Test bank for essentials of psychiatric mental health nursing 5th edition by townsend

PTS: 1 REF: Page: 172 KEY: Cognitive Level: Comprehension | Integrated Process: Nursing Process: Analysis 2.. PTS: 1 REF: Page: 173 KEY: Cognitive Level: Comprehension | Integrated Proce

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Test Bank for Essentials of Psychiatric Mental Health Nursing 5th Edition by Townsend

Essentials of Psychiatric Mental Health Nursing: 5th Edition Test Bank – Townsend

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Sample

Chapter 9: Intervention in Groups

Multiple Response

Identify one or more choices that best complete the statement or answer the

question

1 Which client behaviors would lead a nurse to identify the group member who has assumed the maintenance

role? (Select all that apply.)

A A client decreases conflict within the group by encouraging compromise

B A client offers recognition and acceptance of others

C A client outlines the task at hand and proposes solutions

D A client listens attentively to group interaction

E A client uses the group to gain sympathy from others

2 Which behavioral skills should a nurse implement when leading a group that is functioning in the orientation

phase of group development? (Select all that apply.)

A Encouraging members to provide feedback to each other about individual

progress

B Ensuring that group rules do not interfere with goal fulfillment

C Working with group members to establish rules that will govern the group

D Emphasizing the need for and importance of confidentiality within the group

E Helping the leader to resolve conflicts and foster cohesiveness within the group Multiple Choice

Identify the choice that best completes the statement or answers the question 1 During a therapeutic group, a client talks about personal accomplishments

in an effort to gain attention A

nurse identifies this client as assuming which group role?

A Gatekeeper

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B Recognition seeker

C Dominator

D Elaborator

2 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 Which leadership style has the nurse demonstrated?

A Autocratic

B Democratic

C Laissez-faire

D Bureaucratic

3 In which situation does a nurse leader demonstrate a laissez-faire

leadership style?

A Mandates that all group members reveal an embarrassing personal situation

B Asks for a show of hands to determine group topic preference

C Sits silently as the group members veer away from the assigned topic

D Shuffles through papers to determine the facility policy on length of group 4 During a community meeting, a nurse encourages clients to present unit problems and discuss possible

solutions Which type of leadership style is the nurse demonstrating?

A Democratic

B Autocratic

C Laissez-faire

D Bureaucratic

5 Which situation should a nurse identify as an example of an autocratic leadership style?

A The president of Sigma Theta Tau assigns members to committees to research problems

B Without faculty input, the dean mandates that all course content be delivered via the

Internet

C During a community meeting, a nurse listens as clients generate solutions

D The student nurses’ association advertises for candidates for president

6 A single, pregnant teenager in a parenting class discloses her ambivalence toward the pregnancy and the

subsequent guilt that these thoughts generate A mother of three admits to having felt that way herself Which

of Yalom’s curative group factors does this illustrate?

A Imparting of information

B Instillation of hope

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C Altruism

D Universality

7 A man diagnosed with alcohol dependence experiences his first relapse During his AA meeting, another

group member states, “I relapsed three times, but now have been sober for 15 years.” Which of Yalom’s

curative group factors does this illustrate?

A Imparting of information

B Instillation of hope

C Catharsis

D Universality

8 During a group discussion, members freely interact with each other Which member statement is an example

of Yalom’s curative group factor of imparting of information?

A “I found a Web site explaining the different types of brain tumors and their treatment.”

B “My brother also had a brain tumor and now is completely cured.”

C “I understand your fear and will be by your side during this time.”

D “My mother was also diagnosed with cancer of the brain.”

9 Prayer group members at a local Baptist church are meeting with a poor, homeless family whom they are

supporting Which member statement is an example of Yalom’s curative group factor of altruism?

A “I’ll give you the name of a friend that rents inexpensive rooms.”

B “The last time we helped a family, they got back on their feet and prospered.”

C “I can give you all of my baby clothes for your little one.”

D “I can appreciate your situation I had to declare bankruptcy last year.”

10 During an inpatient educational group, a client shouts out, “This

information is worthless Nothing you have

said can help me.” These statements indicate to a nurse leader that the client is assuming which group role?

A The group role of aggressor

B The group role of initiator

C The group role of gatekeeper

D The group role of blocker

11 A nurse believes that the members of a parenting group are in the initial,

or orientation, phase of group

development Which group behaviors would support this assumption?

