NUR 256
EXAM 2 STUDY GUIDE
Concepts of Mental Health Nursing
Galen College of Nursing
, Review for Exam 2
Chapter 34: Therapeutic Groups
Characteristics That Influence a Group
o Size
o Defined purpose
o Degree of similarity among members
o Rules (ex: raise hand)
o Boundaries (ex: no negative Nancy’s)
o Content (what is said in the group)
Chart about content covered in session
o Process (underlying dynamics among group members)
Discussion Questions
o Why is it important to know about the characteristics of the group you are
conducting?
Therapeutic Factors Common to All Groups
o Instillation of hope
”this too will pass”
o Universality
Helps pts feel less overwhelming, helps pts feel they are not alone
o Imparting of information
o Altruism (selflessness)
Discussion Question
o Is universality important or necessary?
o Wonder if the strategies or coping mechanisms that are shared by a participant is
maladaptive? How do you handle that situation?
o Development of socializing techniques
o Imitative behavior
o Interpersonal learning
o Group cohesiveness
o Catharsis (strong emotional reaction)
o Existential resolution
Discussion Question
o What do we want the clients in group to achieve?
Phases of Group Development
o Orientation phase
Rules
Expectations
Start and stop time and dates
o Working phase
Relaxation techniques
, o Termination phase
Good luck, The End
Group Member Roles
o Task roles
Make sure we are on task; helps refocus
“3 people were late, we need to focus”
“We have strayed away, we need to refocus”
o Maintenance roles
Group cheerleader; encourages others; involving others in the process
o Individual roles
Persons individually responsibility to respond to groups; meet needs
Group Leadership Responsibilities
o Initiating
Get them going on time
Reiterate the topic or purpose of the meeting
o Maintaining
Keep them on track
o Terminating
Recapitulation
End on time
Styles of Leadership
o Autocratic leader
Do it my way or makes decisions independently
“my way or the highway”
o Democratic leader
Decide how to do it or make decisions as a group
Wants input
Group meetings- democratic leader is the best- makes it challenging for
people to be able to discuss
o Laissez-faire leader
Don’t care how you do or when you do it just have it done on time
Basic Level Registered Nurse
o Psychoeducational groups
o Medication education groups
o Health education groups
o Dual-diagnosis groups
o Symptom-management groups
o Stress-management groups
o Therapeutic community meeting groups
o Support and self-help groups
Advanced Practice Nurse
o Group psychotherapy
o Psychodrama groups
o Dialectical behavior treatment
Dealing with Challenging Member Behaviors
EXAM 2 STUDY GUIDE
Concepts of Mental Health Nursing
Galen College of Nursing
, Review for Exam 2
Chapter 34: Therapeutic Groups
Characteristics That Influence a Group
o Size
o Defined purpose
o Degree of similarity among members
o Rules (ex: raise hand)
o Boundaries (ex: no negative Nancy’s)
o Content (what is said in the group)
Chart about content covered in session
o Process (underlying dynamics among group members)
Discussion Questions
o Why is it important to know about the characteristics of the group you are
conducting?
Therapeutic Factors Common to All Groups
o Instillation of hope
”this too will pass”
o Universality
Helps pts feel less overwhelming, helps pts feel they are not alone
o Imparting of information
o Altruism (selflessness)
Discussion Question
o Is universality important or necessary?
o Wonder if the strategies or coping mechanisms that are shared by a participant is
maladaptive? How do you handle that situation?
o Development of socializing techniques
o Imitative behavior
o Interpersonal learning
o Group cohesiveness
o Catharsis (strong emotional reaction)
o Existential resolution
Discussion Question
o What do we want the clients in group to achieve?
Phases of Group Development
o Orientation phase
Rules
Expectations
Start and stop time and dates
o Working phase
Relaxation techniques
, o Termination phase
Good luck, The End
Group Member Roles
o Task roles
Make sure we are on task; helps refocus
“3 people were late, we need to focus”
“We have strayed away, we need to refocus”
o Maintenance roles
Group cheerleader; encourages others; involving others in the process
o Individual roles
Persons individually responsibility to respond to groups; meet needs
Group Leadership Responsibilities
o Initiating
Get them going on time
Reiterate the topic or purpose of the meeting
o Maintaining
Keep them on track
o Terminating
Recapitulation
End on time
Styles of Leadership
o Autocratic leader
Do it my way or makes decisions independently
“my way or the highway”
o Democratic leader
Decide how to do it or make decisions as a group
Wants input
Group meetings- democratic leader is the best- makes it challenging for
people to be able to discuss
o Laissez-faire leader
Don’t care how you do or when you do it just have it done on time
Basic Level Registered Nurse
o Psychoeducational groups
o Medication education groups
o Health education groups
o Dual-diagnosis groups
o Symptom-management groups
o Stress-management groups
o Therapeutic community meeting groups
o Support and self-help groups
Advanced Practice Nurse
o Group psychotherapy
o Psychodrama groups
o Dialectical behavior treatment
Dealing with Challenging Member Behaviors
