Therapuetic Groups, Milieu, Other Therapies

Front 1

What is a group?

Back 1

a collection of individuals whose association is based on mutual commonalities of concern, values, norms, or principles.

Front 2

How is a membership of a group usually formed? (2 ways)

Back 2

1. Born in a group like royalty or community
2. circumstances ( a result of life cycle events that a person may or may not have control of)

Front 3

*TASK GROUP:
1. purspose?
2. Focus?
3. These groups usually have deadlines to _____ tasks.
4. Examples?

Back 3

1. to accomplish a specific outcome or task.
2. to problem solve and
decision make
3. complete
4.Nurses, therapists, clients or exclusive

Front 4

TEACHING GROUPS:
1. Purspose?
2. Focus?
3. Usually have a set time or a set ____ of meetings.
4. Members learn from ___ ___ as well as the instructor.
5. What is the objective for this group?
6. Examples?

Back 4

1. educate about specific topic
2. to enhance one's education about a specific topic.
3. number
4. each other
5. verbalization or demonstration from members by a specific time.
6. Cont educ classes, discharge teaching, or parenting classes

Front 5

SELF-HELP GROUPS:
1. Do nurses play a role in this type of group as much?
2. Purpose?
3. Focus?
4. Examples?
5. Will these groups have a professional leader or consultant?
6. Who are they run by?

Back 5

1. No
2. to help clients verbalize fears
3. to provide relief of fear of isolation and to receive comfort and advice.
4. AA, class about eating disorders.
5. may or may not
6. members and leadership often rotate from member to member.

Front 6

What is the nurse's role in self help groups?

Back 6

1. May become involved voluntarily or b/c others in the group seek their advice. Before the nurse participates w/n a self help group that he/she is knowledgeable about the purpose, membership,and problems before making refferals to their clients for a certain self help group. Nurse may need to attend several meetings first.

Front 7

SUPPORTIVE/THERAPUETIC GROUPS:
1. Purpose?
2. Focus?

Back 7

1. To prevent future crisis and educate clients w/ effective coping skills.
2. Encourage improvement in the ability of group members to function on an independent level.

Front 8

THERAPEUTIC GROUPS:
1. Leaders have a ___ degree in theory.
2. Usually centered on a specific ____ and are educational in nature. 3. What is the focus of the group?
4. Leaders hope to teach members healthy ___ ____ w/ stress and eliminate the stressor.
5.Group leader must be educated in __ ___ and __.
6.Who often lead therapeutic groups?

Back 8

1. lesser
2. theme
3. more on the stress and emotional problems that can arise to a physical illness or crisis.
4.coping skills
5. group process and group content
6. nurses

Front 9

THERAPEUTIC GROUPS:
1. What is said in the context of the group is called ?
2. The behavior of the group and individual members is called?

Back 9

1. Group content
2. group process

Front 10

PSYCHODRAMA:
1. The group members become ___ in life situation scenarios.
2. Who is the group leader?
3. This therapy must have a leader that holds an ___ degree.
4. Does the staff participate in the role playing?
5. What doe it help the client to express?

Back 10

1. actors
2. director
3. advanced
4. yes
5. unresolved feelings and act out the scenario

Front 11

1. Herbal medicine can be contraindicated with some __.
2. Black Cohosh interferes with what meds?

Back 11

1. medicines
2. HTN meds

Front 12

SEATING DURING A GROUP:
1. Do you use tables?
2. Why do you want them in a circle?
3. Why do you want to change seats w/ every meeting?

Back 12

1. no bc acts as a barrier
2. so everyone will feel equal
3. to eliminate anxiety and it promotes more verbalization

Front 13

SIZE OF A GROUP:
1. The size of the ideal group ranges from __ to __ or __ to __ members.
2. What number of members in a group is proven to provide the best constructive atmosphere?
3. It is better to have a smaller group, what are the advantages and disadvantages?

Back 13

1. 4 to 7 or 2 to 15
2. 7 to 8
3. ADVANTAGES - verbalize more, easier to control, individual care, and feedback
DISADVANTAGE - cant share as much of life experiences.

Front 14

OPEN ENDED GROUPS:
1. Meetings that are run for an indefinite period to allow what?
2. What do these types of meetings cause the clients to feel?
3. Is this the most common type of group?