A The group members manage conflict within the group

B The group uses denial as part of a grief response

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C The group members compliment the leader and compete for the role of recorder

D The group members initially trust one another and the leader

12 During a group session, which client statement demonstrates that the group has progressed to the middle, or

working, phase of group development?

A “It’s hard for me to tell my story when I’m not sure about the reactions of

others.”

B “I think Joe’s Antabuse suggestion is a good one and might work for me.”

C “My situation is very complex, and I need professional, not peer, advice.”

D “I am really upset that you expect me to solve my own problems.”

13 Which group leader activity should a nurse identify as being most

effective in the final, or termination, phase

of group development?

A The group leader establishes the rules that will govern the group after discharge

B The group leader encourages members to rely on each other for problem

solving

C The group leader presents and discusses the concept of group termination

D The group leader helps the members to process feelings of loss

14 A nursing instructor is teaching students about self-help groups like

Alcoholics Anonymous (AA) Which

student statement indicates that learning has occurred?

A “There is little research to support AA’s effectiveness.”

B “Self-help groups used to be the treatment of choice, but their popularity is waning.”

C “These groups have no external regulation, so clients need to be cautious.”

D “Members themselves run the group, with leadership usually rotating among the members.”

15 Which group function should a nurse identify as helping an extremely withdrawn, paranoid client increase

feelings of security?

A Socialization

B Support

C Empowerment

D Governance

16 When planning group therapy, which configuration should a nurse

identify as most optimal for a therapeutic

group?

A Open-ended membership; circle of chairs; group size of 5 to 10 members

B Open-ended membership; chairs around a table; group size of 10 to 15

members

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C Closed membership; circle of chairs; group size of 5 to 10 members

D Closed membership; chairs around a table; group size of 10 to 15 members 17 During the 6th week of a 10-week parenting skills group, a nurse

observes as several members get into a

heated dispute about spanking As a group, they decide to create a pros-and-cons poster on the use of physical

discipline At this time, what is the role of the group leader?

A To referee the debate

B To adamantly oppose physical disciplining measures

C To redirect the group to a less controversial topic

D To encourage the group to solve the problem collectively

18 A 10-week, prenuptial counseling group composed of five couples is coming to a close At the last group

meeting, a nurse notices that the two most faithful and participative couples are absent When considering

concepts of group development, what might explain the two couples’ behavior?

A They are experiencing problems with termination, leading to feelings of

abandonment

B They did not think any new material would be covered at the last session

C They were angry with the leader for not extending the length of the group

D They were bored with the material covered in the group

19 An experienced psychiatric registered nurse has taken a new position leading groups in a day treatment

program Which group is this nurse most qualified to lead?

A A psychodrama group

B A psychotherapy group

C A parenting group

D A family therapy group

20 A nursing instructor is teaching about psychodrama, a specialized type of therapeutic group Which student

statement indicates that further teaching is necessary?

A “Psychodrama provides a safe setting in which to discuss painful issues.”

B “In psychodrama, the client is the protagonist.”

C “In psychodrama, the client observes actor interactions from the audience.”

D “Psychodrama facilitates resolution of interpersonal conflicts.”

Chapter 9: Intervention in Groups

Answer Section

MULTIPLE RESPONSE

1 ANS: A, B, D

The nurse should identify that a client who decreases conflict within the group,

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offers recognition and

acceptance of others, and listens attentively to group interaction has assumed the role of maintenance There

are member roles within each group Maintenance roles include the compromiser, the encourager, the

follower, the gatekeeper, and the harmonizer

PTS: 1 REF: Page: 172

KEY: Cognitive Level: Comprehension | Integrated Process: Nursing Process: Analysis

2 ANS: B, C, D

During the orientation phase of group development, the nurse leader should work together with members to

establish rules that will govern the group The leader should ensure that group rules

do not interfere with goal

fulfillment and establish the need for and importance of confidentiality within the group Members need to

establish trust and cohesion to move into the working phase

KEY: Cognitive Level: Application | Integrated Process: Nursing Process:

