Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Explain the purposes that therapeutic groups fulfill. Question 16 Type: MCSA The nurse is planning a psychoeducation group for substance abusers and is conducting selection interviews. Which of the following individuals with substance abuse issues would not be an appropriate member? 1. A client who has attended AA meetings in the past 2. A client who has been court ordered to attend group therapy 3. A client who has recently been promoted to district manager 4. A client who is also being treated for a psychiatric illness Correct Answer: 3 Rationale 1: Major life changes may prevent the clients full and continued participation in the group. The client who has been court ordered to attend group may be in denial but has an external motivation to attend group. Clients being treated for a psychiatric illness and who have attended AA meetings in the past have a history of group involvement and know what to expect from group therapy. Rationale 2: Major life changes may prevent the clients full and continued participation in the group. The client who has been court ordered to attend group may be in denial but has an external motivation to attend group. Clients being treated for a psychiatric illness and who have attended AA meetings in the past have a history of group involvement and know what to expect from group therapy.