Deck 24: Group and Family Therapy

Question 1

After establishing the norms of a psychotherapy group, what action will the leader take to establish a therapeutic environment?

A) Encourage detailed member discussion.
B) Familiarize the group members to the purpose of the group.
C) Encourage the group members to take ownership of its function.
D) Ask open-ended questions regarding the quality of the group's function.

Answer 1

Familiarize the group members to the purpose of the group.

Question 2

The nurse is leading a group therapy session when the nurse notes some regression of learned techniques among some members of the group. What stage of group development is likely occurring?

A) Conflict
B) Divergent
C) Termination
D) Deterioration

Answer 2

Termination

Question 3

The nurse manager is teaching the staff nurses about the various roles assumed by members of therapeutic groups. What role will the nurse manager identify as the person who is keeping the flow of communication open in the group?

A) Elaborator
B) Encourager
C) Gatekeeper
D) Coordinator

Answer 3

Gatekeeper

Question 4

The advanced practice registered nurse facilitating a group session has chosen not to emphasize group rules or interpersonal orientation. What factor is most impaired if these elements of group dynamics are missing?

A) Trust
B) Cohesion
C) Uniqueness
D) Universality

Question 5

The advanced practice registered nurse is leading a psychotherapy group and is establishing the norms for the group. What norms will the nurse establish that will help the group function in a productive manner? Select all that apply.

A) Empathy for one another
B) Honest communication
C) Respect for one another
D) Arriving on time
E) Self-disclosure

Question 6

The nurse notes one of the members in a group therapy session is asking the other members for help with his problems but then appears to reject all the solutions that the members suggest. What is the best way the nurse will describe this patient?

A) Help-seeking protestor
B) Help-rejecting protestor
C) Help-rejecting complainer
D) Help-seeking manipulator

Question 7

The advanced practice registered nurse is leading a psychotherapy group and has established a therapeutic and trusting environment. What questions will the nurse ask to encourage the group to reflect on its functioning? Select all that apply.

A) "What was your role in the meeting today?"
B) "What was the least engaging part of the meeting?"
C) "What was the most engaging part of the group for you today?"
D) "With which members did you feel most comfortable speaking?"
E) "With which members did you feel least comfortable speaking?"

Question 8

The nurse observes a member of the group clarifying relationships between various ideas. What role is the member assuming?

A) Teacher
B) Orienter
C) Manager
D) Coordinator

Question 9

A psychiatric-mental health nurse is participating in a group with nurse peers addressing patient safety. What purpose will this group most likely serve? Select all that apply.

A) Addressing conflict
B) Practicing new skills
C) Increasing knowledge
D) Reflecting on the here and now
E) Developing interpersonal skills

Question 10

A nurse is planning education for a group of battered women. At which stage of the group's development will the nurse lead a discussion regarding legal solutions and alternative living arrangements?

A) Conflict
B) Orientation
C) Termination
D) Cohesiveness

Question 11

The nurse and patient are discussing various groups settings and how they might benefit the patient. Which group will the nurse describe as being led by members of the group and not a health care provider?

A) Activity group
B) Psychodynamic group
C) Support group
D) Psychoeducational group

Question 12

The nurse is conducting teaching on stress management for a group of adults. What type of therapeutic group best describes the purpose of this group?

A) Activity
B) Support
C) Psychodynamic
D) Psychoeducational

Question 13

The advanced practice registered nurse is leading a group therapy session. A group member talks incessantly and is disrupting the group's dynamics. Which response by the nurse encourages effective communication with the disruptive member?

A) "Why are you acting in this manner?"
B) "In one sentence, tell us what you want us to hear."
C) "It is important to consider the help that the group members are suggesting."
D) "What question can we ask that will make you want to participate in the group?"

Question 14

The nurse is planning on teaching a group of adults about relaxation techniques and stress management. What technique will the nurse most likely use when providing this education? Select all that apply.

A) Cognitive
B) Effective
C) Affective
D) Behavioral
E) Psychological

Question 15

The nurse is leading a group therapy session for adults with substance use disorders. The nurse notes that one of the patients appears to defy the nurse and questions the nurse's authority. Which stage of group development is the patient displaying?

A) Conflict
B) Challenge
C) Opposition
D) Disagreement

Question 16

The advanced practice nurse (APRN) is preparing to lead a group for a session of group therapy. Why is it important for the nurse to use universality when leading a group therapy session?

