27 Jun The PMHNP explains during a discussion
Question
Question 3
The PMHNP explains during a discussion that subgrouping has the potential to make group therapy more complicated and less rewarding. Tara, a member of the group, angrily states, “Well, Jack and I have been meeting outside of the group for weeks now.” What is the PMHNP’s most appropriate response?
A. “I understand, Tara. If you two have not had any problems, and group therapy has been effective for you, it’s possible that you are an exception to the rule.”
B. “Tara, you and Jack have to be very careful not to get involved sexually. In group, you both should only focus on yourselves.”
C. “Subgrouping can cause issues with loyalty. For example, what if Jack told you something that made you feel uncomfortable. Would you be able to address that in group?”
D. “I apologize if my statement upset you. Who initiated your and Jack’s subgroup?”
Question 4
A PMHNP is treating a patient in individual therapy and thinks the patient may be a good candidate for group therapy. The patient is motivated to start group therapy, which meets twice a month. Then the patient adds, “I can come to the first two meetings, but then will be away on business for at least a month, maybe longer. But then I can come to the at least one meeting before my next trip.” Based on this information, what is the most likely recommendation by the PMHNP?
Give her the go-ahead to start group therapy immediately while she is motivated
Have her hold off with group therapy unless her schedule allows for regular attendance
Ask her to come to the first meeting and decide after evaluating her group interactions whether to continue
Tell her that she is free to join the group therapy meetings whenever she is in town
Question 5
The PMHNP recognizes that extragroup behavior involves behavior that occurs outside of the group or during subgrouping. Which statement best describes extragroup behavior as it pertains to group therapy?
A. Extragroup therapy should be addressed before it occurs, to prevent it.
B. Extragroup behavior that is discussed in group therapy can encourage group resistance.
C. Extragroup behavior discussed in group therapy can be therapeutic.
D. Extragroup behavior can occur in all levels of group therapy.
Question 6
During a group therapy session, a member shares that she often feels lonely and depressed. She has been turning down invitations to spend time with friends lately, because she does not want to leave the house. What is an appropriate step for the PMHNP to take?
A. Assign homework to have the patient work on improving interpersonal communication
B. Translate depression into interpersonal issues, and then treat the underlying issues
C. Focus and treat the patient’s depression before examining interpersonal relationships
D. All of the above
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