Unit III Mental Health Test Bank (Correct Answer)
questions and 100% verified correct
10.1. During a therapeutic group, a client talks about personal accomplishments in an
effort to gain attention. Which group role, assumed by this client, should the nurse
identify? - Correct Answer ANSWER: B. The individual role of recognition seeker
RATIONALE: The nurse should evaluate that the client is assuming the individual role of
the recognition seeker. Other individual roles include the aggressor, the blocker, the
dominator, the help seeker, the monopolizer, and the seducer.
10.2. During a therapeutic group, two clients engage in an angry verbal exchange. The
nurse leader interrupts the exchange and excuses both of the clients from the group.
The nurse has demonstrated which leadership style? - Correct Answer ANSWER: A.
Autocratic
RATIONALE: The nurse who excuses clients from the group has demonstrated an
autocratic leadership style. An autocratic leadership style may be useful in certain
situations that require structure and limit-setting. Democratic leaders focus on the
members of the group and group-selected goals. Laissez-faire leaders provide no
direction to group members.
10.3. During a therapeutic group, which nursing action demonstrates a laissez-faire
leadership style? - Correct Answer ANSWER: C. The nurse sits silently as the group
members stray from the assigned topic.
RATIONALE: The nurse leader who sits silently and allows group members to stray
from the assigned topic is demonstrating a laissez-faire leadership style. This style
allows group members to do as they please with no direction from the leader. Group
members often become frustrated and confused in reaction to a laissez-faire leadership
style.
10.4. During a community meeting, a nurse encourages clients to present unit problems
and discuss possible solutions. Which type of leadership style is the nurse
demonstrating? - Correct Answer ANSWER: A. Democratic
RATIONALE: The nurse who encourages clients to present problems and discuss
solutions is demonstrating a democratic leadership style. Democratic leaders share
information with group members and promote decision making by the members of the
group. The leader provides guidance and expertise as needed.
10.5. Which situation should a nurse identify as an example of an autocratic leadership
style? - Correct Answer ANSWER: B. Without faculty input, the dean mandates that all
course content be delivered via the Internet.
,RATIONALE: The nurse should identify that mandating decisions without consulting the
group is considered an autocratic leadership style. Autocratic leadership increases
productivity but often reduces morale and motivation due to lack of member input and
creativity.
10.6. A single, pregnant teenager in a parenting class discloses her ambivalence toward
the pregnancy and the subsequent guilt that these thoughts generate. A mother of three
admits to having felt that way herself. Which of Yaloms curative group factors does this
illustrate? - Correct Answer ANSWER: D. Universality
RATIONALE: The scenario is an example of the curative group factor of universality.
Universality occurs when individuals realize that they are not alone in the problems,
thoughts, and feelings they are experiencing. This realization reduces anxiety by the
support and understanding of others.
10.7. A man diagnosed with alcohol dependence experiences his first relapse. During
his AA meeting, another group member states, I relapsed three times, but now have
been sober for 15 years. Which of Yaloms curative group factors does this illustrate? -
Correct Answer ANSWER: B. Instillation of hope
RATIONALE: This scenario is an example of the curative group factor of instillation of
hope. This occurs when members observe the progress of others in the group with
similar problems and begin to believe that personal problems can also be resolved.
10.8. During a group discussion, members freely interact with each other. Which
member statement is an example of Yaloms curative group factor of imparting
information? - Correct Answer ANSWER: A. I found a Web site explaining the different
types of brain tumors and their treatment.
RATIONALE: Yaloms curative group factor of imparting information involves sharing
knowledge gained through formal instruction as well as by advice and suggestions
given by other group members.
10.9. Prayer group members at a local Baptist church are meeting with a poor,
homeless family they are supporting. Which member statement is an example of
Yaloms curative group factor of altruism? - Correct Answer ANSWER: C. I can give you
all of my baby clothes for your little one.
RATIONALE: Yaloms curative group factor of altruism occurs when group members
provide assistance and support to each
other, creating a positive self-image and promoting self-growth. Individuals increase
self-esteem through
mutual caring and concern.
