Which of the following group therapies would be most helpful for clients diagnosed with severe and persistent schizophrenia who are living in a nursing home?
1. Bible-study groups
2. Dialectical behavior groups
3. Mutual-help groups
4. Social skills training groups
4
Rationale: Older people with severe and persistent schizophrenia can learn and maintain new skills and report improved functioning after cognitive behavioral social skills training. Mutual help groups do not provide enough structure for schizophrenic clients. Bible study groups may increase religious delusions. Dialectical behavior groups require understanding of abstract concepts that may be too difficult for severe and persistent schizophrenic clients to grasp.
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