Author Question: The nurse is planning a group to rehabilitate sex offenders in a forensic psychiatric hospital. ... (Read 159 times)

Haya94 · **on:** Jul 19, 2018

The nurse is planning a group to rehabilitate sex offenders in a forensic psychiatric hospital. Which of the following factors would most likely decrease the degree of trust and cohesion among the members?

1. One hour weekly sessions
2. Addition of new members
3. Confidentiality rights of victims
4. Member interaction outside the group

Question 2

A client with a diagnosis of borderline personality disorder has had several hospitalizations for suicide attempts and self-mutilation. A priority nursing intervention for this client would include which of the following?

1. Safety maintenance
2. Social interaction
3. Anxiety reduction
4. Concrete communication

nyrave · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

2
Rationale: Closed groups with a stable membership experience a higher degree of trust and cohesion. If new members or outsiders are allowed to attend, a new dynamic occurs and time is needed to rebuild trust. One hour weekly sessions would encourage trust and cohesion. There are no confidentiality rights of victims to consider. Member interaction outside the group cannot be avoided in a locked environment such as a prison or forensic psychiatric hospital and would most likely not be an issue in the development of trust and cohesion.

Answer to Question 2

1
Rationale: Safety maintenance is a priority nursing intervention for a client with a history of self-mutilation and suicide attempts. Concrete communication is a nursing intervention for clients with cognitive impairments. Increasing social interaction is a nursing intervention appropriate for clients with cluster A diagnoses. Anxiety reduction is a nursing intervention appropriate for clients with cluster C diagnoses.