Test Bank For Essentials of Psychiatric Mental Health Nursing
8th Edition Concepts of Care in Evidence Based Practice 8th
Edition Morgan Townsend | 9780803676787 | Chapter 1-32 |
All Chapters with Answers and Rationals
The spouse of a client says, "My wife has been depressed for the last 2 months due to emotional
stress at work." Which type of group does the nurse expect will be beneficial for this client? -
ANSWER: Therapeutic groups
Nicole is the nurse leader of a childbirth preparation group. Each week, she shows various films and
sets out various reading materials. She expects the participants to utilize their time on a topic of their
choice or practice skills they have observed on the films. Two couples have dropped out of the group,
stating, "This is a big waste of time." Which type of group and style of leadership is described in this
situation? - ANSWER: Teaching; laissez-faire
Eric is a staff nurse on a surgical unit. He has been selected as leader of a newly established group of
staff nurses organized to determine ways to decrease the number of medication errors occurring on
the unit. Eric has definite ideas about how to bring this about. He has also applied for the position of
Head Nurse on the unit and believes that if he is successful in leading the group toward achievement
of its goals, he can also facilitate his chances for promotion. At each meeting, he addresses the group
in an effort to convince the members to adopt his ideas. Which type of group and style of leadership
is described in this situation? - ANSWER: Task; autocratic
Aisha is a psychiatric nurse who has been selected to lead a group for women who desire to lose
weight. The criterion for membership is that they must be at least 20 pounds overweight. All have
tried to lose weight on their own many times in the past without success. At their first meeting, Aisha
provides suggestions as the members determine what their goals will be and how they plan to
achieve those goals. They decide how often they want to meet and what they plan to do at each
meeting. Which type of group and style of leadership is described in this situation? - ANSWER:
Supportive-therapeutic; democratic
The nurse leader is explaining about group "therapeutic factors" to members of the group. She tells
the members that group situations are beneficial because members can see that they are not alone in
their experiences. This is an example of which therapeutic factor? - ANSWER: Universality
Carol is the nurse leader of a bereavement group for widows. Nancy is a new member. She listens to
the group and learns that Jane has been a widow for 5 years. Jane has adjusted well, and Nancy thinks
maybe she can too. This is an example of which therapeutic factor? - ANSWER: Installation of hope
Paul is a member of an anger management group. He knew that people did not want to be his friend
because of his violent temper. In the group, he has learned to control his temper and form
satisfactory interpersonal relationships with others. This is an example of which therapeutic factor? -
ANSWER: Development of socializing techniques
Benjamin is a member of an Alcoholics Anonymous group. He learned about the effects of alcohol on
the body when a nurse from the chemical dependency unit spoke to the group. This is an example of
which therapeutic factor? - ANSWER: Imparting of information
Sandra is the nurse leader of a supportive-therapeutic group for individuals with anxiety disorders. In
this group, Helen talks incessantly. When someone else tries to make a comment, Helen refuses to
allow him or her to speak. What type of member role is Helen assuming in this group? - ANSWER:
Monopolizer
, Sandra is the nurse leader of a supportive-therapeutic group for individuals with anxiety disorders. On
the first day the group meets, Valerie speaks first and begins by sharing the intimate details of her
incestuous relationship with her father. What type of member role is Valerie assuming in this group? -
ANSWER: Seducer
Sandra is the nurse leader of a supportive-therapeutic group for individuals with anxiety disorders.
Violet, who lacks self-confidence, states to the group, "Maybe if I became a blond, my boyfriend
would love me more." Larry responds, "Listen, dummy, you need more than blond hair to keep the
guy around. A bit more in the brains department would help!" What type of member role is Larry
assuming in this group? - ANSWER: Aggressor
The nurse is caring for a client who has a history of violence. The nurse, along with other staff
members, is trying to restrain the client in the seclusion room. Which group function do the staff
members exhibit along with the nurse? - ANSWER: Task completion
Which statement made by the student nurse indicates effective teaching regarding the autocratic
leadership style? - ANSWER: "The leaders have personal goals for the group."
Which member enhances group process by listening attentively to the group interaction? - ANSWER:
Follower
Which is the role of an aggressor in a group? - ANSWER: Expressing negativism and opposition toward
other members
During a group interaction, a member of the group is encouraging all the members to participate in
the interaction. Which role is the member playing? - ANSWER: Gatekeeper
The nurse recommends that a client with severe depression be a part of a supportive group. Which
statement from the client indicates that the nurse's recommendation is effective? - ANSWER: "Now I
am able to deal with emotional stress."
Which statement made by the student nurse indicates effective learning regarding therapeutic
groups? - ANSWER: "The therapeutic group improves group relations and interactions between the
members of the group."
While caring for a therapeutic group of Alzheimer's clients, the nurse finds that one of the members in
the group is manipulating others to gain control. Which therapeutic group member role does the
client's behavior reflect? - ANSWER: Dominator
Which happens in the corrective recapitulation of the primary family group during a family therapy? -
ANSWER: Reexperience early family conflicts that have remained unsolved
Which statement made by the student nurse indicates effective learning regarding phase I of group
development? - ANSWER: "Pecking order is observed during phase I of group development."
After a group therapy session, a client tells the nurse, "I am playing a key role in the success of the
group." Which curative factor is reflected in the client's statement? - ANSWER: Group cohesiveness
Which action by the group members indicates normative function? - ANSWER: Adhering to standards
The nurse with a laissez-faire leadership style is leading a support group in the psychiatric unit. Which
characteristics would be present within this group? Select all that apply. - ANSWER: Group
cohesiveness is low.
Member participation is inconsistent
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