NSG 526 Exam 2 Questions And
Correct Answers| Latest Update
Possible outcomes for patients with Schizophrenia when
conducting a symptom management group - correct answer: -
found that skills training programs produce moderate but
significant improvement in social functioning (ES = 0.52) and
negative symptoms (ES = 0.40) and reduce hospitalization rates
over a 1- to 2-year follow-up period
Reinforcement while conducting group therapy - correct answer: -
Positive behavior is rewarded and motivated. Rules are
established by the therapist that specifies behaviors to be
rewarded. This technique is based largely on behaviorism.
Tokens for example are used to note a reward; accumulated
tokens are then rewarded with an established reward
Silent Sam - correct answer: -With such clients the goal is to find
a way to get all members, especially those who are less verbal, to
participate in all group sessions.
"Mary, we haven't heard from you tonight."
"Mary, I noticed that you haven't said much tonight. How has your
week gone?"
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"Bill has just shared his frustrations with the group. Mary, I know
you've said you felt frustrated insimilar situations. What advice
can you give Bill?" [This example directly targets a silent client by
asking him or her to offer advice or suggestions to another client.]
Late Laura - correct answer: -Although most clients who come late
to groups are aware of their behavior, some fail to understand the
effect their behavior has on the group. Having the group respond
to such clients is more likely to result in changes (e.g., coming to
subsequent groups on time) than is being told they are late by
group leaders. The following responses would be used only with
clients who are repeatedly late or who miss several group
meetings.
"This is the third time Mary has been late. What suggestions can
the group provide to help her get here on time?"
"I'm wondering how others feel about Mary being late for group
several times." [Although this response is more direct than the
first example, open discussion of some issues can increase
members' sensitivity to their own behavior, as well as help them
understand how their behavior affects the entire group.]
Tommie Therapist - correct answer: -Such clients may have been
attending a group for several sessions, or they may have
considerable prior therapy experience. At times, such clients'
interactions in groups will parallel those of a therapist. Although
such advice can sometimes be helpful to group members, on
other occasions the advice can be disruptive or too direct.
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"Bill, your comments have been helpful. Let's see how others view
Mary's concerns."
"Bill, that is one way of looking at how Mary can handle the
situation. What additional options can others offer Mary?"
Chatty Cathy and Monopolizing Mike - correct answer: -Such
clients dominate group discussions. Group leaders need to find
effective ways to interrupt such clients, as they are often unaware
of the impact that their behavior has on the group. A strategy that
group leaders can use when a Chatty Cathy client is talking is to
direct questions to the group as a whole. For example:
"Bill, it sounds like a lot has happened with you this week. I am
wondering what has happened with other group members." (The
group leader then calls on another member.) "Mary, how did your
week go?"
"Mary, you seem to have had a lot going on this past week. Let's
take a look at what's been happening with you for a few more
minutes, and then let's see how others have been doing this past
week."Interrupting IvanThe behavior of such clients in groups is
disruptive, as they frequently interrupt ongoing group discussions.
"We seem to be having an active discussion about [insert topic]
today, but several members are talking at the same time. I'm
wondering how this is affecting the group and what the group
thinks we should do."
"I know we all have important things to say, but we need to
respect each other and let others finish what they are saying
before the next person speaks."
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Resistent Roberta - correct answer: -Clients who feel they are
forced or coerced to attend groups (e.g., by a spouse, probation
officer, employer) are often not happy and, consequently,
participate minimally, if at all.
"Bill, as with many people, it appears that you are upset about
your probation officer telling you that you have to come to
treatment. What suggestions does the group have for Bill?"
"Mary, it sounds like you feel you had no choice in coming to
group and you are angry. Who else with similar experiences can
share with Mary how they've handled such situations?"
Group Dynamics - correct answer: -Group dynamics deals with
the attitudes and behavioral patterns of a group. It can be used as
a means for problem-solving, teamwork, and to become more
innovative and productive as an organization. The concept of
group dynamics will also provide you with the strengths, success
factors, and measures along with other professional tools
Intermittent Explosive Disorder and Piaget's model. - correct
answer: -An inability to resist aggressive urges towards others
with bouts of explosive anger and assault towards others and
their property