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.
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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.
A nurse is deciding about the size of the group. The nurse determines that a large group would be best based on which of the following?
- A. Transference and countertransference issues will be moderate to minimal.
- B. Group cohesiveness will be strong with greater interpersonal experiences.
- C. The number of potential interactions and relationships is limited.
- D. The group is effective for dealing with a specific issue.
Correct Answer: A
Rationale: Large groups (10?20 members) reduce intense transference and countertransference due to diluted focus, making them suitable for certain settings. Cohesiveness is stronger in smaller groups, interactions increase with size, and specific issues are better addressed in smaller, focused groups.
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.
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.
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.
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