Chapter 31: Therapeutic Groups

MULTIPLE CHOICE 1. Which question should a nurse pose initially to a patient being considered for inclusion into a therapeutic group that focuses on the management of bipolar disorder? a. “Do you find it difficult to talk to people about your manic periods?” b. “Can you share with me what it is you hope to gain from this group?” c. “Can you tell me how this diagnosis has affected your daily life?” d. “What is your opinion about joining a therapeutic group?” ANS: D A screening interview for a therapeutic group is conducted to assess the candidate‟s eligibility for inclusion into the group. Determining whether the patient has any preconceived opinions about such a therapeutic environment would be the initial appropriate action.DIF: Cognitive Level: Application REF: Text Page: 621 TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity 2. Which statement should a nurse make in the orientation stage of the initial phase of a therapeutic group? a. “I‟d like to take this opportunity to review the goals for this group.” b. “You all are experiencing similar challenges, and this group will help you develop a support network.” c. “The group is about sharing both your challenges and your successes with each other.” d. “Please be sure to attend as many meetings as possible; it is important that you be here for yourself and the group.” ANS: A In the orientation stage, the group‟s facilitator clarifies the group‟s primary tasks and helps the group to agree to the contracted goals. The remaining options are discussed in other phases once the patient has agreed to the initial terms. DIF: Cognitive Level: Analysis REF: Text Pages: 621-622 TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity