Psychiatric Nursing, 7th Edition by Norman L. Keltner - Debbie Steele
Psychiatric Nursing, 7th Edition by Norman L. Keltner - Debbie Steele
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Chapter 10: Working with Groups of Patients
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Inpatient groups rarely have a lasting beneficial effect. |
| b. | Inpatient groups have short-term, goal-oriented sessions. |
| c. | Inpatient groups are helpful for patients with verbal skills. |
| d. | Inpatient groups facilitate insight into deeply rooted life issues. |
ANS: B
Because inpatient stays are so short and accountability is a major treatment issue, inpatient groups typically have short-term, goal-oriented sessions designed to teach patients more adaptive strategies for coping with life’s problems. Beneficial effects are often lasting. Patients with or without verbal skills may be helped by selected types of groups. Insight-oriented therapy is conducted on an outpatient basis and usually occurs over the long term.
DIF: Cognitive level: Analyzing REF: pp. 100-101 TOP: Nursing process: Planning
MSC: NCLEX: Psychosocial Integrity
| a. | altruism. |
| b. | universality. |
| c. | cohesiveness. |
| d. | corrective recapitulation. |
ANS: A
Altruism refers to the experience of being helpful or useful to others, a condition that the patient anticipates will happen. The other options are also therapeutic factors identified by Yalom.
DIF: Cognitive level: Understanding REF: p. 100
TOP: Nursing process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | “You’re a great group leader and kept things moving smoothly.” |
| b. | “This experience wasn’t as bad as I thought it would be.” |
| c. | “I rely on the group to help me make decisions.” |
| d. | “I learned how my anger affects other people.” |
ANS: D
Learning more about one’s behavior and its effects on others is an appropriate outcome for group therapy. The other options do not reflect patient growth.
DIF: Cognitive level: Applying REF: p. 101 TOP: Nursing process: Evaluation
MSC: NCLEX: Psychosocial Integrity
| a. | “I’ve learned to identify my anxious feelings.” |
| b. | “The group really gave me the support to change.” |
| c. | “I’ve learned that I can be helpful to others.” |
| d. | “My problems are not unique. I’m not alone.” |
ANS: D
Universality refers to patients’ realization that they are not alone and unique, and that others experience similar problems, feelings, and concerns. The remaining options do not reflect that sense of belonging.
DIF: Cognitive level: Understanding REF: p. 100 TOP: Nursing process: Evaluation
MSC: NCLEX: Psychosocial Integrity
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