A nurse is meeting with a newly established therapy group for the ...

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A nurse is meeting with a newly established therapy group for the first time. The nurse notes that members appear uncomfortable and are reluctant to speak. How should the nurse respond to this observation?
 
  A) I feel uncomfortable with this silence. How do all of you feel about it?
  B) We have 1 hour. It's alright if we spend the hour in silence, as long as that's what everyone wants.
  C) I notice everyone is quiet. Kyle, would you like to tell us what's on your mind today?
  D) I notice that everyone is pretty quiet. This is common in new groups and is perfectly okay. Who would like to share how they feel right now?

Question 2

A nurse therapist has suggested that a client join an ongoing therapy group that the nurse conducts.
 
  The client reluctantly agrees and over the next several weeks the group and therapist focus predominantly on this new member's issues. Over this period of time, the nurse notes that the group is becoming less functional. Why is this most likely the case?
  A) The nurse should not try to force group therapy on the client.
  B) The group should not be expected to help the client with social skills.
  C) The group is closed to new members.
  D) The nurse is not skilled in group techniques.

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Answer to Question 1

Ans: D
Feedback:
Initial anxiety in a group, demonstrated by silence, fidgeting, nervous movement, and selective hearing, is best lessened by giving strokes for positive interaction and helping the clients establish roles in the group. The nurse does not want to single out a particular member when anxiety is high initially. The competent nurse should not experience discomfort with silence, recognizing its purpose. The nurse facilitates involvement rather than condones lack of involvement.

Answer to Question 2

Ans: D
Feedback:
Therapy groups consist of clients and staff members to discuss and to address issues such as social skills training, specific illnesses and related medications, conversational skills, and anger management. The main focus is working in the present with the issues that each client brings. The active leader structures, supports, and encourages participation from others. The skilled nurse would not focus exclusively on a single client's issues.

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Excellent

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