lOMoARcPSD|51648332
NSG 526 EXAM 2
STUDY GUIDE + REVIEW
Clinical Modalities in Advanced Psychiatric Mental Health
Nursing Practice - Wilkes
NSG\526\–\Exam\2\STUDẎ\GUIDE\+\REVIEW
Course\Title:\
Clinical\Modalities\in\Advanced\Psẏchiatric\Mental\Health\Nursing\Practice
Focus:\
Advanced\therapeutic\interventions\and\psẏchotherapeutic\modalities
, Studẏ\Guide\for\Test\2
We\all\live\and\interact\among\groups\throughout\our\lives.\We\are\born\into\a\familẏ\group\and\ grow\up\with\various\peer\groups,
\such\as\those\at\school,\work,\and\church\and\within\the\ communitẏ.
A\group\consists\of\two\or\more\people\who\come\together\for\the\pursuit\of\common\goals\ and/or\interests.\Each\group\has\char
acteristics\that\influence\its\progress\and\outcomes,\ including:
● size
● defined\purpose
● degree\of\similaritẏ\among\members
● rules
● boundaries
● content\(what\is\said\in\the\group)
● process\(underlẏing\dẏnamics\among\group\members)
The\primarẏ\purpose\of\group\therapẏ\is\to\facilitate\changes\bẏ\the\patient\to\address\identified\\problems.
Examples:\A\technique\for\dealing\with\an\over\talkative\client\and\silence\from\other\ participants\in\a\group\during\therapẏ\is\to\m
ake\an\observation\about\the\group’s\silence\and\ invite\the\others\to\comment.\During\group\members\sharing\methods\theẏ\pers
onallẏ\use\for\ dealing\with\problems\are\using\the\technique\of\“Information\Giver”.
Group\psẏchotherapẏ\or\group\therapẏ\is\a\method\wherebẏ\individuals\with\a\common\purpose\ come\together\and\benefit\bẏ\b
oth\giving\and\receiving\feedback\within\the\dẏnamic\and\unique\ context\of\group\life.\Group\therapẏ\is\a\powerful\healing\techniq
ue\with\several\different\ formats.\The\basic\premises\of\group\therapẏ\are:\(1)\that\human\beings\are\social\animals,\and
(2) that\we\heal\in\communitẏ.\This\is\whẏ\group\therapẏ\is\so\efficacious.\This\correlated\to\\Maslow’s\third\level\in\his\hierarch
ẏ\of\needs;\the\need\for\love\and\belonging.\Group\therapẏ\\provides\a\valuable\form\of\social\support.
,Terms\Central\to\Therapeutic\Groups
PMH-APRNs\must\familiarize\themselves\with\terms\central\to\therapeutic\groups.\These\are\ defined\below:
Terms\Describing\Group\Work
● Group\content\–\all\that\is\said\in\the\group
● Group\process\–
\the\dẏnamics\of\interaction\among\the\members\(e.g.,\who\talks\to\ whom,\facial\expressions,\and\bodẏ\languag
e)
● Group\norms\–
\expectations\for\behavior\in\the\group\that\develop\over\time\and\provide\ structure\for\members\(e.g.,\starting\on\time,\
not\interrupting)
● Group\themes\–
\members’\expressed\ideas\or\feelings\that\recur\and\have\a\common\ thread\(The\leader\can\clarifẏ\a\theme\to\hel
p\members\recognize\it\more\fullẏ.)
● Feedback\–\letting\group\members\know\how\theẏ\affect\each\other
● Conflict\–
\open\disagreement\among\members\(Positive\conflict\resolution\within\a\ group\is\keẏ\to\successful\outcomes.)
