14. After a patient's first group session, the nurse asks, "How was the
experience of participating in group for you?" Which communication
technique is the nurse using?
a. Summarizing
b. Seeking clarification
c. Making observations
d. Encouraging evaluation - correct answer✔ ✔ ANS: D
Distinguishing among the techniques listed shows that the nurse is
encouraging evaluation when asking a patient to make a judgment about
the experience. This opens the door to further exploration of thoughts
and feelings.
1. When a patient voices a delusion during a group session, how can the
nurse effectively handle the situation? (Select all that apply.)
a. Demonstrating empathy
b. Presenting reality
c. Exploring the delusional content
d. Focusing on the underlying need expressed
e. Asking the group what they think about the delusion. - correct answer
✔ ✔ ANS: A, B, D
, Responding to the voicing of a delusion during a group session is best
handled by using empathy, focusing on the underlying need, and
presenting reality. Delusional thinking does not respond to logic or
criticism.
2. A leader beginning the discussion at the first meeting of a new group
can appropriately include what statement? (Select all that apply.)
a. "We use groups to provide treatment, because it's a more cost-
effective use of staff in this time of budget constraints."
b. "When someone shares a personal experience, it's important to keep
the information confidential."
c. "Talking to family members about our group discussions will help us
achieve our goals."
d. "Everyone is expected to share a personal experience at each group
meeting."
e. "It is important for everyone to arrive on time for our group." - correct
answer✔ ✔ ANS: B, E
The leader must set ground rules for the group before members can
effectively participate. Confidentiality of personal experiences should be
maintained. Arriving on time is important to the group process. Talking
to family members would jeopardize confidentiality. While groups are
cost-effective, blaming the budget would not help members feel valued.
Setting an expectation to share may be intimidating for a withdrawn
patient.