10.10. During an inpatient educational group, a client shouts out, This information is
worthless. Nothing you have said can help me. These statements indicate to the nurse
,leader that the client is assuming which group role? - Correct Answer ANSWER: A. The
group role of aggressor
RATIONALE: The nurse should identify that the client is assuming the group role of the
aggressor. The aggressor expresses negativism and hostility toward others in the group
or to the group leader and may use sarcasm in an effort to degrade the status of others.
10.11. A nurse believes that the members of a parenting group are in the initial, or
orientation, phase of group development. Which group behaviors would support this
assumption? - Correct Answer ANSWER: C. The group members compliment the
leader and compete for the role of recorder.
RATIONALE: The nurse should anticipate that members in the initial, or orientation,
phase of group development often compliment the leader and compete for the role of
recorder. Members in this phase have not yet established trust and have a fear of not
being accepted. Power struggles may occur as members compete for their position in
the group.
10.12. During a group session, which client statement demonstrates that the group has
progressed to the middle, or working, phase of group development? - Correct Answer
ANSWER: B. I think Joe's Antabuse suggestion is a good one and might work for me.
RATIONALE: The nurse should determine that group members have progressed to the
working phase of group development when members begin to look to each other
instead of to the leader for guidance. Group members in the working phase begin to
accept criticism from each other and then use it constructively to foster change.
10.13. Which group leader activity should a nurse identify as being most important in
the final, or termination, phase of group development? - Correct Answer ANSWER: D.
The group leader helps the members to process feelings of loss.
RATIONALE: The most effective intervention in the final, or termination, phase of group
development would be for the group leader to help the members to process feelings of
loss. The leader should encourage the members to review the goals and discuss
outcomes, reminisce about what has occurred, and encourage members to provide
feedback to each other about progress.
10.14. A nursing instructor is teaching students about self-help groups like Alcoholics
Anonymous (AA). Which student statement indicates that learning has occurred? -
Correct Answer ANSWER: D. Members themselves run the group, with leadership
usually rotating among the members.
RATIONALE: The student indicates an understanding of self-help groups when stating,
Members themselves run the group, with leadership usually rotating among the
members. Nurses may or may not be involved in self-help groups. These groups allow
, members to talk about feelings and reduce feelings of isolation, while receiving support
from others undergoing similar experiences.
10.15. The nurse should utilize which group function to help an extremely withdrawn,
paranoid client increase feelings of security? - Correct Answer ANSWER: B. Support
RATIONALE: The nurse should identify that the group function of support would help an
extremely withdrawn, paranoid client increase feelings of security. Support assists
group members in gaining a feeling of security from group involvement.
10.16. When planning group therapy, a nurse should identify which configuration as
most optimal for a therapeutic group? - Correct Answer ANSWER: C. Closed
membership; circle of chairs; group size of 5 to 10 members
RATIONALE: The nurse should identify that the most optimal conditions for a
therapeutic group are when the membership is closed and the group size is between 5
and 10 members who are arranged in a circle of chairs. The focus of therapeutic groups
is on relationships within the group and the interactions among group members.
10.17. During the sixth week of a 10-week parenting skills group, a nurse observes as
several members get into a heated dispute about spanking. As a group, they decide to
create a pros-and-cons poster on the use of physical discipline. At this time, what is the
role of the group leader? - Correct Answer ANSWER: D. To encourage the group to
solve the problem collectively
RATIONALE: The role of the group leader is to encourage the group to solve the
problem collectively. A democratic
leadership style supports members in their participation and problem-solving. Members
are encouraged to cooperatively solve issues that relate to the group.
10.18. A 10-week, prenuptial counseling group composed of five couples is terminating.
At the last group meeting, a nurse notices that the two most faithful and participative
couples are absent. When considering concepts of group development, what might
explain this behavior? - Correct Answer ANSWER: A. They are experiencing problems
with termination, leading to feelings of abandonment.
RATIONALE: The nurse should determine that the clients absence from the final group
meeting may indicate that they are experiencing problems with termination. The
termination phase of group development may elicit feelings of abandonment and anger.
Successful termination may help members develop skills to cope with future unrelated
losses.
