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Exam (elaborations)

Chapter 9. Therapeutic Groups

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Chapter 9. Therapeutic Groups

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  • August 29, 2024
  • 18
  • 2024/2025
  • Exam (elaborations)
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Chapter 9. Therapeutic Groups




MULTIPLE CHOICE



1. During a therapeutic group, a client talks about personal accomplishments in an effort
to gain attention. Which group role, assumed by this client, shouladbirtbh.ceomn/utersste
identify?
1. Task role of gatekeeper
2. Individual role of recognition seeker
3. Maintenance role of dominator
4. Task role of elaborator

ANS: 2
Chapter: Chapter 10, Therapeutic Groups
Objective: Identify various roles that members assume within a group.
Page: 168
Heading: Table 9–2, Member Roles Within Groups
Integrated Processes: Nursing Process: Evaluation
Client Need: Psychosocial Integrity
Cognitive Level: Knowledge [Remembering]Concept: Patient-Centered Care
Difficulty: Easy

Feedback
1. This is incorrect. The gatekeeper encourages acceptance of and participation by all
members of the group.
2. This is correct. The client is assuming the individual role of the recognition seeker.
Other individual roles include the aggressor, the blocker, the dominator, the help
seeker, the monopolizer, and the seducer.
3. This is incorrect. The dominator manipulates others to gain control and behaves in
an authoritarian manner.
4. This is incorrect. The elaborator expands upon and explainasbigrbr.ocoump/tepsltans and
ideas.
CON: Patient-Centered Care



2. During a therapeutic group, two clients engage in an angry verbal exchange. The
nurse leader interrupts the exchange and excuses both of the clienabtirbf.cromm/tetsht e
group. The nurse has demonstrated which leadership style?
1. Autocratic
2. Democratic
3. Laissez-faire 4. Bureaucratic

,ANS: 1
Chapter: Chapter 10, Therapeutic Groups
Objective: Identify various leadership styles in groups.
Page: 167
Heading: Leadership Styles > Autocratic; Table 9–1, Leadership Styles—Similarities
and Differences
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate

Feedback abirb.com/test
1. This is correct. The nurse is demonstrating an autocratic leadership style. An
autocratic leadership style may be useful in certain situations that require
structure and limit setting.
2. This is incorrect. Democratic leaders focus on the members of the group and
group- selected goals.
3. This is incorrect. Laissez-faire leaders provide no direction to group members.
4. This is incorrect. This not bureaucratic leadership, which iasbinrbo.cto m/teensttioned in
this
chapter.
CON: Patient-Centered Care



3. During a therapeutic group, which nursing action
demonstrateasbairbl.acoisms/teezst-faire leadership style?
1. The nurse mandates that all group members reveal an embarrassing personal situation.
2. The nurse asks for a show of hands to determine group topic parbeifrbe.rceomn/ctees.t
3. The nurse sits silently as the group members stray from the assigned topic.
4. The nurse shuffles through papers to determine the facility policy on length of group.
ANS: 3
Chapter: Chapter 10, Therapeutic Groups
Objective: Identify various leadership styles in groups.
Page: 167
Heading: Leadership Styles > Democratic; Table 10–1, Leadership Styles—
Similarities and Differences
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate

, abirb.com/test
Feedback
1. This is incorrect. This is an example of autocratic leadership. This form of leadership
can stifle individual creativity and decrease individual motivation.
2. This is incorrect. This is an example of a democratic leaderasbhirbi.pcosmt/telset,
where the members engage in group problem-solving.
3. This is correct. The nurse leader who sits silently and allows group members to stray
from the assigned topic is demonstrating a laissez-faire leaadbeirrbs.choimp/tsestyt le.
The nurse leader provides no direction for the group. Group members often
become frustrated and confused in reaction to a laissez-faire leadership style.
4. This is incorrect. This is not described as a leadership styleabinirbt.choims /tcehstapter.

CON: Patient-Centered Care



4. During a community meeting, a nurse encourages clients to present unit problems and
discuss possible solutions. Which type of leadership style is the naubirbs.ecodme/tmesot
nstrating?
1. Democratic
2. Autocratic
3. Laissez-faire
4. Energized

ANS: 1
Chapter: Chapter 10, Therapeutic Groups
Objective: Identify various leadership styles in groups.
Page: 167
Heading: Leadership Styles > Democratic; Table 10–1, Leadership Styles—Similarities
and Differences
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate

Feedback
1. This is correct. The nurse is demonstrating a democratic leadership style.
Democratic leaders share information with group members, promote decision-
making by the members of the group, and provide guidancaebiarbn.cdome/tepset rtise as
2. needed.
This is incorrect. Autocratic leadership increases productivity but often reduces
morale and motivation due to lack of member input and creativity.
3. This is incorrect. The laissez-faire nurse leader provides no direction for the group.
4. This is incorrect. Although the nurse is energizing the grouapbi,rbt.hcoism/itsesat task
role, not a
leadership style.
CON: Patient-Centered Care

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