Author Question: A patient scheduled to attend various group sessions complains, I'm really mad about having to ... (Read 80 times)

Brittanyd9008 · **on:** Jul 19, 2018

A patient scheduled to attend various group sessions complains, I'm really mad about having to attend all those groups. No one else spends all day in a circle in a little room. Select the nurse's best response.

a. Why are you upset?
b. I can hear that you are upset. Let's talk about it.
c. Just go along with the plan, even if you do not agree.
d. The groups are carefully planned by staff to benefit patients.

Question 2

A nurse leads a psychoeducational group for patients diagnosed with residual schizophreni

a. A realistic outcome for group members is that they will:
a. discuss ways to manage their illness.
b. develop a high level of trust and cohesiveness.
c. understand unconscious motivation for behavior.
d. demonstrate insight about development of their illness.

Gabe · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
This remark exemplifies therapeutic listening. It acknowledges the patient's negative feelings and the nurse's willingness to listen as the patient offers his concerns. It implies a willingness to assist with problem solving. Why questions are not therapeutic, because they often elicit rationalization. Justification is defensive and closes off communication.

Answer to Question 2

A
Patients with residual schizophrenia almost universally have problems associated with everyday living in the community, so discussing ways to manage the illness would be an important aspect of psychoeducation. Discussing concerns about daily life would be a goal to which each could relate. Developing trust and cohesion is desirable but is not the priority outcome of a psychoeducational group. Understanding unconscious motivation would not be addressed. Insight would be difficult for a patient with residual schizophrenia because of the tendency toward concrete thinking.