10.19. An experienced psychiatric registered nurse has taken a new position leading
groups in a day treatment program. Without further education, which group is this nurse
most qualified to lead? - Correct Answer ANSWER: C. A parenting group
questions and 100% verified correct
10.1. During a therapeutic group, a client talks about personal accomplishments in an
effort to gain attention. Which group role, assumed by this client, should the nurse
identify? - Correct Answer ANSWER: B. The individual role of recognition seeker
RATIONALE: The nurse should evaluate that the client is assuming the individual role of
the recognition seeker. Other individual roles include the aggressor, the blocker, the
dominator, the help seeker, the monopolizer, and the seducer.
10.2. During a therapeutic group, two clients engage in an angry verbal exchange. The
nurse leader interrupts the exchange and excuses both of the clients from the group.
The nurse has demonstrated which leadership style? - Correct Answer ANSWER: A.
Autocratic
RATIONALE: The nurse who excuses clients from the group has demonstrated an
autocratic leadership style. An autocratic leadership style may be useful in certain
situations that require structure and limit-setting. Democratic leaders focus on the
members of the group and group-selected goals. Laissez-faire leaders provide no
direction to group members.
10.3. During a therapeutic group, which nursing action demonstrates a laissez-faire
leadership style? - Correct Answer ANSWER: C. The nurse sits silently as the group
members stray from the assigned topic.
RATIONALE: The nurse leader who sits silently and allows group members to stray
from the assigned topic is demonstrating a laissez-faire leadership style. This style
allows group members to do as they please with no direction from the leader. Group
members often become frustrated and confused in reaction to a laissez-faire leadership
style.
10.4. During a community meeting, a nurse encourages clients to present unit problems
and discuss possible solutions. Which type of leadership style is the nurse
demonstrating? - Correct Answer ANSWER: A. Democratic
RATIONALE: The nurse who encourages clients to present problems and discuss
solutions is demonstrating a democratic leadership style. Democratic leaders share
information with group members and promote decision making by the members of the
group. The leader provides guidance and expertise as needed.
10.5. Which situation should a nurse identify as an example of an autocratic leadership
style? - Correct Answer ANSWER: B. Without faculty input, the dean mandates that all
course content be delivered via the Internet.
,RATIONALE: The nurse should identify that mandating decisions without consulting the
group is considered an autocratic leadership style. Autocratic leadership increases
productivity but often reduces morale and motivation due to lack of member input and
creativity.
10.6. A single, pregnant teenager in a parenting class discloses her ambivalence toward
the pregnancy and the subsequent guilt that these thoughts generate. A mother of three
admits to having felt that way herself. Which of Yaloms curative group factors does this
illustrate? - Correct Answer ANSWER: D. Universality
RATIONALE: The scenario is an example of the curative group factor of universality.
Universality occurs when individuals realize that they are not alone in the problems,
thoughts, and feelings they are experiencing. This realization reduces anxiety by the
support and understanding of others.
10.7. A man diagnosed with alcohol dependence experiences his first relapse. During
his AA meeting, another group member states, I relapsed three times, but now have
been sober for 15 years. Which of Yaloms curative group factors does this illustrate? -
Correct Answer ANSWER: B. Instillation of hope
RATIONALE: This scenario is an example of the curative group factor of instillation of
hope. This occurs when members observe the progress of others in the group with
similar problems and begin to believe that personal problems can also be resolved.
10.8. During a group discussion, members freely interact with each other. Which
member statement is an example of Yaloms curative group factor of imparting
information? - Correct Answer ANSWER: A. I found a Web site explaining the different
types of brain tumors and their treatment.
RATIONALE: Yaloms curative group factor of imparting information involves sharing
knowledge gained through formal instruction as well as by advice and suggestions
given by other group members.
10.9. Prayer group members at a local Baptist church are meeting with a poor,
homeless family they are supporting. Which member statement is an example of
Yaloms curative group factor of altruism? - Correct Answer ANSWER: C. I can give you
all of my baby clothes for your little one.
RATIONALE: Yaloms curative group factor of altruism occurs when group members
provide assistance and support to each
other, creating a positive self-image and promoting self-growth. Individuals increase
self-esteem through
mutual caring and concern.
