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Chapter 15. Integrated Management of Self-Directed Injury
MULTIPLE CHOICE
1. A patient tells members of a therapy group, I hear voices saying my doctor is poisoning
me. Another patient replies, I used to hear voices too. They sounded real, but I found out later
they were not. The voices you hear are not real either. Which therapeutic factor is exemplified
in this interchange?
a. Catharsis c. Imitative behavior
b. Universality d. Interpersonal learning
ANS: D
Here a member gains insight into his own experiences from hearing about the experiences of
others through interpersonal learning. Catharsis refers to a therapeutic discharge of emotions.
Universality refers to members realizing their feelings are common to most people and not
abnormal. Imitative behavior involves copying or borrowing the adaptive behavior of others.
2. A leader plans to start a new self-esteem building group. Which intervention would be
most helpful for assuring mutual respect within the group?
a. Describe the importance of mutual respect in the first session and make it a group norm.
b. Exclude potential members whose behavior suggests they are likely to be disrespectful.
c. Give members a brochure describing the purpose, norms, and expectations of the group.
d. Explain that mutual respect is expected and confront those who are not respectful. ANS:
A
It is helpful to motivate members to behave respectfully by describing how mutual respect
benefits all members and is necessary for the group to be fully therapeutic. Setting a tone and
expectation of mutual respect from the outset is the most helpful intervention listed.
Excluding members because of how they might behave could exclude members who would
have been appropriate, depriving them of the potential benefits of the group. Conveying
expectations by brochure is less effective than doing so orally, because it lacks the connection
to each member a skilled leader can create to motivate members and impart the expectation of
respect. Confronting inappropriate behavior is therapeutic but only addresses existing
behavior rather than preventing all such undesired behavior.
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3. A young female member in a therapy group says to an older female member, You are just
like my mother, always trying to control me with your observations and suggestions. Which
therapeutic factor of a group is evident by this behavior?
a. Instillation of hope
b. Existential resolution
c. Development of socializing techniques
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d. Corrective recapitulation of the primary family group
ANS: D
The younger patient is demonstrating an emotional attachment to the older patient that
mirrors patterns within her own family of origin, a phenomenon called corrective
recapitulation of the primary family group. Feedback from the group then helps the member
gain insight about this behavior and leads to more effective ways of relating to her family
members. Instillation of hope involves conveying optimism and sharing progress.Existential
resolution refers to the realization that certain existential experiences such as death are part of
life, aiding the adjustment to such realities. Development of socializing techniques involves
gaining social skills through the groups feedback and practice within the group.
4. During group therapy, one patient says to another, When I first started in this group, you
were unable to make a decision, but now you can. Youve made a lot of progress. I am
beginning to think that maybe I can conquer my fears too. Which therapeutic factor is evident
by this statement?
a. Hope c. Catharsis
b. Altruism d. Cohesiveness
ANS: A
The patients profession that he may be able to learn to cope more effectively reflects hope.
Groups can instill hope in individuals who are demoralized or pessimistic. Altruism refers to
doing good for others, which can result in positive feelings about oneself. Catharsis refers to
venting of strong emotions. Cohesion refers to coming together and developing a connection
with other group members.
5. During a group therapy session, a newly admitted patient suddenly says to the nurse, How
old are you? You seem too young to be leading a group. Select the nurses most appropriate
response.
a. I am wondering what leads you to ask. Please tell me more.
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Chapter 15. Integrated Management of Self-Directed Injury
MULTIPLE CHOICE
1. A patient tells members of a therapy group, I hear voices saying my doctor is poisoning
me. Another patient replies, I used to hear voices too. They sounded real, but I found out later
they were not. The voices you hear are not real either. Which therapeutic factor is exemplified
in this interchange?
a. Catharsis c. Imitative behavior
b. Universality d. Interpersonal learning
ANS: D
Here a member gains insight into his own experiences from hearing about the experiences of
others through interpersonal learning. Catharsis refers to a therapeutic discharge of emotions.
Universality refers to members realizing their feelings are common to most people and not
abnormal. Imitative behavior involves copying or borrowing the adaptive behavior of others.
2. A leader plans to start a new self-esteem building group. Which intervention would be
most helpful for assuring mutual respect within the group?
a. Describe the importance of mutual respect in the first session and make it a group norm.
b. Exclude potential members whose behavior suggests they are likely to be disrespectful.
c. Give members a brochure describing the purpose, norms, and expectations of the group.
d. Explain that mutual respect is expected and confront those who are not respectful. ANS:
A
It is helpful to motivate members to behave respectfully by describing how mutual respect
benefits all members and is necessary for the group to be fully therapeutic. Setting a tone and
expectation of mutual respect from the outset is the most helpful intervention listed.
Excluding members because of how they might behave could exclude members who would
have been appropriate, depriving them of the potential benefits of the group. Conveying
expectations by brochure is less effective than doing so orally, because it lacks the connection
to each member a skilled leader can create to motivate members and impart the expectation of
respect. Confronting inappropriate behavior is therapeutic but only addresses existing
behavior rather than preventing all such undesired behavior.
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, lOMoAR cPSD| 14985576
3. A young female member in a therapy group says to an older female member, You are just
like my mother, always trying to control me with your observations and suggestions. Which
therapeutic factor of a group is evident by this behavior?
a. Instillation of hope
b. Existential resolution
c. Development of socializing techniques
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d. Corrective recapitulation of the primary family group
ANS: D
The younger patient is demonstrating an emotional attachment to the older patient that
mirrors patterns within her own family of origin, a phenomenon called corrective
recapitulation of the primary family group. Feedback from the group then helps the member
gain insight about this behavior and leads to more effective ways of relating to her family
members. Instillation of hope involves conveying optimism and sharing progress.Existential
resolution refers to the realization that certain existential experiences such as death are part of
life, aiding the adjustment to such realities. Development of socializing techniques involves
gaining social skills through the groups feedback and practice within the group.
4. During group therapy, one patient says to another, When I first started in this group, you
were unable to make a decision, but now you can. Youve made a lot of progress. I am
beginning to think that maybe I can conquer my fears too. Which therapeutic factor is evident
by this statement?
a. Hope c. Catharsis
b. Altruism d. Cohesiveness
ANS: A
The patients profession that he may be able to learn to cope more effectively reflects hope.
Groups can instill hope in individuals who are demoralized or pessimistic. Altruism refers to
doing good for others, which can result in positive feelings about oneself. Catharsis refers to
venting of strong emotions. Cohesion refers to coming together and developing a connection
with other group members.
5. During a group therapy session, a newly admitted patient suddenly says to the nurse, How
old are you? You seem too young to be leading a group. Select the nurses most appropriate
response.
a. I am wondering what leads you to ask. Please tell me more.
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