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: Weight gain and metabolic changes are side effects of clozapine, primarily due to its antihistaminic and serotonergic effects, not its dopaminergic action. Dopamine blockade is more associated with movement disorders, making this choice incorrect for teaching related to dopaminergic effects.

Choice B reason: Clozapine’s strong dopaminergic effect, particularly D2 receptor blockade, can cause extrapyramidal symptoms like tardive dyskinesia, a movement disorder. Patient education must emphasize monitoring for abnormal movements, as these are significant risks in antipsychotic therapy, making this the correct choice.

Choice C reason: Infection risk, particularly agranulocytosis, is a serious clozapine side effect but is unrelated to its dopaminergic action. It stems from bone marrow suppression, requiring blood monitoring, not dopamine-related teaching, making this choice incorrect for the question’s focus.

Choice D reason: Improved mood is not a direct result of clozapine’s dopaminergic effect, which primarily addresses psychotic symptoms. Mood changes occur over weeks and involve multiple receptors, not just dopamine, making this choice incorrect for dopaminergic-focused teaching.

A. Adopt a neutral attitude when providing care B. Check on the patient throughout the day for brief interactions C. Discuss the patient’s feelings with an authorized individual D. Share personal mental health information with the patient

Correct Answer is A

Explanation

Choice A reason: A neutral attitude in psychiatric nursing maintains professional boundaries and objectivity, preventing bias or emotional entanglement. This fosters a therapeutic environment, allowing patients to express feelings without judgment, aligning with principles of therapeutic communication and mental health care, making this the correct choice.

Choice B reason: Brief check-ins, while useful, may not provide the depth needed for therapeutic care in mental health settings. Consistent, meaningful engagement is more effective for building trust and addressing complex emotional needs, making this approach less optimal compared to maintaining neutrality.

Choice C reason: Discussing a patient’s feelings with another individual risks breaching confidentiality unless authorized by the patient or legally required. This violates ethical standards in mental health care, which prioritize privacy, making this approach non-therapeutic and incorrect for supporting patient care.

Choice D reason: Sharing personal mental health information blurs professional boundaries, potentially shifting focus from the patient’s needs to the nurse’s experiences. This undermines therapeutic communication and objectivity, risking patient trust and care quality, making this approach inappropriate and incorrect.

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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 patient begins therapy with clozapine medication. What teaching should the nurse provide related to the drug’s strong dopaminergic effect?

Correct Answer is B

Explanation

A nurse is caring for a patient with a mental health disorder. Which approach best supports therapeutic care?

Correct Answer is A

Explanation

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