10.10. During an inpatient educational group, a client shouts out, This information is
worthless. Nothing you have said can help me. These statements indicate to the nurse
,leader that the client is assuming which group role? - Correct Answer ANSWER: A. The
group role of aggressor
RATIONALE: The nurse should identify that the client is assuming the group role of the
aggressor. The aggressor expresses negativism and hostility toward others in the group
or to the group leader and may use sarcasm in an effort to degrade the status of others.
10.11. A nurse believes that the members of a parenting group are in the initial, or
orientation, phase of group development. Which group behaviors would support this
assumption? - Correct Answer ANSWER: C. The group members compliment the
leader and compete for the role of recorder.
RATIONALE: The nurse should anticipate that members in the initial, or orientation,
phase of group development often compliment the leader and compete for the role of
recorder. Members in this phase have not yet established trust and have a fear of not
being accepted. Power struggles may occur as members compete for their position in
the group.
10.12. During a group session, which client statement demonstrates that the group has
progressed to the middle, or working, phase of group development? - Correct Answer
ANSWER: B. I think Joe's Antabuse suggestion is a good one and might work for me.
RATIONALE: The nurse should determine that group members have progressed to the
working phase of group development when members begin to look to each other
instead of to the leader for guidance. Group members in the working phase begin to
accept criticism from each other and then use it constructively to foster change.
10.13. Which group leader activity should a nurse identify as being most important in
the final, or termination, phase of group development? - Correct Answer ANSWER: D.
The group leader helps the members to process feelings of loss.
RATIONALE: The most effective intervention in the final, or termination, phase of group
development would be for the group leader to help the members to process feelings of
loss. The leader should encourage the members to review the goals and discuss
outcomes, reminisce about what has occurred, and encourage members to provide
feedback to each other about progress.
10.14. A nursing instructor is teaching students about self-help groups like Alcoholics
Anonymous (AA). Which student statement indicates that learning has occurred? -
Correct Answer ANSWER: D. Members themselves run the group, with leadership
usually rotating among the members.
RATIONALE: The student indicates an understanding of self-help groups when stating,
Members themselves run the group, with leadership usually rotating among the
members. Nurses may or may not be involved in self-help groups. These groups allow
, members to talk about feelings and reduce feelings of isolation, while receiving support
from others undergoing similar experiences.
10.15. The nurse should utilize which group function to help an extremely withdrawn,
paranoid client increase feelings of security? - Correct Answer ANSWER: B. Support
RATIONALE: The nurse should identify that the group function of support would help an
extremely withdrawn, paranoid client increase feelings of security. Support assists
group members in gaining a feeling of security from group involvement.
10.16. When planning group therapy, a nurse should identify which configuration as
most optimal for a therapeutic group? - Correct Answer ANSWER: C. Closed
membership; circle of chairs; group size of 5 to 10 members
RATIONALE: The nurse should identify that the most optimal conditions for a
therapeutic group are when the membership is closed and the group size is between 5
and 10 members who are arranged in a circle of chairs. The focus of therapeutic groups
is on relationships within the group and the interactions among group members.
10.17. During the sixth week of a 10-week parenting skills group, a nurse observes as
several members get into a heated dispute about spanking. As a group, they decide to
create a pros-and-cons poster on the use of physical discipline. At this time, what is the
role of the group leader? - Correct Answer ANSWER: D. To encourage the group to
solve the problem collectively
RATIONALE: The role of the group leader is to encourage the group to solve the
problem collectively. A democratic
leadership style supports members in their participation and problem-solving. Members
are encouraged to cooperatively solve issues that relate to the group.
10.18. A 10-week, prenuptial counseling group composed of five couples is terminating.
At the last group meeting, a nurse notices that the two most faithful and participative
couples are absent. When considering concepts of group development, what might
explain this behavior? - Correct Answer ANSWER: A. They are experiencing problems
with termination, leading to feelings of abandonment.
RATIONALE: The nurse should determine that the clients absence from the final group
meeting may indicate that they are experiencing problems with termination. The
termination phase of group development may elicit feelings of abandonment and anger.
Successful termination may help members develop skills to cope with future unrelated
losses.
10.19. An experienced psychiatric registered nurse has taken a new position leading
groups in a day treatment program. Without further education, which group is this nurse
most qualified to lead? - Correct Answer ANSWER: C. A parenting group
