Chapter 9 Interventions in Groups

Chapter 9  Interventions in Groups

Complete Chapter Questions And Answers
 

Sample Questions

____ 1. During a therapeutic group, which nursing action demonstrates a laissez-faire leadership style?
1.
The nurse mandates that all group members reveal an embarrassing personal situation.
2.
The nurse asks for a show of hands to determine group topic preference.
3.
The nurse sits silently as the group members stray from the assigned topic.
4.
The nurse shuffles through papers to determine the facility policy on length of group.

____ 2. During a community meeting, a nurse encourages clients to present unit problems and discuss possible solutions. Which type of leadership style is the nurse demonstrating?
1.
Democratic
2.
Autocratic
3.
Laissez-faire
4.
Bureaucratic

____ 3. Which situation should a nurse identify as an example of an autocratic leadership style?
1.
The president of Sigma Theta Tau assigns members to committees to research problems.
2.
Without faculty input, the dean mandates that all course content be delivered via the Internet.
3.
During a community meeting, a nurse listens as clients generate solutions.
4.
The student nurses’ association advertises for candidates for president.

____ 4. A single, pregnant teenager in a parenting class discloses her ambivalence toward the pregnancy and the subsequent guilt that these thoughts generate. A mother of three admits to having felt that way herself. Which of Yalom’s curative group factors does this illustrate?
1.
Imparting of information
2.
Instillation of hope
3.
Altruism
4.
Universality

____ 5. A client diagnosed with alcohol use disorder experiences a first relapse. During an Alcoholics Anonymous (AA) meeting, another group member states, “I relapsed three times, but now have been sober for 15 years.” Which of Yalom’s curative group factors does this illustrate?
1.
Imparting of information
2.
Instillation of hope
3.
Catharsis
4.
Universality

Answer Section

MULTIPLE CHOICE

1. ANS: 3
Chapter: Chapter 9, Intervention in Groups
Objective: Identify various leadership styles in groups.
Page: 187
Heading: Leadership Styles >Laissez-faire
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Cognition
Difficulty: Moderate

Feedback
1
Mandating that all group members reveal an embarrassing personal situation is not an example of a laissez-faire leadership style.
2
Asking for a show of hands to determine group topic preference is not an example of a laissez-faire leadership style.
3
The nurse leader who sits silently and allows group members to stray from the assigned topic is demonstrating a laissez-faire leadership style. This style allows group members to do as they please with no direction from the leader. Group members often become frustrated and confused in reaction to a laissez-faire leadership style.
4
Shuffling through papers to determine the facility policy on length of group is not an example of a laissez-faire leadership style.

PTS: 1 CON: Cognition

2. ANS: 1
Chapter: Chapter 9, Intervention in Groups
Objective: Identify various leadership styles in groups.
Page: 187
Heading: Leadership Styles: Democratic
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Cognition
Difficulty: Moderate

Feedback
1
The nurse who encourages clients to present problems and discuss solutions is demonstrating a democratic leadership style. Democratic leaders share information with group members and promote decision-making by the members of the group. The leader provides guidance and expertise as needed.
2
The autocratic leader is in charge of the group and others must persuade the leaders.
3
The laissez-faire leader is easily swayed and gives little to no direction.
4
Bureaucratic is not a leadership style.

PTS: 1 CON: Cognition

3. ANS: 2
Chapter: Chapter 9, Intervention in Groups
Objective: Identify various leadership styles in groups.
Page: 187
Heading: Leadership Styles: Autocratic
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Cognition
Difficulty: Moderate

Feedback
1
Assigning members to committees to research problems is not an example of an autocratic leadership style.
2
The nurse should identify that mandating decisions without consulting the group is considered an autocratic leadership style. Autocratic leadership increases productivity but often reduces morale and motivation owing to lack of member input and creativity.
3
Listening as clients generate solutions is not an example of an autocratic leadership style.
4
Advertising for candidates for president is not an example of an autocratic leadership style.

PTS: 1 CON: Cognition

4. ANS: 4
Chapter: Chapter 9, Intervention in Groups
Objective: Discuss “curative factors” that occur in groups.
Page: 185
Heading: Curative Factors > Universality
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Cognition
Difficulty: Moderate

Feedback
1
Imparting of information consists of giving and receiving information through formal instruction.
2
Installation of hope gives members hope that their problems can be resolved.
3
Altruism is assimilated through mutual sharing and concern.
4
The scenario is an example of the curative group factor of universality. Universality occurs when individuals realize that they are not alone in the problems, thoughts, and feelings they are experiencing. This realization reduces anxiety by the support and understanding of others.

PTS: 1 CON: Cognition

5. ANS: 2
Chapter: Chapter 9, Intervention in Groups
Objective: Discuss “curative factors” that occur in groups.
Page: 185
Heading: Curative Factors
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Cognition
Difficulty: Moderate

Feedback
1
Imparting of information consists of giving and receiving information through formal instruction.
2
This scenario is an example of the curative group factor of instillation of hope. This occurs when members observe the progress of others in the group with similar problems and begin to believe that their personal problems can also be resolved.
3
Catharsis is the expression of both positive and negative feelings in the group setting.
4
Universality occurs when individuals realize that they are not alone in the problems, thoughts, and feelings they are experiencing.

PTS: 1 CON: Cognition