A staff nurse is assigned to lead a community group meeting comprised mostly of psychotic patients. When setting up this type of group meeting, the nurse recognizes what action is needed to help assure group productiveness?

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Staff nurses are sometimes called upon to lead or co-lead unit-based group psychotherapy on inpatient units. Other times staff nurses participate in community group meetings comprised mostly of psychotic patients. Although acutely psychotic patients usually cannot participate until they are stabilized, community groups and small structured therapy groups can be useful. A directive but flexible leadership approach is needed. Because the demands of leadership are so intense with psychotic patients, co-leadership is recommended. Co-therapists can share the group process interventions, model healthy behaviors, offset negative transference from group members, and provide useful feedback to each other.

A Staff Nurse Is Assigned to Lead a Community Group