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?

Question

Quizplus · Accepted Answer

2. The group member who talks incessantly and is disruptive to the group's dynamics is known as a monopolizer. The nurse or group leader may help the monopolizer become aware of sacrificing the opportunity for meaningful interpersonal relationships for the need for attention and control. To help the monopolize communicate more effectively, the nurse may ask, "In one sentence, tell us what you want us to hear." The nurse will not ask the member, "Why are you acting in this manner?" This question has an accusatory tone and does not promote communication. A member who is acting in the role of help-rejecting complainer, not monopolize, would benefit from the nurse stating, "It is important to consider the help that the group members are suggesting." A member who is acting in the role of silent patient, not monopolize, would benefit from the nurse asking, "What question can we ask that will make you want to participate in the group?"

The Advanced Practice Registered Nurse Is Leading a Group Therapy