Answer to Question 1
ANS: B
Extreme cohesiveness can result in a negative group phenomenon referred to as group think. Group think occurs when the approval of other group members becomes so important that group members support a decision they fundamentally don't agree with, just for the sake of harmony. Individual members are afraid to express conflicting ideas and opinions for fear of being excluded from the group. The group exerts pressure on members to act as one voice in decision making. Realistic evaluation of issues doesn't occur because group members minimize conflict in an effort to reach consensus.
Answer to Question 2
ANS: D
Although African Americans are represented in every socioeconomic group, approximately one third of them live in poverty. For many, their cultural heritage traces back to slavery and deprivation. This unfortunate legacy colors the expectations of African Americans with health care issues and explains the distrust many African Americans have about the American health care system. African Americans need to experience feeling respected by their caregivers to counteract the sense of powerlessness they feel in health care settings. Establishing trust is essential for successful communication with African American clients. They are more willing to participate in treatment when they feel respected and are treated as treatment partners in their health care. Trust must be established before any interventions, such as consultation with a folk healer or clergy. There is no language barrier mentioned in the question.