Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: Apply the general principles of the Johari Window to create opportunities for change and learning in small groups.

Question 2

Type: MCSA

The nurse facilitating a group session is concerned that the members are hesitant about sharing feelings and experiences. The nurse knows that there is a low level of trust among the group members, which will also determine the level of:

1. Cohesion.

2. Family history.

3. Risk-taking.

4. Uniqueness.

Correct Answer: 3

Rationale 1: Trusting and being trusted are intimately linked to risk-taking. The level of trust among the members of a group determines the extent of risk-taking behavior in the group. The group member who makes a suggestion, discloses an attitude, feeling, experience, or perception, gives feedback, or confronts another member engages in trusting behavior and assumes the risks inherent in trusting. Cohesion is not necessarily linked to trust. Family history and uniqueness are not related to trust.

Rationale 2: Trusting and being trusted are intimately linked to risk-taking. The level of trust among the members of a group determines the extent of risk-taking behavior in the group. The group member who makes a suggestion, discloses an attitude, feeling, experience, or perception, gives feedback, or confronts another member engages in trusting behavior and assumes the risks inherent in trusting. Cohesion is not necessarily linked to trust. Family history and uniqueness are not related to trust.

Rationale 3: Trusting and being trusted are intimately linked to risk-taking. The level of trust among the members of a group determines the extent of risk-taking behavior in the group. The group member who makes a suggestion, discloses an attitude, feeling, experience, or perception, gives feedback, or confronts another member engages in trusting behavior and assumes the risks inherent in trusting. Cohesion is not necessarily linked to trust. Family history and uniqueness are not related to trust.

Rationale 4: Trusting and being trusted are intimately linked to risk-taking. The level of trust among the members of a group determines the extent of risk-taking behavior in the group. The group member who makes a suggestion, discloses an attitude, feeling, experience, or perception, gives feedback, or confronts another member engages in trusting behavior and assumes the risks inherent in trusting. Cohesion is not necessarily linked to trust. Family history and uniqueness are not related to trust.

Global Rationale:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Apply the general principles of the Johari Window to create opportunities for change and learning in small groups.

Question 3

Type: MCSA

The nurse knows the Johari Window is a theoretical tool used to represent:

1. The id and the superego in relation to self-awareness.

2. Depression in family members.

3. A multidimensional model of self.

4. Self-disclosure in relation to others.

Correct Answer: 4

Rationale 1: There are many ways to think about self-awareness. Some theorists have used the image of multiple masks that people wear under a variety of circumstances. Others have written about the true self versus the false self or the good me, the bad me, and the real me. Common to all these concepts is the idea that self-awareness is a complex, multidimensional phenomenon, often contradictory and partly undiscovered. The Johari Awareness Model, often called simply the Johari Window, is a theoretical tool used to represent self-awareness and self-disclosure in relation to other people. Depression, a multidimensional model of self, and the id and superego are not parts of the Johari Window.

Rationale 2: There are many ways to think about self-awareness. Some theorists have used the image of multiple masks that people wear under a variety of circumstances. Others have written about the true self versus the false self or the good me, the bad me, and the real me. Common to all these concepts is the idea that self-awareness is a complex, multidimensional phenomenon, often contradictory and partly undiscovered. The Johari Awareness Model, often called simply the Johari Window, is a theoretical tool used to represent self-awareness and self-disclosure in relation to other people. Depression, a multidimensional model of self, and the id and superego are not parts of the Johari Window.

Rationale 3: There are many ways to think about self-awareness. Some theorists have used the image of multiple masks that people wear under a variety of circumstances. Others have written about the true self versus the false self or the good me, the bad me, and the real me. Common to all these concepts is the idea that self-awareness is a complex, multidimensional phenomenon, often contradictory and partly undiscovered. The Johari Awareness Model, often called simply the Johari Window, is a theoretical tool used to represent self-awareness and self-disclosure in relation to other people. Depression, a multidimensional model of self, and the id and superego are not parts of the Johari Window.

Rationale 4: There are many ways to think about self-awareness. Some theorists have used the image of multiple masks that people wear under a variety of circumstances. Others have written about the true self versus the false self or the good me, the bad me, and the real me. Common to all these concepts is the idea that self-awareness is a complex, multidimensional phenomenon, often contradictory and partly undiscovered. The Johari Awareness Model, often called simply the Johari Window, is a theoretical tool used to represent self-awareness and self-disclosure in relation to other people. Depression, a multidimensional model of self, and the id and superego are not parts of the Johari Window.

Global Rationale:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: Apply the general principles of the Johari Window to create opportunities for change and learning in small groups.

Question 4

Type: MCSA

The nurse mentions to a colleague that yesterdays therapy group was developing cohesion and understands that this is important for:

1. Flexibility.

2. Boundaries.

3. Goal attainment.

4. Communication.

Correct Answer: 3

Rationale 1: A group is cohesive when its members are attracted to it. An attractive group has explicit, mutual, and attainable group goals with clear paths to goal attainment. Flexibility, boundaries, and communication are not dependent on cohesion.

Rationale 2: A group is cohesive when its members are attracted to it. An attractive group has explicit, mutual, and attainable group goals with clear paths to goal attainment. Flexibility, boundaries, and communication are not dependent on cohesion.

