Question 1

A member of a support group is concerned that the group has not been ending on time and that some members have been pairing off to discuss group issues after the meetings.The concerned group member expresses these concerns during a group meeting.This is an example of which maintenance function?

Accepted Answer

A)   Setting standards
B)   Consensus taking
C)   Seeking information
D)   Initiating discussion A

Question 2

During a support group meeting,a group member makes several sexually provocative remarks toward the group leader.The best response by the group leader is,

Accepted Answer

A)   "What do you think your fellow group member is trying to tell us?"
B)   "I want to discuss your sexually provocative remarks privately after this meeting."
C)   "Our group work is of the highest priority; please align your remarks with the group purpose."
D)   "I don't appreciate what you are saying, you are excused from the group." C

Question 3

Which of the following is a characteristic of a secondary group?

Accepted Answer

A)   There is not a designated leader.
B)   They have a prescribed structure.
C)   They lack identified specific goals.
D)   The group remains together even when goals are achieved. B

Question 4

The group leader states,"Today we discussed some of the issues about taking medications,and each one of you developed a goal in relation to some of the problems you were experiencing.I think it was helpful that some of you were able to share your experiences with other group members." The leader is using the technique of

Accepted Answer

A)   harmonizing.
B)   summarizing.
C)   encouraging.
D)   compromising.

Question 5

When a group leader encourages the group members to express their feelings about one another with the stipulation that any concerns the group may have about an individual member or suggestions for future growth should be stated in a constructive way and the group leader summarizes goal achievement,the group has reached which phase of group development?

Accepted Answer

A)   Formative phase
B)   Engagement
C)   Active intervention
D)   Termination

Question 6

When leading a group meeting,the nurse notices two group members talking.Which of the following represents the best intervention by the nurse?

Accepted Answer

A)   Ask the group, "Have you noticed who is talking at this time?"
B)   Tell the two group members, "I would like you to stop talking."
C)   Provide the two group members with a verbal summary of what the group has been discussing.
D)   Ask the two group members, "Would you share your comments with the group?"

Question 7

During the first session of an Alzheimer disease support group for family members,the nurse recognizes the need to

Accepted Answer

A)   encourage member contributions and emphasize cooperation in recognizing each person's talents related to group goals.
B)   accept differences in member perceptions as being normal and growth producing.
C)   encourage group members to introduce themselves and share a little of their background or their reason for coming to the group.
D)   link constructive themes while stating the nature of the disagreement.

Question 8

The nurse is caring for a client who has a large extended family.The nurse recognizes the client is part of a group known as a

Accepted Answer

A)   focus group.
B)   educational group.
C)   primary group.
D)   secondary group.

Question 9

A member of a support group frequently whispers to other members of the group and appears indifferent and passive during group meetings.Which of the following nonfunctional self-roles is represented in this situation?

Accepted Answer

A)   Aggressor
B)   Avoider
C)   Blocker
D)   Self-confessor

Question 10

The nurse notices that a group member is quiet during support group meetings.What is the best intervention by the nurse for involving the quiet group member in the group process?

Accepted Answer

A)   Ask the group if they have noticed that a group member never talks.
B)   Ask the group what can be done to involve the quiet group member more.
C)   Set up a private meeting with the quiet group member to discuss group participation.
D)   Ask the quiet group member if he or she would like to comment on what another group member has just said.

Question 11

Which of the following describes group think?

Accepted Answer

A)   A member of a corporate executive committee states, "You could be making a big mistake."
B)   Members of a corporate executive committee fail to inform the chairperson that some middle managers do not support the decision.
C)   A corporate executive committee cancels a press conference in light of poor market survey results.
D)   Members demonstrate a willingness to take interpersonal risks

Question 12

A staff nurse is assigned to lead a community group meeting comprised mostly of psychotic clients.When setting up this type of group meeting,the nurse recognizes that

Accepted Answer

A)   refreshments should always be eliminated in order to keep the meeting room neat and orderly.
B)   acutely psychotic clients generally can participate in community group meetings prior to being stabilized.
C)   the group leader should take a passive role in order to avoid frightening the clients.
D)   choosing a fellow staff member to help co-lead the group is recommended.

Question 13

A long-standing group therapy meeting has been in process for 1/2 hour when a member arrives late.Another member says,"I thought we agreed as a group to come on time." This statement represents which of the following?

Accepted Answer

A)   Regulation
B)   Law
C)   Role
D)   Norm

Question 14

A breast cancer support group is an example of a

Accepted Answer

A)   closed group.
B)   private group.
C)   homogeneous group.
D)   heterogeneous group.

Question 15

The nurse recognizes an effective group includes which of the following characteristics?

Accepted Answer

A)   Power resides in the leader and is not shared.
B)   Communication is guarded and feelings are not always given attention.
C)   Goals are vague or imposed on the group without discussion.
D)   Goals are clearly identified and collaboratively developed.

Question 16

Which of the following statements is true in relation to task functions?

Accepted Answer

A)   When task functions predominate, member satisfaction increases.
B)   When maintenance functions predominate, goals are achieved.
C)   They are behaviors used to move toward goal achievement.
D)   They are behaviors designed to ensure personal satisfaction.

Question 17

When members of a group experience controversy,conflict,and disagreements,the nurse leading the group recognizes the importance of

Accepted Answer

A)   encouraging member contributions and emphasizing cooperation in recognizing each person's talents related to group goals.
B)   focusing on working together and participating in another person's personal growth.
C)   having members introduce themselves and share a little of their background or their reason for coming to the group.
D)   accepting differences in member perceptions as being normal and growth producing.

Exam 8: Therapeutic Communication in Groups