In which phase of group therapy should the nurse plan to first address termination?

Orientation phase

Working phase

Termination phase

Pre-group phase

Answer and Explanation

The Correct Answer is C

Choice A reason: The orientation phase focuses on establishing group norms, trust, and goals, not addressing termination. Discussing endings at this stage could disrupt group cohesion and engagement, as members are building relationships, making this choice incorrect for introducing termination.

Choice B reason: The working phase emphasizes active therapeutic work, such as addressing conflicts and goals. Termination is not the focus, as members are engaged in processing issues. Introducing termination here could distract from ongoing work, making this choice incorrect.

Choice C reason: The termination phase is designed to address group closure, reviewing progress and preparing for separation. Discussing termination aligns with this phase’s focus on processing endings and transitioning, a key aspect of group therapy dynamics, making this the correct choice.

Choice D reason: The pre-group phase involves planning and recruitment, not therapeutic activities like addressing termination. This phase sets the stage for group formation, not closure, making it inappropriate for discussing termination, rendering this choice incorrect.

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Correct Answer is B

Explanation

Choice A reason: Assault involves a threat of harm without physical contact. Forcing medication involves actual physical intervention, not just a threat, making assault incorrect. Battery better describes the unauthorized physical act in this scenario, as it involves direct contact.

Choice B reason: Battery is the unauthorized physical contact or use of force on a patient, such as forcibly administering medication against their objection. This violates patient autonomy and ethical standards, aligning with the scenario, making this the correct term for the nurse’s action.

Choice C reason: Negligence involves failing to meet a standard of care, causing harm, such as ignoring a patient’s needs. Forcing medication is an active violation, not a failure to act, making negligence incorrect for this intentional physical intervention.

Choice D reason: Malpractice involves professional negligence causing harm, typically through substandard care. Forcing medication is a deliberate act of battery, not a failure in skill or judgment, making malpractice less precise than battery for this scenario.

A. Focusing on the nurse rather than the client B. Making value judgments C. Giving advice D. Using active listening

Correct Answer is A

Explanation

Choice A reason: Focusing on the nurse’s experiences shifts attention from the patient, undermining therapeutic communication. This violates psychiatric nursing principles, which prioritize patient-centered dialogue to build trust and explore feelings, making this a non-therapeutic technique that disrupts effective mental health care.

Choice B reason: Making value judgments imposes the nurse’s beliefs on the patient, creating a judgmental environment. This hinders open communication, fosters defensiveness, and undermines trust, contrary to therapeutic communication goals in mental health nursing, making this a correct choice for non-therapeutic behavior.

Choice C reason: Giving advice assumes the nurse knows best, disempowering the patient and limiting self-exploration. Therapeutic communication encourages patients to find their own solutions, making advice-giving non-therapeutic, as it disrupts autonomy and trust, correctly identifying this as a non-therapeutic technique.

Choice D reason: Active listening, involving empathy and nonverbal cues, is a cornerstone of therapeutic communication. It fosters trust and validates patient feelings, essential in mental health care. This technique enhances therapeutic relationships, making it incorrect as a non-therapeutic communication example.

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In which phase of group therapy should the nurse plan to first address termination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing morning medications for all patients, and one patient says, "I am not taking any of those pills!" The nurse gets frustrated and forcefully holds the patient to administer the medication over the patient’s objection. Which term best describes this action?

Correct Answer is B

Explanation

Which of the following are examples of a nurse using non-therapeutic communication techniques? (Select all that apply)

Correct Answer is A

Explanation

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