EXPLORED ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING EXAM QUESTIONS AND ANSWERS

EXPLORED ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING EXAM QUESTIONS AND ANSWERS The spouse of a client says, "My wife has been depressed for the last 2 months due to emotional stress at work." Which type of group does the nurse expect will be beneficial for this client? - CORRECT ANSWER -Therapeutic groups Nicole is the nurse leader of a childbirth preparation group. Each week, she shows various films and sets out various reading materials. She expects the participants to utilize their time on a topic of their choice or practice skills they have observed on the films. Two couples have dropped out of the group, stating, "This is a big waste of time." Which type of group and style of leadership is described in this situation? - CORRECT ANSWER -Teaching; laissez-faire Eric is a staff nurse on a surgical unit. He has been selected as leader of a newly established group of staff nurses organized to determine ways to decrease the number of medication errors occurring on the unit. Eric has definite ideas about how to bring this about. He has also applied for the position of Head Nurse on the unit and believes that if he is successful in leading the group toward achievement of its goals, he can also facilitate his chances for promotion. At each meeting, he addresses the group in an effort to convince the members to adopt his ideas. Which type of group and style of leadership is described in this situation? - CORRECT ANSWER -Task; autocratic Aisha is a psychiatric nurse who has been selected to lead a group for women who desire to lose weight. The criterion for membership is that they must be at least 20 pounds overweight. All have tried to lose weight on their own many times in the past without success. At their first meeting, Aisha provides suggestions as the members determine what their goals will be and how they plan to achieve those goals. They decide how often they want to meet and what they plan to do at each meeting. Which type of group and style of leadership is described in this situation? - CORRECT ANSWER -Supportivetherapeutic; democratic The nurse leader is explaining about group "therapeutic factors" to members of the group. She tells the members that group situations are beneficial because members can see that they are not alone in their experiences. This is an example of which therapeutic factor? - CORRECT ANSWER -Universality Carol is the nurse leader of a bereavement group for widows. Nancy is a new member. She listens to the group and learns that Jane has been a widow for 5 years. Jane has adjusted well, and Nancy thinks maybe she can too. This is an example of which therapeutic factor? - CORRECT ANSWER -Installation of hope Paul is a member of an anger management group. He knew that people did not want to be his friend because of his violent temper. In the group, he has learned to control his temper and form satisfactory interpersonal relationships with others. This is an example of which therapeutic factor? - CORRECT ANSWER -Development of socializing techniques Benjamin is a member of an Alcoholics Anonymous group. He learned about the effects of alcohol on the body when a nurse from the chemical dependency unit spoke to the group. This is an example of which therapeutic factor? - CORRECT ANSWER -Imparting of information Sandra is the nurse leader of a supportive-therapeutic group for individuals with anxiety disorders. In this group, Helen talks incessantly. When someone else tries to make a comment, Helen refuses to allow him or her to speak. What type of member role is Helen assuming in this group? - CORRECT ANSWER - Monopolizer Sandra is the nurse leader of a supportive-therapeutic group for individuals with anxiety disorders. On the first day the group meets, Valerie speaks first and begins by sharing the intimate details of her incestuous relationship with her father. What type of member role is Valerie assuming in this group? - CORRECT ANSWER -Seducer Sandra is the nurse leader of a supportive-therapeutic group for individuals with anxiety disorders. Violet, who lacks self-confidence, states to the group, "Maybe if I became a blond, my boyfriend would love me more." Larry responds, "Listen, dummy, you need more than blond hair to keep the guy around. A bit more in the brains department would help!" What type of member role is Larry assuming in this group? - CORRECT ANSWER -Aggressor The nurse is caring for a client who has a history of violence. The nurse, along with other staff members, is trying to restrain the client in the seclusion room. Which group function do the staff members exhibit along with the nurse? - CORRECT ANSWER -Task completion Which statement made by the student nurse indicates effective teaching regarding the autocratic leadership style? - CORRECT ANSWER -"The leaders have personal goals for the group." Which member enhances group process by listening attentively to the group interaction? - CORRECT ANSWER -Follower Which is the role of an aggressor in a group? - CORRECT ANSWER -Expressing negativism and opposition toward other members During a group interaction, a member of the group is encouraging all the members to participate in the interaction. Which role is the member playing? - CORRECT ANSWER -Gatekeeper The nurse recommends that a client with severe depression be a part of a supportive group. Which statement from the client indicates that the nurse's recommendation is effective? - CORRECT ANSWER - "Now I am able to deal with emotional stress." Which statement made by the student nurse indicates effective learning regarding therapeutic groups? - CORRECT ANSWER -"The therapeutic group improves group relations and interactions between the members of the group." While caring for a therapeutic group of Alzheimer's clients, the nurse finds that one of the members in the group is manipulating others to gain control. Which therapeutic group member role does the client's behavior reflect? - CORRECT ANSWER -Dominator Which happens in the corrective recapitulation of the primary family group during a family therapy? - CORRECT ANSWER -Reexperience early family conflicts that have remained unsolved Which statement made by the student nurse indicates effective learning regarding phase I of group development? - CORRECT ANSWER -"Pecking order is observed during phase I of group development." After a group therapy session, a client tells the nurse, "I am playing a key role in the success of the group." Which curative factor is reflected in the client's statement? - CORRECT ANSWER -Group cohesiveness Which action by the group members indicates normative function? - CORRECT ANSWER -Adhering to standards The nurse with a laissez-faire leadership style is leading a support group in the psychiatric unit. Which characteristics would be present within this group? Select all that apply. - CORRECT ANSWER -Group cohesiveness is low. Member participation is inconsistent Which occurs during the initial, or orientation, phase of group development? Select all that apply. - CORRECT ANSWER -The leader orients members to group processes. Goals of the group are established. Leader and members establish rules to govern the group. Rationales