N316 Test 2 Questions | Answered with Rationales (Complete Solutions)
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N316 Test 2 Questions | Answered with Rationales (Complete Solutions) A client expresses a desire to begin attending the self-help group Alcoholics Anonymous (AA). Which nursing response gives the client pertinent information about this type of group? A. "In this type of group, membership is alwa...
A client expresses a desire to begin attending the self-help group Alcoholics
Anonymous (AA). Which nursing response gives the client pertinent information about
this type of group?
A. "In this type of group, membership is always within a fixed time frame."
B. "Group members receive comfort and advice from others undergoing similar
experiences."
C. "The purpose of this type of group is to convey information to a number of
individuals."
D. "The function of this type of group is to accomplish a specific outcome."
(AA is a type of self-help group. In this type of group members share their experiences
and strengths and receive comfort and advice from others undergoing similar
experiences. The nurse is giving the client pertinent information about AA.)
After a supportive-therapeutic group, a nurse hears one client say to another, "I never
thought that other people had the same problems that I have." The nurse ascertains that
this statement represents which curative factors described by Yalom?
A. Catharsis
B. Group cohesiveness
C. Universality
D. Imitative behavior
(According to Yalom, the curative factor of universality occurs when group members
realize that they are not alone in their feelings and experiences.)
During a group meeting, a client raises the concern that noise at the nurses' station
keeps him awake at night. The nurse, present in the meeting, interrupts, stating, "I'll
handle this matter. We need to move on." The nurse is demonstrating which type of
leadership style?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Surrogate
(This is an example of an autocratic leadership style that restricts client participation in
planning care. The nurse is in control and client autonomy is limited.)
N.J. 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?
a. Task/democratic
b. Teaching/laissez-faire
c. Self-help/democratic
d. Supportive-therapeutic/autocratic
M.K. 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 lb.
overweight. All have tried to lose weight on their own many times in the past without
success. At their first meeting, M.K. provides suggestions as the members determine
what their goals will be and how they plan to go about achieving those goals. They
decided how often they wanted to meet, and what they planned to do at each meeting.
Which type of group and style of leadership is described in this situation?
a. Task/autocratic
b. Teaching/democratic
c. Self-help/laissez-faire
d. Supportive-therapeutic/democratic
J.J. 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. J.J. 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?
a. Task/autocratic
b. Teaching/autocratic
c. Self-help/democratic
d. Supportive-therapeutic/laissez-faire
The nurse leader is explaining about group "curative factors" to members of the group.
She tells the group that group situations are beneficial because members can see that
they are not alone in their experiences. This is an example of which curative factor?
a. Altruism
b. Imitative behavior
c. Universality
d. Imparting of information
,Nurse Jones is the leader of a bereavement group for widows. Nancy is a new member.
She listens to the group and sees that one member, Jane, has been a widow for 5 years
now. Jane has adjusted well and Nancy thinks maybe she can too. This is an example
of which curative factor?
a. Universality
b. Imitative behavior
c. Installation of hope
d. Imparting of information
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 curative factor?
a. Catharsis
b. Altruism
c. Imparting of information
d. Development of socializing techniques
Henry 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 curative factor?
a. Catharsis
b. Altruism
c. Imparting of information
d. Universality
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, she refuses to allow him or her to speak. What type of member role is Helen
assuming in this group?
a. Aggressor
b. Monopolizer
c. Blocker
d. Seducer
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 herincestuous relationship with her father. What type of member
role is Valerie assuming in this group?
a. Aggressor
b. Monopolizer
, c. Blocker
d. Seducer
Sandra is the nurse leader of a supportive-therapeutic group for individuals with anxiety
disorders. Violet, who is beautiful but 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?
a. Aggressor
b. Monopolizer
c. Blocker
d. Seducer
In group therapy, a client displays alternating periods of intense anger, impulsiveness,
and contrition. The client has also divulged past indiscretions along with feelings of self-
devaluation. What is this client demonstrating?
A nurse is holding a task group on an inpatient unit. What is the function of this type of
group?
1) To achieve a feeling of security from group involvement
2) To learn social norms
3) To achieve effective results while working as a team
4) To provide joy and pleasure from interactions with significant others
During a therapeutic group, a client talks about personal accomplishments in an effort to
gain attention. Which group role, assumed by this client, should the nurse identify?
A. The task role of gatekeeper
B. The individual role of recognition seeker
C. The maintenance role of dominator
D. The task role of elaborator
The nurse should evaluate that 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.
During a therapeutic group, two clients engage in an angry verbal exchange. The nurse
leader interrupts the exchange and excuses both of the clients from the group. The
nurse has demonstrated which leadership style?
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