A instillation of hope b existential resolution c

a.
Instillation of hope
b.
Existential resolution
c.
Development of socializing techniques
d.
Corrective recapitulation of the primary family group
ANS: D
The younger patient is demonstrating an emotional attachment to the older patient that mirrors
patterns within her own family of origin, a phenomenon called corrective recapitulation of
the primary family group . Feedback from the group then helps the member gain insight about
this behavior and leads to more effective ways of relating to her family members. Instillation
of hope involves conveying optimism and sharing progress. Existential resolution refers to the
realization that certain existential experiences such as death are part of life, aiding the
adjustment to such realities. Development of socializing techniques involves gaining social
skills through the group‘s feedback and practice within the group.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 34-18 (Table 34-1) TOP: Nursing Process: Assessment MSC: Client
Needs: Psychosocial Integrity
4.
During group therapy, one patient says to another, ―When I first started in this group, you were
unable to make a decision, but now you can. You‘ve made so much progress that I am beginning
to think maybe I can conquer my fears too.‖ Which therapeutic factor is evident by this
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Pages 34-4, 18 (Table 34-1) TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrity
5.
During a group therapy session, a newly admitted patient suddenly says to the nurse, ―How old
are you? You seem too young to be leading a group.‖ Select the nurse‘s most appropriate
response.

testbanks_and_xanax
b.
―I am old enough to be a nurse, which qualifies me to lead this group.‖
c.
―My age is not pertinent to why we are here and should not concern you.‖
d.
―You are wondering whether I have enough experience to lead this group?‖
ANS: D
A question such as this is common in the initial phase of group development when members
are getting to know one another, dealing with trust issues, and testing the leader. Making
explicit the implied serves to role model more effective communication and prompts further
discussion of the patient‘s concern. Asking the patient to tell the leader more about the
question focuses on the reason for the member‘s concern rather than on the issue raised (the
experience and ability of the leader) and is a less helpful response. ―I am old eno ugh to be a
nurse‖ and ―age is not pertinent‖