Which one of the following statements is most accurate regarding the cohesiveness of a group in group therapy?
- A. It is commonly present in the first meeting of the group.
- B. It is necessary for the group to have maximum cohesiveness, the more the better.
- C. Group cohesiveness is the degree to which members think alike and many things are left unspoken.
- D. Cohesiveness is a desirable group characteristic that is associated with positive group outcomes.
Correct Answer: D
Rationale: Cohesiveness, developed over time, fosters cooperation and positive outcomes in group therapy, but excessive uniformity may hinder critical thinking.
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Group members are actively discussing a common topic. Members are sharing that they identify with what others are saying. The nurse leader recognizes that the group is in which stage of group development?
- A. Planning
- B. Initial
- C. Working
- D. Termination
Correct Answer: C
Rationale: The working stage of group development involves active engagement and sharing among members, focused on the group's purpose, as described.
Which of the following is most essential when planning care for a client who is experiencing a crisis?
- A. Explore previous coping strategies
- B. Explore underlying personality dynamics
- C. Focus on emotional deficits
- D. Offer a referral to a self-help group
Correct Answer: A
Rationale: Crisis intervention leverages the client's existing coping strategies and strengths to address the current situation, making this the most essential focus.
A college student decides to go to a party the night before a major exam instead of studying. After receiving a low score on the exam, the student tells a fellow student, 'I have to work too much and don't have time to study. It wouldn't matter anyway because the teacher is so unreasonable.' The defense mechanisms the student is using are
- A. Denial and displacement
- B. Rationalization and projection
- C. Reaction formation and resistance
- D. Regression and compensation
Correct Answer: B
Rationale: The student uses rationalization by excusing poor performance with external factors (work) and projection by blaming the teacher's unreasonableness for the outcome.
During the initial interview with a client in crisis, the initial priority is to
- A. Assess the adequacy of the support system.
- B. Assess for substance use.
- C. Determine the precrisis level of functioning.
- D. Evaluate the potential for self-harm.
Correct Answer: D
Rationale: Safety is the priority in a crisis, so evaluating the potential for self-harm is critical before assessing support systems, substance use, or precrisis functioning.
The nurse is working with a client who has a history of inflicting spousal abuse. Although the nurse does not condone domestic violence, the nurse treats the client with unconditional positive regard through which of the following?
- A. The nurse tries to understand the feelings that might have led to violent behavior.
- B. The nurse uses honest emotional expression in relating to client.
- C. The client is still viewed as someone worthy of respect and assistance.
- D. The nurse relates to the client as if he were her own spouse.
Correct Answer: C
Rationale: Unconditional positive regard involves nonjudgmental respect and care for the client, regardless of their behavior, fostering a therapeutic relationship.
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