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Interventions with GroupsPsychiatric Nursing: Contemporary Practice

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Question Answer
What are the rules regarding starting and stopping group?
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Always start and stop on time, never wait for members to arrive or leave.
What leadership behavior enables a leader to control interactions by giving directions and information without allowing discussion?
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Direct leadership behavior
A leader who primarily reflects the group member's discussion and offers little guidance/information to the group is referred to as a _________ leader.
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Indirect
What emotion is most likely felt by a group member who monopolizes a group discussion by constantly talking or interrupting others?
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Anxiety
How should a group member who monopolizes discussions be handled?
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Ideally a group member reminds the monopolizer to let others speak, otherwise the leader can interrupt and acknowledge the member's contribution and then redirect the conversation to others OR limit the discussion time per member.
How should a leader handle a group member who has a patterned response of yes, but to problem solving suggestions?
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Encourage the member to develop his/her own solution
How can a leader address the development of a disliked member within a group?
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Move them to a better-matched group, show respect to that member and acknowledge his/her contribution, or use conflict resolution skills to discuss underlying issues.
How should a leader approach a member who doesn't participate in group discussions?
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Get to know the member and the meaning of their silence before encouraging interaction. Respect their silent nature.
Groups used to teach activities like managing medications or anger management are typically what type of group?
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Psychoeducation-they teach specific activities and enhance knowledge, improve skills or solve problems
__________ groups are characterized by the careful selection of members, formal planning, intensity and focus on specific activities.
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Psychoeducation
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_________ groups are used to help individuals with coping with illnesses or problems using counseling strategies.
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Supportive therapy groups
________ groups are characterized by a commonality between group members (like they all have cancer) and are less intense than psychotherapy groups.
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Supportive therapy groups
Groups that are used to treat individual's emotional problems by focusing on examining emotions and facing life situations are typically what type of group?
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Psychotherapy
_______ groups are characterized by a high level of intensity, high level of education required to lead, and allows patients to deal with psychological and emotional issues in a safe environment.
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Psychotherapy
In Yalom's model of group psychotherapy, what drives therapeutic changes?
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Intrapersonal group relationships provide the vehicle for corrective emotional experiences.
What are the most common types of intervention groups nurses are involved in (4)?
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Medication management, anger management, self-help and symptom management.
What are some differences in how a group should be lead when the participants are elderly (4)?
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The pace should be slowed, there should be greater emphasis on wisdom/experience rather than learning new information, life review strategies should be encouraged and new skills should be taught within context of past experiences.
When leading a medication group, what is important to assess prior to allowing a patient to join the group?
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The patient's current medication knowledge, reading, writing and cognitive skills.
When should evaluation of learning occur for a medication group?
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The first class
What is typically taught in a symptom management group?
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How to cope with common symptoms and when a symptom indicates that a relapse is imminent and what to do about it, and how to avoid relapses.
What is the purpose of self-care groups?
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To identify strategies that can motivate patients and provide structure to their daily lives (they know HOW to take care of themselves but lack to motivation to).
  
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