All nurses receive information about patient teaching strategies and basic information about psychotropic medications, making a medication education group a logical group for a beginner to conduct. The other groups would need a leader with more education and experience. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 34-8, 22 (Table 34-4), 23 (Table 34-5) TOP: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity
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MULTIPLE RESPONSE 1. The next-to-last meeting of an interpersonal therapy group is taking place. The leader should
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take which actions? (Select all that apply.) a. Support appropriate expressions of disagreement by the group’s members. b. Facilitate discussion and resolution of feelings about the end of the group. c. Encourage members to reflect on their progress and that of the group itself. d. Remind members of the group’s norms and rules, emphasizing confidentiality. e. Help members identify goals they would like to accomplish after the group ends. f. Promote the identification and development of new options for solving problems. ANS: B, C, E
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The goals for the termination phase of groups are to prepare the group for separation, resolve related feelings, and prepare each member for the future. Contributions and accomplishments of members are elicited, post-group goals are identified, and feelings about the group’s ending are discussed. Group norms are the focus of the orientation phase, and conflict and problem solving are emphasized in the working phase.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 34-6, 7, 18 (Table 34-1), 26 (Table 34-6) TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity 2. A leader begins the discussion at the first meeting of a new group. Which comments should be
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included? (Select all that apply.) a. “We use groups to provide treatment because it’s a more cost-effective use of staff in this time of budget constraints.” b. “When someone shares a personal experience, it’s important to keep the information confidential.” c. “Talking to family members about our group discussions will help us achieve our goals.” d. “Everyone is expected to share a personal experience at each group meeting.” e. “It is important for everyone to arrive on time for our group.” ANS: B, E
The leader must set ground rules for the group before members can effectively participate. Confidentiality of personal experiences should be maintained. Arriving on time is important to the group process. Talking to family members would jeopardize confidentiality. While groups are cost-effective, blaming the budget would not help members feel valued. Setting an expectation to share may be intimidating for a withdrawn patient. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 34-6, 7, 26 (Table 34-6) TOP: Nursing Process: Implementation
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