Back 14

1. to allow members to join or leave the group as they need to.
2. uncomfortableness that encourages unsettled behaviors
3. yes

Front 15

CLOSED ENDED GROUPS:
1. Who is it composed of?
2. These types of meetings are arranged to keep the same members for a __ __ of sessions.
3. If someone wants to join or leave the group what happens?

Back 15

1. individuals with common issues or problems they wish to address
2. specified number
3. The other members must discuss what needs to be done.

Front 16

AUTOCRATIC:
1. Focus?
2. Task Strategy?
3. Members participation?
4. Individual creativity?
5. Member enthusiasm and Morale?
6. Group cohesiveness?
7.Productivity?
8. Individual motivation?

Back 16

1. on the leader
2. adopt leaders ideas, "my way or the highway"
3. limited
4. stifled
5. low
6. low
7. high
8. low

Front 17

DEMOCRATIC:
1. Focus?
2. Task Strategy?
3. Members participation?
4. Individual creativity?
5. Member enthusiasm and Morale?
6. Group cohesiveness?
7.Productivity?
8. Individual motivation?

Back 17

1. members of that group
2. members engage in group problem solving
3. high/unlimited
4. encouraged
5. high
6. high
7. high but not as high as autocratic
8. high

Front 18

LAISSEZ-FAIRE:
1. Focus?
2. Task strategy?
3. Members participation?
4. Individual creativity?
5. Member enthusiasm and morale?
6. Group cohesiveness?
7. Productivity?
8. Individual motivation?

Back 18

1. undetermined
2. none
3. not consistent
4. not addressed
5. low
6. low
7. low
8. low

Front 19

GROUPS..HOW ARE THEY HELPFUL?
1. what is universality?
2. What is assimilated by group members through sharing concern for each other, and what does it promote?
3. What is catharsis?

Back 19

1. awareness of not being alone in problems, feelings, and anxiety that they are experiencing.
2. altruism, and it promotes positive self image and self growth.
3. open expression of feelings, whether they are (+) or (-)

Front 20

Group Development-PHASE I/Initial or Orientation Phase
1. What are the group activities?
2. What are the expectations of the leaders?
3.Member Behaviors: overly __ b/c fear of leader, __ struggle w/n group members, trying to establish __.

Back 20

1. leader and member establish rules, goals, and members introduce self
2. To orient the members, encourage participation, promote trust in the environment, ensure that rules will not interfere w/ fulfillment of the goals.
3. overly, power, position

Front 21

Group Development-Phase II/Middle or working phase
1. Group Activities?
2. Expectations of the leader?
3. Member Behavior: __ is established? Members turn toward? formation of __groups?

Back 21

1. Cohesivness establishes, problem solving and decision making, cooperation, and disagreements are resolved.
2. facilitator, reviews goals and outcomes, encourage to discuss feelings of loss assoc. w/ termination of group.
3. trust, each other and less to the leader, sub

Front 22

Group Development-Phase III/ termination or final phase
1. Group activities?
2. Expectations of leader?
3. Members behavior: They express what?

Back 22

1. sense of loss
2. leader should encourage members to reminisce and reflect, review goals, encourage members to discuss feelings of loss assoc. w/ termination.
3. suprise, denial, anger, and abandonment

Front 23

TASK ROLES
1. Elaborator?
2. Orienter?

Back 23

1. explains and expands on ideas
2. maintains direction w/n group

Front 24

MAINTENANCE ROLES
1. Gatekeeper?

Back 24

1. encourages acceptance and participation by all members of the group

Front 25

INDIVIDUAL (PERSONAL) ROLES
1. Agressor?
2. Dominator?
3. Monopolizer?
4. Who is called the person that talks about personal accomplishments to gain attention to self?
5. Who shares intimate details about self and may frighten others?

Back 25

1. someone who shows (-) and hostility toward other members and degrades others.
2. manipulates others to control others and behaves in an authorative manner.
3. maintains control of the group by dominating conversation
4. recognition seeker
5. Seducer

Front 26

THERAPEUTIC MILIEU
1. What does milieu mean?
2. What does the therapeutic milieu environment provide?
3. To manipulate ones surroundings so that all aspects of the hospital experience are considered therapeutic is the ?

Back 26

1. "surroundings or environment"
2. independence and responsibility of the client as well as improve social interactions while maintaining safety in the environment
3. purpose or goal