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During a group session, one of the members states, 'Let?s keep this discussion going so that everyone can participate, but let?s keep the time each person speaks to about 3 minutes.' The leader interprets this member as acting in which role?
- A. Group observer
- B. Gatekeeper
- C. Encourager
- D. Energizer
Correct Answer: B
Rationale: The gatekeeper regulates participation and time, as shown by the member?s suggestion to limit speaking time while encouraging involvement. The group observer monitors dynamics, the encourager supports contributions, and the energizer motivates action, not time management.
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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.
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.
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 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.
In an initial group therapy session, the nurse observes that one group member continually tries to monopolize the conversation. The nurse interprets this behavior as reflecting which of the following in the patient?
- A. Anxiety
- B. Anger
- C. Rebellion
- D. Fear
Correct Answer: A
Rationale: Monopolizing conversation in a group often reflects anxiety, as the patient may feel compelled to control the discussion to manage discomfort. Anger, rebellion, or fear may present differently, such as through hostility, defiance, or withdrawal, respectively.