Nokea
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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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.
The nurse has begun group counseling sessions for several hospitalized patients in the psychiatric facility. Which of the following would be most effective for the nurse to do to promote group cohesiveness?
- A. Use team-building exercises.
- B. Encourage task completion by members.
- C. Spend time with each member individually.
- D. Be consistent with the group themes.
Correct Answer: A
Rationale: Team-building exercises foster trust and connection among members, directly promoting group cohesiveness. Task completion focuses on goals, not unity; individual time may fragment the group; and consistent themes support structure but not necessarily cohesion.
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 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.
The nurse is preparing to form a group in an inpatient psychiatric setting for patients who have experienced trauma. In addition to the group leader, the nurse would anticipate including how many patients?
- A. Three or four
- B. Five or six
- C. Seven or eight
- D. Nine or 10
Correct Answer: C
Rationale: In inpatient psychiatric settings, trauma-focused groups typically include 7?8 members (plus the leader) to balance interaction, support, and manageability, allowing for meaningful participation while maintaining a safe environment. Smaller groups (3?4 or 5?6) may limit diversity of perspectives, and larger groups (9?10) may be overwhelming for trauma patients.