Rationale 3: A group is cohesive when its members are attracted to it. An attractive group has explicit, mutual, and attainable group goals with clear paths to goal attainment. Flexibility, boundaries, and communication are not dependent on cohesion.

Rationale 4: A group is cohesive when its members are attracted to it. An attractive group has explicit, mutual, and attainable group goals with clear paths to goal attainment. Flexibility, boundaries, and communication are not dependent on cohesion.

Global Rationale:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: Apply the general principles of the Johari Window to create opportunities for change and learning in small groups.

Question 5

Type: MCSA

The nurse leading a group of inpatient clients observes a client trying to control the group by monopolizing the discussion. The nurse knows this will most likely decrease:

1. Therapeutic alliance.

2. Leader credibility.

3. Cohesion.

4. Power and influence.

Correct Answer: 3

Rationale 1: The unequal distribution of power affects both the task and the maintenance functions of a group. Members who believe they have little influence within the group are unlikely to feel committed to group goals and to the implementation of group decisions. Their dissatisfaction with the group decreases its attractiveness and reduces its cohesion.

Rationale 2: The unequal distribution of power affects both the task and the maintenance functions of a group. Members who believe they have little influence within the group are unlikely to feel committed to group goals and to the implementation of group decisions. Their dissatisfaction with the group decreases its attractiveness and reduces its cohesion.

Rationale 3: The unequal distribution of power affects both the task and the maintenance functions of a group. Members who believe they have little influence within the group are unlikely to feel committed to group goals and to the implementation of group decisions. Their dissatisfaction with the group decreases its attractiveness and reduces its cohesion.

Rationale 4: The unequal distribution of power affects both the task and the maintenance functions of a group. Members who believe they have little influence within the group are unlikely to feel committed to group goals and to the implementation of group decisions. Their dissatisfaction with the group decreases its attractiveness and reduces its cohesion.

Global Rationale:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: Encourage the assumption of appropriate task roles and maintenance roles among members of small groups.

Question 6

Type: MCSA

When planning sessions for a group of battered women, which stage of group development would it be most appropriate for the nurse to lead a discussion regarding legal solutions and alternative living arrangements?

1. Forming

2. Norming

3. Storming

4. Performing

Correct Answer: 4

Rationale 1: During the performing stage, members increase their focus on the task at hand. There is an open exchange of information and the giving and receiving of feedback. In the forming stage, members are reluctant to self-disclose until issues of confidentiality are understood. In the storming phase, communication is more open and authentic, but conflicts that erupt may cause reticence among members to disclose personal feelings. In the norming phase, relationships among members are more open and trusting and cooperation among the members has increased but the rules and expectations are still being negotiated.

Rationale 2: During the performing stage, members increase their focus on the task at hand. There is an open exchange of information and the giving and receiving of feedback. In the forming stage, members are reluctant to self-disclose until issues of confidentiality are understood. In the storming phase, communication is more open and authentic, but conflicts that erupt may cause reticence among members to disclose personal feelings. In the norming phase, relationships among members are more open and trusting and cooperation among the members has increased but the rules and expectations are still being negotiated.

Rationale 3: During the performing stage, members increase their focus on the task at hand. There is an open exchange of information and the giving and receiving of feedback. In the forming stage, members are reluctant to self-disclose until issues of confidentiality are understood. In the storming phase, communication is more open and authentic, but conflicts that erupt may cause reticence among members to disclose personal feelings. In the norming phase, relationships among members are more open and trusting and cooperation among the members has increased but the rules and expectations are still being negotiated.

Rationale 4: During the performing stage, members increase their focus on the task at hand. There is an open exchange of information and the giving and receiving of feedback. In the forming stage, members are reluctant to self-disclose until issues of confidentiality are understood. In the storming phase, communication is more open and authentic, but conflicts that erupt may cause reticence among members to disclose personal feelings. In the norming phase, relationships among members are more open and trusting and cooperation among the members has increased but the rules and expectations are still being negotiated.

Global Rationale:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: Encourage the assumption of appropriate task roles and maintenance roles among members of small groups.

Question 7

Type: MCSA

An inpatient group has decided to focus on developing better communication skills. Each member will practice initiating a conversation with a partner while a third member observes the interaction and provide feedback. Which stage of group development best describes these actions?

1. Performing

2. Forming

3. Norming

4. Storming

Correct Answer: 3

Rationale 1: During the norming stage, the group settles on specific ruleshow discussions take place, how decisions will be made, how the labor in the group is to be divided, and how goals, roles, and expectations are negotiated.

Rationale 2: During the norming stage, the group settles on specific ruleshow discussions take place, how decisions will be made, how the labor in the group is to be divided, and how goals, roles, and expectations are negotiated.

Rationale 3: During the norming stage, the group settles on specific ruleshow discussions take place, how decisions will be made, how the labor in the group is to be divided, and how goals, roles, and expectations are negotiated.

Rationale 4: During the norming stage, the group settles on specific ruleshow discussions take place, how decisions will be made, how the labor in the group is to be divided, and how goals, roles, and expectations are negotiated.

Global Rationale:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub: