Mental Health Nursing: Group Therapy

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Group

Back 1

collection of persons who comes together some way makes them interpendent

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Therapy groups

Back 2

Groups of persons that come together to receive psychotherapy in a group setting

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Suppotive Groups

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Groups of persons that come together for a primary purpose of offering support, education, and or socialization/recreation

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Group Leader

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facilitator- who invites or selects group members according to what the group can accomplish and who helps to identify the purpose and goals of the group

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Open Group

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participants may come and go and come for as many sessions; common on inpatient untis and as self-help groups

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Close group

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begins with a certain number of participants and is not open to new members; found in outpatient settings; have a focus on psychotherapy

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How does it benefits the client?

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- learn from others
- observe others in social interaction and as role models
- try out new ways of interaction in supportive environment
- place to belong
- group identity

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How does group interventions benefit the group leader?

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serve several clients at one
- cost and time effective
- additional social and supportive interaction to clients
- draw on stregnth and ideas of group to arrive at creative solutions

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What are the 3 phases of group works?

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Orientation
Work
Termination

Front 10

In which phase ones get to know each other, where the leader make members comfortable and feel welcome?

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Orientation

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In this phase, setting out rules and expectations are very important to build cohesions. Building respect and trust.

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Orientation

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What is the goal of the orientation phase?

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The participants develop a sense of belonging to the group.

Front 13

Group members feel a sense of cohesian and sense of belonging once___________ is complete.

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Orientation phase

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In this phase, keeping group on tasks, to actively accomplish purposes of the group is essential.

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Working Phase

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In this phase, persons are sharing their feeling, fears, trying out new behaviors, relying on each other for hones feedback...

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Working Phase

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What is the course of action of the facilitar when behaviors are counterproductive?

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will point out behavior, explain why it is counterproductive and let participants develop their own skills in working together.

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Explain the Termination Phase:

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- Time-limited closed group
- sessions have ended
- when an open group no longer wants to meet b/c the purposes have been met
- prepare for separation
- help each other plan for future
- leader will acknowledge contributions of each member and group experience

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Group Dynamics

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refers to the underlying forces that work to produce behavior patterns within groups. Includes:
Group Content
- refers to specific problems, topics, or conditions addressed by the group as a whole

Group Process
- refers to the interaction (verbal or nonverbal) between the group members
- refers to all the factors that contribute to the group purposes

Front 19

Which of the group dynamics brings forward many unconscious and unnoticed means of interactions. Attention to this process is the factor most likely to stimulate growth in group particpants?

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Group Process

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On situations where a group seems unproductive, what can the group leader do?

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Redirect the group most readily by making a comment on the group process to-
- get back to the topic at hand
- point out roles group member may take, and ask if everyone is agree with it....

Front 21

What do you call one who tries to work through situations and reach a resolution of issues?

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Problem sovler

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What do you call one who tries to direct group conversation and activites?

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Controller

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What do you call one who is shy and retiring, who does not participate (or rarely participates in discussions?

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Silent one

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A nay sayer is someone who does what?

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predicts negative outcomes

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This person attempts to be kind and helpful to all.

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Supporter

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One who takes over, who scares off others.

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Intimidator

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One who finds faulth with seemingly everyone and everything.

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Devil's advocate

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Using a distinct theorectical approach, you will need what type of degree?

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Grad

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Group is primarily an educational group: info on medication, teaching compliance, food regimens, a nurse will need a degree in...

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Undergrad

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Assistig with chemical addition, the nurse will need education at a....

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Undergrad w/ extensive continuing education in drug and subtance abuse

Front 31

How does a therapist typically use psychoanalytic approach in group therapy?

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provide individual therapy to all othe groups members and brings the persons together for the group to achieve additional benefits that only a group can provide.

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How does psychoanalysis affect the client's growth?

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through unconvering of client's unconscious self and awareness of past experiences. These discoveries provide insight into current patterns and difficulties

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What are some goals of the psychoanalytic therapy achieved in group settings?

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- feeling of relief in disclose feelings openly
- other clients share the same problems
- reexperience early family relationships in a setting that is emotionally safe
- diret and immediate feedback in which ways others perceive his style and defense
- wean himself from a prolonged, excessively soul searching
- get on business of making life changes

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Explain the Interpersonal Theory of Sullivan:

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- group members examine their interactions.
- goal is to help the client identify interspersonal strains and to encourage more successful styles of relating to others.
- Peplau believes closeness of a therapeutic relationship can build trust, empathy and growth towards health behaviors.
- can be used with in patient adolescent because it is safe and empowering

Front 35

Which philosophy approach includes beliefs in the ideas that each person's unconscious contains forces for courage an creativity as well as for violence and cruelty and the therapist and client are more equal b/c each has to reconcile the same problems of existence?

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Existential Philosophy

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In which approach requires the therapist to "let the patient be?"

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Existential

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In this group therapy, individuals can experience each other, seek to establish relationships based on equality and mutuality and give up self-confirmations based on others' notions of what they should be.

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Existential

Front 38

Which Behavioral group is concerned with the thought processes and the behavioral patterns of the clients?

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Cognitive-behavioral groups

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Which group therapy encourages expression of feelings that underlie personal problems through the use of spontaneos, dramatic role play?

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Psychodrama

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They psychodrama functionally puts the client back into the ____________. This technique forces the client to " ______________" other members how persons in the life situation would respond by taking various roles. Technique orginated with the work of ____________. Based on "_________." Puts the client in situation such that a _________ must be found.

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Situation, rather than talk about it/ Show/ Moreno/ Here and now/ resolution

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Socialization groups

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- need for increase socialization and contact
- learns methods of interactions with others
- common on inpatient pschiatric units and in outpatiens clinics
- facilitor present
- goal is to increase interactions and social skills
- storytelling techinique to reduce social isolation and promote connection

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Recreation Groups

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- extension of the socialization group
- goal is to plan and experience activities enjoyment, camaraderie, and socialization

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Educational groups

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- it is more cost effective to teach a group of people together
- bringing the group together provides the benefits of universality

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Reality Orientation Groups

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serves to reorient the client to tme, place and season and to provide information of current events of note
- inpatient settings
- promote social interaction

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Reminiscence group

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aimed at permitting reminiscence or life review are considered helpful when a person is at development stage n which he is feeling he has completed his life and has a need to look bakc over significant years
- sharing photos, storytelling

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Self-help groups

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persons coming together who are facing a common difficulty
-AA
- onlie support