Chapter 14: Group Interventions

Format: Multiple Choice

Client Needs: Psychosocial Integrity

Cognitive Level: Apply

Integrated Process: Nursing Process

Objective: 3

Page and Header: 213, Determining Composition

1. A nurse is preparing to form a group in an inpatient psychiatric setting for clients who have experienced trauma and determines that a small group would be best. In addition to the group leader, the nurse would anticipate including how many clients?

A) 3 or 4

B) 5 or 6

C) 7 or 8

D) 9 or 10

Page and Header: 219, Determining Roles of Group Members

2. While participating in a group therapy session, one group member consistently asks for clarification of the topic the group is discussing. The nurse leading the group interprets this behavior as reflecting which group role?

A) Coordinator

B) Recorder

C) Information seeker

D) Standard setter

Page and Header: 217, Working Stage

3. While leading a small group, a nurse sets up the ground rules at the beginning of the first meeting. One of the rules established is that the group will always start at the specified time, rather than waiting until everyone has arrived to begin. This rule reflects which group characteristic?

A) Norms

B) Cohesion

C) Think

D) Process

Page and Header: 220, Monopolizer

4. In an initial group therapy session, a nurse observes that one group member continually tries to monopolize the conversation. The nurse interprets this behavior as reflecting what in the client?

A) Anxiety

B) Anger

C) Rebellion

D) Fear

Page and Header: 220, “Yes, But …”

5. A nurse is leading a small group of hospitalized clients diagnosed with psychiatric disorders. One group member has asked for advice and often agrees with suggestions by other group members but then adds, “Yes, but . . .” to every suggestion offered. Which response by the nurse would be most appropriate?

A) “Things would probably work out better if you joined a different group.”

B) “Do you realize you say, ‘Yes, but . . .’ to every suggestion the group has for you?”

C) “I suggest you stop and think about why you always respond to suggestions with ‘Yes, but . . .’”

D) “What solution do you think would work best for you?”

Page and Header: 220, Psychoeducation Groups

6. A client has been placed in an anger management group because the client has trouble controlling angry outbursts. The nurse interprets this as an example of what type of group?

A) Psychotherapy

B) Self-help

C) Psychoeducation

D) Supportive therapy

Page and Header: 218, Monitoring Nonverbal Communication

7. 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 client stomps into the room, slams a notebook on a table, and sits down. The client’s affect is one of anger and hostility. Which response by the nurse would be most appropriate?

A) Keep the focus off the client so the client’s anger has time to diminish.

B) Suggest the client make a private counseling appointment to address the anger issues.

C) Ask the client to leave the group until the client is calmer.

D) Encourage the client to discuss the client’s anger with the group.

Page and Header: 220, Disliked Member

8. A nurse is leading a group on an adolescent psychiatric unit. A new client in the group is from out of state. The new client’s accent and way of dressing set the new client apart from the other clients, and it is obvious that the group, for the most part, dislikes this client. During the group session, the nurse has the members draw the emotion they are feeling and then has them present their drawings and explain them to the group. What would be the most effective way to address the group’s dislike for the new client?

A) Skip the new client when it is the new client’s turn to present the new client’s drawing.

B) Let the new client talk last so the others will not have time to make fun of the new client.

C) Compliment the new client when the new client presents the new client’s drawing.

D) Demand that each member of the group tell the new client why they dislike the new client.

Page and Header: 222, Age-Related Groups

10. A nurse is preparing to lead an older adult group. Which would the nurse need to keep in mind when leading this group?

A) Focus the group to promote learning of new information.

B) Tailor the pace of the meetings to the group.

C) Discourage the use of life-review strategies.

D) Teach entirely new methods for coping.

Page and Header: 213, Forming an Open or Closed Group

11. A group of nurses is reviewing information about open and closed groups. The nurses demonstrate understanding of the information when they decide on forming an open group for which situation?

A) Outpatient smoking cessation

B) Community clinic psychoeducation

C) Ambulatory care psychotherapy

D) Inpatient anger management

Page and Header: 213, Determining Composition

12. A nurse is deciding about the size of the group. The nurse determines that a large group would be best based on the understanding about which characteristic associated with a large group?

A) Transference and countertransference issues will be moderate to high.

B) Group cohesiveness will be strong with greater interpersonal experiences.

C) The number of potential interactions and relationships will be limited.

D) The group is effective for dealing with a specific issue.

Page and Header: 216, Table 14.2. Techniques in Leading Groups

13. While leading a group, a nurse leader says to a client, “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

Page and Header: 219, Individual Roles

14. A nurse leader has been observing the behavior of group members since the formation of the group. During the past few sessions, the leader has noticed a member often making derogatory statements about other members’ issues and then attempting to take the credit for the work the group has achieved. The nurse leader interprets this behavior as indicating which role?

A) Recognition seeker

B) Group observer

C) Help-seeker

D) Aggressor

Page and Header: 217, Encouraging Interaction

15. Near the end of a medication group session, the nurse leader says, “Okay, we’ve talked about the client’s medication problems and will be following up with the health-care provider.” The nurse leader is using which technique?

A) Reflecting feelings

B) Advice and suggestions

C) Summarizing

D) Clarification

Page and Header: 215, Beginning Stage: The Honeymoon

16. A nurse is acting as the leader of a newly formed group that is in the beginning stage of development. Which 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.

Page and Header: 219, Determining Roles of Group Members

17. After conducting a review class for a group of psychiatric–mental health nurses about formal and informal roles of group members, the psychiatric–mental health clinical nurse specialist determines that the education was successful when the class identifies which as a formal role? Select all that apply.

A) Coordinator

B) Leader

C) Member

D) Harmonizer

E) Information seeker

Page and Header: 219, Box 14.3 Roles and Functions of Group Members

18. 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

Page and Header: 223, Medication Groups

19. A psychiatric–mental health nurse is preparing to lead a medication group. Which 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) Medications being taken

Page and Header: 224, Reminiscence Groups

20. A psychiatric–mental health nurse is planning to use reminiscence with a group of older adults. The nurse chooses this intervention for which reasons? Select all that apply.

A) Identify previous coping strategies that can be useful now

B) Help promote self-esteem

C) Support the natural healing process of life review

D) Reduce the amount of thinking needed for problem solving

E) Provide catharsis about current issues