abilities (D) are less essential, and specific medication use (E) is part of knowledge assessment.
A nurse is leading a group in which members are encouraged to discuss their feelings and emotions. The group session is just starting when a patient stomps into the room, slams his notebook down on a table, and sits down. His affect is one of anger and hostility. Which response by the nurse would be most appropriate?
- A. Keep the focus off the patient so his anger has time to de-escalate.
- B. Suggest the patient make a private counseling appointment to address his anger issues.
- C. Ask the patient to leave the group until he is calmer.
- D. Encourage the patient to discuss his anger with the group.
Correct Answer: A
Rationale: The patient?s angry affect suggests a need for de-escalation to ensure group safety. Keeping the focus off the patient allows time for calming without escalating tension. Asking the patient to leave or discuss anger may intensify emotions, and private counseling is not immediate.