Yes, I will be leading this group. What would you like to accomplish during this time?
Anxiety over participation in a group and testing of the leader
... [Show More] characteristically occur in the initial phase of group dynamics. (B) provides information and focuses the group back to defining its function. (A) is manipulative bargaining. Although (C) provides information, it does not focus the group on its purpose or task. (D) is interpreting the client's feelings and is almost challenging. ✔✔ At the first meeting of a group of older adults at a daycare center for the elderly, the nurse asks one of the members what kinds of things she would like to do with the group. The older woman shrugs her shoulders and says, "You tell me, you're the leader." What is the best response for the nurse to make?
A) Yes, I am the leader today. Would you like to be the leader tomorrow?
B) Yes, I will be leading this group. What would you like to accomplish during this time?
C) Yes, I have been assigned to be the leader of this group. I will be here for the next six weeks.
D) Yes, I am the leader. You seem angry about not being the leader yourself.
Allow the group to handle the problem.
After several weeks, the group is in the working phase and the group members should be allowed to determine the direction of the group. The nurse should ignore the client's comments and allow the group to handle the situation (C). A good leader should not have separate meetings with group members (A), as such behavior is manipulative on the part of the leader. (B) is dictatorial and is not in keeping with good leadership skills. (D) is avoiding the problem. Remember, identify what phase the group is in--initial, working, or termination--this will help determine communication style. ✔✔ Over a period of several weeks, one male participant of a socialization group at a community day care center for the elderly monopolizes most of the group's time and interrupts others when they are talking. What is the best action for the nurse to take in this situation?
A) Talk to the client outside the group about his behavior during group meetings.
B) Remind the client to allow others in the group a chance to talk.
C) Allow the group to handle the problem.
D) Ask the client to join another group.
Let us go back to the activity room and see what is going on in there.
It is common for those with Alzheimer's disease to use the wrong words. Redirecting the client (using an accepting non-judgmental dialogue) to a safer place and familiar activities (C) is most helpful because clients experience short-term memory loss. (A) dismisses the client's attempt to find order and does not help her relate to her surroundings. (B) dismisses the client and may increase her anxiety level because it merely labels the client's behavior and offers no solution. It is very frustrating for those with Alzheimer's disease to "remember," and scolding them (D) may hurt their feelings. ✔✔ An 86-year-old female client with Alzheimer's disease is wandering the busy halls of the extended care facility and asks the nurse, "Where should I stand for the parade?" Which response is best for the nurse to provide?
A) Anywhere you want to stand as long as you do not get hurt by those in the parade.
B) You are confused because of all the activity in the hall. There is no parade.
C) Let us go back to the activity room and see what is going on in there.
D) Remember I told you that this is a nursing home and I am your nurse.
Tell me more specifically about your child's accidents. [Show Less]