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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.
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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 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.
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.
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.
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.