1. Chapter 33 Therapeutic Groups
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

2. Characteristics That Influence a Group
Size
Defined purpose
Degree of similarity among members
Rules
Boundaries
Content (what is said in the group)
Process (underlying dynamics among group members)
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

3. Therapeutic Factors Common to All Groups
Instillation of hope
Universality
Imparting of information
Altruism
Corrective recapitulation of primary family group
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

4. Therapeutic Factors Common to All Groups (Cont.)
Development of socializing techniques
Imitative behavior
Interpersonal learning
Group cohesiveness
Catharsis
Existential resolution
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

5. Phases of Group Development
Orientation phase
Working phase
Termination phase
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

6. Group Member Roles Task roles Maintenance roles Individual roles
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

7. Question 1
Which of the following comments made by members of a group best demonstrates a task role?
“I want to tell how my problems started. I’m having more trouble than anyone else in this group.”
“Three people were late for this group. Everyone is supposed to arrive on time.”
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

8. Question 1 (Cont.)
“I can’t believe you’re talking about your failed romantic relationships again.”
“We started out talking about guilt, but we have strayed from that subject.”
Answer: D
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

9. Group Leadership Responsibilities
Initiating
Maintaining
Terminating
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

10. Styles of Leadership Autocratic leader Democratic leader
Laissez-faire leader
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

11. Basic Level Registered Nurse
Psychoeducational groups
Medication education groups
Health education groups
Dual-diagnosis groups
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

12. Basic Level Registered Nurse (Cont.)
Symptom-management groups
Stress-management groups
Therapeutic community meeting groups
Support and self-help groups
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

13. Advanced Practice Nurse
Group psychotherapy
Psychodrama groups
Dialectical behavior treatment
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

14. Dealing with Challenging Member Behaviors
Monopolizing member
Complaining member who rejects help
Demoralizing member
Silent member
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

15. Audience Response Questions
Medication education and health education are types of
psychoeducational groups.
insight-oriented groups.
support groups.
psychodrama.
ANS: A
Psychoeducational groups are groups set up to increase knowledge or skills about a specific psychological or somatic subject and allow members to communicate emotional concerns. Psychiatric mental health nurses, who are holistically trained, are well prepared to teach about a variety of health subjects.
REF: 11-12
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

16. Audience Response Questions
A group participant frequently reminds others of the group’s main purpose. What type of role is this person fulfilling?
Maintenance
Individual
Task
ANS: C
Task roles serve to keep the group focused on its main purpose and getting the work done.
REF: 7-8
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.