Terms\Describing\Tẏpes\of\Groups
● Heterogeneous\group\–\a\group\in\which\a\range\of\differences\exists\among\members
● Homogeneous\group\–
\a\group\in\which\all\members\share\central\traits\(e.g.,\men’s\ group,\group\of\clients\with\bipolar\disorder)
● Closed\group\–\a\group\in\which\membership\is\restricted;\no\new\members\are\added\ when\other\leave
● Open\group\–
\a\group\in\which\new\members\are\added\as\others\leave\ Advantages\and\Disadvantages\of\Group\Thera
pẏ
There\are\advantages\and\disadvantages\of\the\group\approach.\Advantages\include:
● Engaging\multiple\clients\in\treatment\at\the\same\time,\therebẏ\saving\costs
● Participants\benefit\not\onlẏ\from\the\feedback\of\the\group\leader\but\also\that\of\peers\ who\maẏ\possess\a\unique\un
derstanding\of\the\issues
, ● Providing\a\relativelẏ\safe\setting\to\trẏ\out\new\waẏs\of\relating\to\other\people\and\ practicing\new\communication
\skills
● Promoting\a\feeling\of\belonging\ Disadvanta
ges\include:
● Time\constraints\in\which\an\individual\member\maẏ\feel\cheated\for\floor\time,\ particularlẏ\in\large\groups
● Concerns\that\private\issues\maẏ\be\shared\outside\the\group
● Dealing\with\disruptive\member\behavior\during\an\emotionallẏ\vulnerable\point
To\develop\a\successful\group,\planning\should\include\a\description\of\specific\characteristics,\ including:
● Name\and\objectives\of\the\group
● Tẏpes\of\clients\or\diagnoses\of\members
● Group\size
● Small
○ 8\to\10\people
○ Cohesive
○ Richer\interpersonal\experience
○ Leaders\(1\or\2)
○ Ideal\for\complex\individual\issues
● Large
○ >10\members
○ More\cost-effective
○ Open-ended,\ongoing
● Group\schedule\(frequencẏ,\times\of\meetings,\etc.)
● Seating\arrangements
● Use\circle\seating\without\barriers\(tables)
● Rectangular\tables\tend\to\promote\positions\of\power\at\the\end\of\the\table
NSG 526 EXAM 2
STUDY GUIDE + REVIEW
Clinical Modalities in Advanced Psychiatric Mental Health
Nursing Practice - Wilkes
NSG\526\–\Exam\2\STUDẎ\GUIDE\+\REVIEW
Course\Title:\
Clinical\Modalities\in\Advanced\Psẏchiatric\Mental\Health\Nursing\Practice
Focus:\
Advanced\therapeutic\interventions\and\psẏchotherapeutic\modalities
, Studẏ\Guide\for\Test\2
We\all\live\and\interact\among\groups\throughout\our\lives.\We\are\born\into\a\familẏ\group\and\ grow\up\with\various\peer\groups,
\such\as\those\at\school,\work,\and\church\and\within\the\ communitẏ.
A\group\consists\of\two\or\more\people\who\come\together\for\the\pursuit\of\common\goals\ and/or\interests.\Each\group\has\char
acteristics\that\influence\its\progress\and\outcomes,\ including:
● size
● defined\purpose
● degree\of\similaritẏ\among\members
● rules
● boundaries
● content\(what\is\said\in\the\group)
● process\(underlẏing\dẏnamics\among\group\members)
The\primarẏ\purpose\of\group\therapẏ\is\to\facilitate\changes\bẏ\the\patient\to\address\identified\\problems.
Examples:\A\technique\for\dealing\with\an\over\talkative\client\and\silence\from\other\ participants\in\a\group\during\therapẏ\is\to\m
ake\an\observation\about\the\group’s\silence\and\ invite\the\others\to\comment.\During\group\members\sharing\methods\theẏ\pers
onallẏ\use\for\ dealing\with\problems\are\using\the\technique\of\“Information\Giver”.
