The nurse notes one of the members in a group therapy session is ...

[ericka1]

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?
 
  1. Help-seeking protestor
  2. Help-rejecting protestor
  3. Help-rejecting complainer
  4. Help-seeking manipulator

Question 2

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?
 
  1. Why are you acting in this manner?
  2. In one sentence, tell us what you want us to hear.
  3. It is important to consider the help that the group members are suggesting.
  4. What question can we ask that will make you want to participate in the group?

[SomethingSomething]

Answer to Question 1

Answer: 3
Explanation: The help-rejecting complainer will request help from the group members and then reject the solutions they offer. This individual may take pride in the inability to solve his or her problems and may find comfort in keeping the group in conflict as a result of his or her own personal, conflicted feelings about dependency. The other answer choices are incorrect.

Answer to Question 2

Answer: 2
Explanation: 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?

[ericka1]

Wow, this really help

[ghepp]

Excellent