Chapter 35: Therapeutic Groups

Chapter 35: Therapeutic Groups

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1)   A client tells the members of the inpatient therapy group that he hears voices saying his doctor is going to poison him. He continues “I look around to see who is talking to me, and I cannot see anybody.” Another client replies “I used to hear voices, too. I found out they were my imagination. The voices you hear are not real, either.” Which phenomenon common to groups is exemplified in this interchange?

A.	Ventilation
B.	Universality
C.	Catharsis
D.	Symptom management

 

ANS:   D

Symptom management can be taught by peers by helping the individual validate his or her perception of reality. Additionally, group members can help each other manage symptoms by monitoring each member’s reactions and behaviors and providing feedback in an open and nonthreatening manner. Option A: Ventilation refers to expressing feelings. Option B: Universality refers to members realizing they are not alone with their problems and feelings. Option C: Catharsis refers to sharing intense feelings.

 

DIF:    Cognitive Level: Application             REF:    Text Page: 724

TOP:    Nursing Process: Assessment            MSC:   NCLEX: Psychosocial Integrity

 

 

2)   The inpatient group is meeting in the solarium. The group is discussing aftercare. A client tells the group about the activities of a psychosocial club for former inpatients. She explains the club’s purpose, the referral process, and the club’s location. In this interaction the client has taken the role of

A.	harmonizer.
B.	evaluator.
C.	information giver.
D.	procedural technician.

 

ANS:   C

 

Group roles refer to the parts various members play within the group. The client was acting as an information giver as she explained facts about a psychosocial club to the group as part of a discussion of aftercare. Harmonizers mediate conflicts. Evaluators measure group work against a standard. The procedural technician role is to assist by taking on tasks such as arranging chairs or passing out papers.

 

DIF:    Cognitive Level: Application             REF:    Text Page: 720

TOP:    Nursing Process: Assessment            MSC:   NCLEX: Psychosocial Integrity

 

 

3)   The nurse psychotherapist looks at the records of the clients admitted over the weekend to determine whom to include in the inpatient symptom management group focusing on self-esteem issues. Which client will the nurse consider inappropriate to bring into the group?

A.	A, aged 32 years, a client with chronic paranoid schizophrenia
B.	B, aged 59 years, a client with depression
C.	C, aged 22 years, a client with panic disorder
D.	D, aged 30 years, a client with antisocial personality disorder

 

ANS:   D

Clients with antisocial personality disorders frequently do not conform to social norms regarding lawful behavior. They tend to be impulsive, have little regard for the truth, and use others for their own ends. They do not benefit from group therapy, and they do not contribute to group cohesion or goal attainment. The other clients could profit from the group experience.

 

DIF:    Cognitive Level: Analysis                  REF:    Text Page: 724, Text Page: 725

TOP:    Nursing Process: Assessment            MSC:   NCLEX: Psychosocial Integrity

 

 

4)   During the morning community meeting on the inpatient psychiatric unit, a 40-year-old hypomanic client threatens to strike another client. The nurse therapist should intervene by

A.	immediately sending the other clients out of the room.
B.	telling the client he must leave the meeting.
C.	summoning the assistance of several other staff.
D.	firmly telling the client he can talk about being angry in group, but he cannot act out.

 

ANS:   D

The therapist should intervene when a client threatens to act out by firmly orienting the client regarding what behavior is acceptable and what is unacceptable. Option A: This is premature. Option B: The client should be advised of limits before this action is taken. Option C: This is premature.

 

DIF:    Cognitive Level: Application             REF:    Text Page: 722, Text Page: 723

TOP:    Nursing Process: Implementation

MSC:   NCLEX: Safe, Effective Care Environment