Mental Health: Group and Family Therapy

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group process
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Terms in this set (21)
group process
verbal and nonverbal communication that occurs during group sessions, including how the work progresses
group norms
is the way the group behaves during session, and over time, it provides structure for the group
hidden agenda
some group members (or the group leader) may have goals different from the stated group goals that may disrupt group processes
Subgroup
a small number of people within a larger group who function separately from the group
homogeneous group
is one in which all members share a certain chosen characteristic (diagnosis or gender)
Orientation phase
define the purpose and goals of the group.*There is a discussion about termination.
working phase
promote problem-solving skills to facilitate behavioral changes
Termination phase
marks the end of group sessions
Blaming
Members blame others to shift focus away from their own inadequacies
Manipulating
members use dishonesty to support their own agendas
placatingone member takes responsibility for problems to keep peace at all costsdistractinga member inserts irrelevant information during attempts at problem solvingGeneralizingMembers use overall descriptions such as "always" and "never" in describing family encountersScapegoatinga member of the family with little power is blamed for problems within the familyTriangulationa third party is drawn into the relationship with two members whose relationship is unstableMultigenerational issuesthese are emotional issues or themes within a family that continue for at least three generations, such as a pattern of substance use or addictive behavior when the family is under stress, dysfunctional grief patterns, triangulation patterns, divorceA nurse wants to use democratic leadership with a group whose purpose is to learn appropriate conflict resolution techniques. The nurse is correct in implementing this form of group leadership when she demonstrates which of the following actions? A. Observes group techniques without interfering with the group process B. Discusses a technique and then directs members to practice the technique C. Asks for group suggestions of techniques and then supports discussion D. Suggests techniques and asks group members to reflect on their useC. Asks for group suggestions of techniques and then supports discussionA nurse is planning group therapy for clients dealing with bereavement. Which of the following activities should the nurse include in the initial phase? (Select all that apply) a. Encourage the group to work toward goals b. Define the purpose of the group c. Discuss termination of the group d. Identify informal roles of members within the group e. Establish an expectation of confidentiality within the groupb. Define the purpose of the group c. Discuss termination of the group e. Establish an expectation of confidentiality within the groupA nurse on an acute mental health unit forms a group to focus on self-management of mediations. At each of the meetings, two of the members conspire together to exclude the rest of the group. This is an example of which of the following concepts? a. Triangulation b. Group process c. Subgroup d. Hidden agendac. SubgroupA nurse is conducting a family therapy session. The younger child tells the nurse about plans to make the older sibling look bad, believing this will earn more freedom and privileges. The nurse should identify this dysfunctional behavior as which of the following? a. Placation b. Manipulation c. Blaming d. Distractionb. ManipulationA nurse is working with an established group and identifies various member roles. Which of the following should the nurse identify as a n individual role? a. A member who praises input from other members b. A member who follow the direction of other members c. A member who brags about accomplishments d. A member who evaluates the group's performance toward a standardc. A member who brags about accomplishments