The advanced practice nurse is leading a psychotherapy group. ...

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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.
 
  1. Modeling empathy
  2. Establishing norms
  3. Modeling sympathy
  4. Ensuring confidentiality
  5. Encouraging out-of-session subgrouping

Question 2

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?
  1. Conflict
  2. Orientation
  3. Termination
  4. Cohesiveness

[Anonymous]

Answer to Question 1

Answer: 1, 2, 4
Explanation: The best way the nurse can create a safe and trusting environment among the psychotherapy group members is to model empathy, establish norms, and ensure confidentiality. Modeling sympathy does not create a safe and trusting environment. The nurse will discourage, not encourage, out-of-session subgrouping.

Answer to Question 2

Answer: 4
Explanation: During the cohesive stage, members increase their focus on the task at hand. There is an open exchange of information and the giving and receiving of feedback. During the orientation stage, the group settles on specific ruleshow discussions take place, how decisions will be made, how the labor in the group is to be divided, and how goals, roles, and expectations are negotiated. In the conflict stage, members are reluctant to self-disclose until issues of confidentiality are understood. In the termination stage, some regression may occur as members anticipate separation.