NURS NR FINAL PRACTICE EXAM QUESTIONS WITH COMPLETE
SOLUTIONS GRADED A+
216 Chapter 10 Working with Groups of Patients
1. A psychiatric nurse clinician on an inpatient unit plan to lead a special-problems group for withdrawn patients.
Which information will be of most assistance as the nurse prepares for this assignment?
a. Inpatient groups rarely have a lasting beneficial effect.
b. Inpatient groups have short-term, goal-oriented sessions.
c. Inpatient groups are helpful for patients with verbal skills.
d. Inpatient groups facilitate insight into deeply rooted life issues.
Rationale: Because inpatient stays are so short and accountability is a major treatment issue, inpatient groups typically have
short-term, goal-oriented sessions designed to teach patients more adaptive strategies for coping with life’s problems.
Beneficial effects are often lasting. Patients with or without verbal skills may be helped by selected types of groups. Insight-
oriented therapy is conducted on an outpatient basis and usually occurs over the long term.
2. A patient in a support group says, “I’m tired of being sick. Everyone always helps me, but I’ll be glad when I can
help someone else.” This statement reflects:
a. altruism.
b. universality.
c. cohesiveness.
d. corrective recapitulation.
Rationale: Altruism refers to the experience of being helpful or useful to others, a condition that the patient anticipates will
happen. The other options are also therapeutic factors identified by Yalom.
3. A positive outcome from attending a special-problems group is evidenced by which statement by a patient?
a. “You’re a great group leader and kept things moving smoothly.”
b. “This experience wasn’t as bad as I thought it would be.”
c. “I rely on the group to help me make decisions.”
d. “I learned how my anger affects other people.”
Rationale: Learning more about one’s behavior and its effects on others is an appropriate outcome for group therapy. The other
options do not reflect patient growth.
4. After attending a group, which statement by a patient shows evidence of benefits associated with universality?
a. “I’ve learned to identify my anxious feelings.”
b. “The group really gave me the support to change.”
c. “I’ve learned that I can be helpful to others.”
d. “My problems are not unique. I’m not alone.”
Rationale: Universality refers to patients’ realization that they are not alone and unique, and that others experience similar
problems, feelings, and concerns. The remaining options do not reflect that sense of belonging.
5. Which intervention would be most appropriate for the nurse to use when conducting a maintenance group?
a. Helping patients identify better coping strategies
b. Accepting, empathizing, and showing concern
c. Asking patients to identify topics for the group
d. Confronting ingrained behaviors and defenses
Rationale: Support means accepting, empathizing, and showing concern while listening and talking with patients. The nurse’s
This study source was downloaded by 100000854279382 from CourseHero.com on 05-27-2023 11:52:24 GMT -05:00
https://www.coursehero.com/file/198534043/216-Chapter-10-Working-with-Groups-of-Patientsdocx/
, focus is on responding to patients’ needs. Maintenance and support groups have the purpose of reinforcing or maintaining
existing strengths, rather than confronting or changing behaviors, which makes identification of better coping strategies and
confronting ingrained behaviors and defenses less acceptable answers. Sessions are usually structured and goal-oriented, so
patients might not be offered the opportunity to talk about any topic of their choice.
6. An anxious, withdrawn patient is experiencing auditory hallucinations. This patient could benefit most at this time
from participation in:
a. a recreation group.
b. an insight-oriented group.
c. a reality orientation group.
d. a stress management group.
This study source was downloaded by 100000854279382 from CourseHero.com on 05-27-2023 11:52:24 GMT -05:00
https://www.coursehero.com/file/198534043/216-Chapter-10-Working-with-Groups-of-Patientsdocx/
SOLUTIONS GRADED A+
216 Chapter 10 Working with Groups of Patients
1. A psychiatric nurse clinician on an inpatient unit plan to lead a special-problems group for withdrawn patients.
Which information will be of most assistance as the nurse prepares for this assignment?
a. Inpatient groups rarely have a lasting beneficial effect.
b. Inpatient groups have short-term, goal-oriented sessions.
c. Inpatient groups are helpful for patients with verbal skills.
d. Inpatient groups facilitate insight into deeply rooted life issues.
Rationale: Because inpatient stays are so short and accountability is a major treatment issue, inpatient groups typically have
short-term, goal-oriented sessions designed to teach patients more adaptive strategies for coping with life’s problems.
Beneficial effects are often lasting. Patients with or without verbal skills may be helped by selected types of groups. Insight-
oriented therapy is conducted on an outpatient basis and usually occurs over the long term.
2. A patient in a support group says, “I’m tired of being sick. Everyone always helps me, but I’ll be glad when I can
help someone else.” This statement reflects:
a. altruism.
b. universality.
c. cohesiveness.
d. corrective recapitulation.
Rationale: Altruism refers to the experience of being helpful or useful to others, a condition that the patient anticipates will
happen. The other options are also therapeutic factors identified by Yalom.
3. A positive outcome from attending a special-problems group is evidenced by which statement by a patient?
a. “You’re a great group leader and kept things moving smoothly.”
b. “This experience wasn’t as bad as I thought it would be.”
c. “I rely on the group to help me make decisions.”
d. “I learned how my anger affects other people.”
Rationale: Learning more about one’s behavior and its effects on others is an appropriate outcome for group therapy. The other
options do not reflect patient growth.
4. After attending a group, which statement by a patient shows evidence of benefits associated with universality?
a. “I’ve learned to identify my anxious feelings.”
b. “The group really gave me the support to change.”
c. “I’ve learned that I can be helpful to others.”
d. “My problems are not unique. I’m not alone.”
Rationale: Universality refers to patients’ realization that they are not alone and unique, and that others experience similar
problems, feelings, and concerns. The remaining options do not reflect that sense of belonging.
5. Which intervention would be most appropriate for the nurse to use when conducting a maintenance group?
a. Helping patients identify better coping strategies
b. Accepting, empathizing, and showing concern
c. Asking patients to identify topics for the group
d. Confronting ingrained behaviors and defenses
Rationale: Support means accepting, empathizing, and showing concern while listening and talking with patients. The nurse’s
This study source was downloaded by 100000854279382 from CourseHero.com on 05-27-2023 11:52:24 GMT -05:00
https://www.coursehero.com/file/198534043/216-Chapter-10-Working-with-Groups-of-Patientsdocx/
, focus is on responding to patients’ needs. Maintenance and support groups have the purpose of reinforcing or maintaining
existing strengths, rather than confronting or changing behaviors, which makes identification of better coping strategies and
confronting ingrained behaviors and defenses less acceptable answers. Sessions are usually structured and goal-oriented, so
patients might not be offered the opportunity to talk about any topic of their choice.
6. An anxious, withdrawn patient is experiencing auditory hallucinations. This patient could benefit most at this time
from participation in:
a. a recreation group.
b. an insight-oriented group.
c. a reality orientation group.
d. a stress management group.
This study source was downloaded by 100000854279382 from CourseHero.com on 05-27-2023 11:52:24 GMT -05:00
https://www.coursehero.com/file/198534043/216-Chapter-10-Working-with-Groups-of-Patientsdocx/