Implementation

MULTIPLE CHOICE

1 ANS: B

The nurse should evaluate that the client is assuming the role of the recognition seeker The recognition

seeker is an individual (personal) role within the group Other individual roles include the aggressor, the

blocker, the dominator, the help seeker, the monopolizer, and the seducer

2 ANS: A

The nurse who excuses clients from the group has demonstrated an autocratic leadership style Autocratic

leaders have personal goals for the group and may withhold information from group members that may

interfere with achievement of their own objective Democratic leaders focus on the members of the group and

group-selected goals Laissez-faire leaders provide no direction to group members PTS: 1 REF: Page: 172

KEY: Cognitive Level: Comprehension | Integrated Process: Nursing Process:

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Implementation

3 ANS: C

The nurse leader who sits silently and allows group members to veer away from the assigned topic is

demonstrating a laissez-faire leadership style This style allows people to do as they please with no direction

from the leader Group members often become frustrated and confused in reaction

to a laissez-faire leadership

style

KEY: Cognitive Level: Comprehension | Integrated Process: Nursing Process: Implementation

4 ANS: A

The nurse who encourages clients to present problems and discuss solutions is demonstrating a democratic

leadership style Democratic leaders share information with group members and promote decision making by

the members of the group The leader provides guidance and expertise as needed PTS: 1 REF: Page: 172

5 ANS: B

The nurse should identify that mandating decisions without consulting the group is considered an autocratic

leadership style Autocratic leadership increases productivity but often reduces morale due to lack of member

input and creativity

6 ANS: D

The scenario is an example of the curative group factor of universality

Universality occurs when individuals

realize that they are not alone in the problems, thoughts, and feelings they are experiencing This realization

reduces anxiety by the support and understanding of others

7 ANS: B

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This scenario is an example of the curative group factor instillation of hope This occurs when members

observe the progress of others in the group with similar problems and begins to believe that personal

problems can also be resolved

8 ANS: A

Yalom’s curative group factor of imparting of information involves sharing

knowledge gained trough formal

instruction as well as by the sharing of advice and suggestions by other group members

9 ANS: C

Yalom’s curative group factor of altruism occurs when group members provide assistance and support to each

other that creates a positive self-image and promotes self-growth Individuals gain self-esteem through mutual

caring and concern

10 ANS: A

The nurse should identify that the client is assuming the group role of the

aggressor The aggressor expresses

negativism and hostility toward others in the group or to the group leader and may use sarcasm in an effort to

degrade the status of others

11 ANS: C

The nurse should anticipate that members in the initial, or orientation, phase of group development often

compliment the leader and compete for the role of recorder Members in this phase have not yet established

trust and have a fear of not being accepted Power struggles may occur as members

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compete for their position

in the group

12 ANS: B

The nurse should determine that group members have progressed to the working phase of group development

when members begin to look to each other instead of to the leader for guidance Group members in the

working phase begin to accept criticism from each other and use it constructively

to create change

Analysis

13 ANS: D

The most effective intervention in the final, or termination, phase of group

development would be for the

group leader to help the members to process feelings of loss The leader should encourage the members to

review the goals and discuss outcomes, reminisce about what has occurred, and encourage members to

provide feedback to each other about progress

14 ANS: D

The student indicates and understanding of self-help groups when stating,

“Member themselves run the group,

with leadership usually rotating among the members.” Nurses may or may not be involved in self-help

groups These groups allow members to talk about feelings and reduce feelings of isolation, while receiving

support from others undergoing similar experiences

Evaluation

15 ANS: B

The nurse should identify that the group function of support would initially help an extremely withdrawn,

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paranoid client increase feelings of security The function of support is to assist the members in gaining a

feeling of security from group involvement

Planning

16 ANS: C

The nurse should identify that the most optimal conditions for a therapeutic group

is one in which the

membership is closed and in which the group size is between 5 to 10 members who are arranged in a circle of

chairs The focus of therapeutic groups is more on relations within the group and the interactions among

group members

KEY: Cognitive Level: Comprehension | Integrated Process: Nursing Process: Planning

17 ANS: D

The role of the group leader is to encourage the group to solve the problem

collectively A democratic

leadership style supports members in their participation and problem solving Members are encouraged to

solve issues that relate to the group cooperatively

Analysis

18 ANS: A

The nurse should determine that the clients’ absence from the final group meeting may indicate that they are

experiencing problems with termination The termination phase of group

development may elicit feelings of

abandonment and anger Successful termination may help members develop skills

to cope with future

unrelated losses

19 ANS: C

A psychiatric registered nurse is qualified to lead a parenting group A parenting group can be classified as

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