A) To ensure that the patients share a common sense of belonging with the group
B) To ensure that the patients understand that they are not alone or unique in their suffering
C) To ensure that the patients learn to cope by observing others
D) To ensure that the patients understand that the therapy will be helpful for everyone in the group

Question 17

The nurse is serving as the co-leader of a psychotherapeutic group. The nurse and the group leader are discussing how the therapy sessions may help reveal some of the members' distortions related to how they handle interpersonal relationships. What is the purpose of revealing distortions in interpersonal relationships during group psychotherapy?

A) Examine and resolve issues.
B) Effectively handle emotions.
C) Learn how to stifle emotions.
D) Process and examine emotions.

Question 18

An inpatient group has decided to focus on developing better communication skills. Each member will practice initiating a conversation with a partner while a third member observes the interaction and provides feedback. Which stage of group development best describes these actions?

A) Conflict
B) Orientation
C) Termination
D) Cohesiveness

Question 19

The nurse is caring for a patient with mental illness who attends group therapy. The patient tells the nurse, "I like to go because I feel so much better when I can offer my experience to help the others in the group." What curative factor of group dynamics is the patient describing?

A) Catharsis
B) Altruism
C) Universality
D) Instillation of hope

Question 20

The advanced practice nurse is leading a psychotherapy group. What is the best way the nurse can create a safe and trusting environment? Select all that apply.

A) Modeling empathy
B) Establishing norms
C) Modeling sympathy
D) Ensuring confidentiality
E) Encouraging out-of-session subgrouping

Question 21

The nurse is performing a family assessment. What aspect of the family assessment will assess the family's conflict management skills?

A) Communication style
B) Psychological
C) Social functioning
D) Family and community interface

Question 22

The nurse is caring for an adolescent with attention-deficit/hyperactivity disorder (ADHD). What therapy is most appropriate for decreasing the presence of internalized symptoms associated with this disorder?

A) Group therapy
B) Individual therapy
C) Parent management training
D) Cognitive-behavioral therapy

Question 23

The nurse is performing a family assessment. Which factor will the nurse include in the social functioning portion of the assessment?

A) Legal problems
B) Marital patterns
C) Family strengths
D) Educational history

Question 24

According to the Bowenian family therapy framework, what is true regarding the nuclear family emotional system and sibling position?

A) Younger children may question the status quo.
B) Firstborn children may learn to be good negotiators.
C) Middle children may identify with power and authority.
D) Only children may be more comfortable in relationships with peers than with adults.

Question 25

The nurse is caring for a family who is seeking family therapy. What is the primary purpose of the family assessment?

A) Determine the family dysfunction.
B) Guide the family's personalized plan of care.
C) Promote the therapeutic nurse-family relationship.
D) Determine the appropriate clinical diagnosis of the family.

Question 26

Which action is the first step in the integrated problem-solving family therapy framework?

A) Increasing family members' awareness of their own affective reactions to the problematic situation
B) Evaluating repeated transactions that establish patterns of how, when, and to whom individuals relate within the family system
C) Evaluating the family system's power distribution, communication of affect, quality of structural boundaries, and assignment of roles
D) Identifying and working on unresolved conflicts from earlier relationships and personality defects that interfere with present functioning

Question 27

The nurse is teaching skills used to improve communication among family members. Which statement made by the family member indicates that the teaching has been effective?

A) "I feel sad when you talk to me like that."
B) "You talk down to me and that makes me sad."
C) "We need to stop talking to each other like that."
D) "You always talk to me like that and it makes me sad."

Question 28

The clinician leading the family therapy session asks the family members to reenact the problem they are having. What is the primary purpose of this action?

A) To observe the differences in the portrayals among the family members
B) To understand current conflicting interactions among the family members
C) To understand intergenerational patterns of behavior among the family members
D) To observe the types of interactions that occur among the family members

Question 29

The nurse is caring for an adolescent patient with a substance abuse disorder. What type of therapy is priority for this patient?

A) Group
B) Family
C) Individual
D) Electroconvulsive

Question 30

The nurse is caring for a family of a child with a conduct disorder. What type of therapy will most benefit this family?

A) Dialectical behavior therapy (DBT)
B) Structural family therapy
C) Functional family therapy (FFT)
D) Cognitive-behavioral therapy (CBT)

Question 31

The nurse is performing a family assessment. Which factor will the nurse include in the family and community interface portion of the assessment?

A) Family norms
B) Legal problems
C) Marital patterns
D) Family strengths

Question 32

The nurse is observing a family therapy session that is structured to emphasize working on unresolved emotional reactivity to parents. Which theoretical framework best describes this approach to family therapy?

A) Bowenian
B) Structural
C) Cognitive-behavioral
D) Integrated problem-solving