Author Question: A nurse facilitating a social skills group recognizes that one patient monopolizes the group. ... (Read 41 times)

kshipps · **on:** Jul 19, 2018

A nurse facilitating a social skills group recognizes that one patient monopolizes the group.

After the session the psychologist asks the nurse, Why did you let that patient monopolize the group? A response from the nurse using appropriate assertiveness would be: a. I didn't know what I was supposed to do. You could see how much the patient needed to control the meeting. So you don't think it was appropriate to let it be for today?
b. I didn't let the patient monopolize the group. I wasn't sure if I ought to stop the behavior or let the patient talk. What could I have said to end the patient's monopolizing of the group?
c. Honestly, I never feel you are satisfied with my work. Why don't you lead the group next time? That will give me an opportunity to observe you appropriately managing the patient's need to monopolize the group..
d. I felt that the patient needed to express feelings and that the control was a rather tenuous one that required sensitivity and patience. I believe the other patients felt that, too, which is why they let the patient monopolize the group..

Question 2

Which is a suitable goal and expected outcome for a patient who is admitted for the recurrence of psychotic symptoms related to noncompliance with medication therapy?

a. Goal, safety; outcome, no risk for violence
b. Goal, remission; outcome, symptom relief
c. Goal, recovery; outcome, improved functioning
d. Goal, rehabilitation; outcome, attain optimal quality of life

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

Answer to Question 1

B
The most assertive communication is the one that clarifies any misperceptions and seeks assistance in a direct manner. Rationalization is not professional. Patients will take their cue from the facilitator of the group. Becoming angry because the psychologist has constructively criticized the nurse's facilitation skills in dynamic supervision is aggressive.

Answer to Question 2

B
The goal of remission can probably be attained if the patient resumes medication therapy. The outcome of symptom relief will be attained during an acute, short-term stay.