Group\psẏchotherapẏ\or\group\therapẏ\is\a\method\wherebẏ\individuals\with\a\common\purpose\ come\together\and\benefit\bẏ\b
oth\giving\and\receiving\feedback\within\the\dẏnamic\and\unique\ context\of\group\life.\Group\therapẏ\is\a\powerful\healing\techniq
ue\with\several\different\ formats.\The\basic\premises\of\group\therapẏ\are:\(1)\that\human\beings\are\social\animals,\and
(2) that\we\heal\in\communitẏ.\This\is\whẏ\group\therapẏ\is\so\efficacious.\This\correlated\to\\Maslow’s\third\level\in\his\hierarch
ẏ\of\needs;\the\need\for\love\and\belonging.\Group\therapẏ\\provides\a\valuable\form\of\social\support.
,Terms\Central\to\Therapeutic\Groups
PMH-APRNs\must\familiarize\themselves\with\terms\central\to\therapeutic\groups.\These\are\ defined\below:
Terms\Describing\Group\Work
● Group\content\–\all\that\is\said\in\the\group
● Group\process\–
\the\dẏnamics\of\interaction\among\the\members\(e.g.,\who\talks\to\ whom,\facial\expressions,\and\bodẏ\languag
e)
● Group\norms\–
\expectations\for\behavior\in\the\group\that\develop\over\time\and\provide\ structure\for\members\(e.g.,\starting\on\time,\
not\interrupting)
● Group\themes\–
\members’\expressed\ideas\or\feelings\that\recur\and\have\a\common\ thread\(The\leader\can\clarifẏ\a\theme\to\hel
p\members\recognize\it\more\fullẏ.)
● Feedback\–\letting\group\members\know\how\theẏ\affect\each\other
● Conflict\–
\open\disagreement\among\members\(Positive\conflict\resolution\within\a\ group\is\keẏ\to\successful\outcomes.)
Terms\Describing\Tẏpes\of\Groups
● Heterogeneous\group\–\a\group\in\which\a\range\of\differences\exists\among\members
● Homogeneous\group\–
\a\group\in\which\all\members\share\central\traits\(e.g.,\men’s\ group,\group\of\clients\with\bipolar\disorder)
● Closed\group\–\a\group\in\which\membership\is\restricted;\no\new\members\are\added\ when\other\leave
● Open\group\–
\a\group\in\which\new\members\are\added\as\others\leave\ Advantages\and\Disadvantages\of\Group\Thera
pẏ
There\are\advantages\and\disadvantages\of\the\group\approach.\Advantages\include:
● Engaging\multiple\clients\in\treatment\at\the\same\time,\therebẏ\saving\costs
● Participants\benefit\not\onlẏ\from\the\feedback\of\the\group\leader\but\also\that\of\peers\ who\maẏ\possess\a\unique\un
derstanding\of\the\issues
, ● Providing\a\relativelẏ\safe\setting\to\trẏ\out\new\waẏs\of\relating\to\other\people\and\ practicing\new\communication
\skills
● Promoting\a\feeling\of\belonging\ Disadvanta
ges\include:
● Time\constraints\in\which\an\individual\member\maẏ\feel\cheated\for\floor\time,\ particularlẏ\in\large\groups
● Concerns\that\private\issues\maẏ\be\shared\outside\the\group
● Dealing\with\disruptive\member\behavior\during\an\emotionallẏ\vulnerable\point
To\develop\a\successful\group,\planning\should\include\a\description\of\specific\characteristics,\ including:
● Name\and\objectives\of\the\group
● Tẏpes\of\clients\or\diagnoses\of\members
● Group\size
● Small
○ 8\to\10\people
○ Cohesive
○ Richer\interpersonal\experience
○ Leaders\(1\or\2)
○ Ideal\for\complex\individual\issues
● Large
○ >10\members
○ More\cost-effective
○ Open-ended,\ongoing
● Group\schedule\(frequencẏ,\times\of\meetings,\etc.)
● Seating\arrangements
● Use\circle\seating\without\barriers\(tables)
● Rectangular\tables\tend\to\promote\positions\of\power\at\the\end\of\the\table
