A leader begins the discussion at the first meeting of a new group. Which comments should be included? Select all that apply
a. "We use groups to provide treatment because it's a more cost-effective use of staff in this time of budget constraints."
b. "When someone shares a personal experience, it's important to keep the information confidential."
c. "Talking to family members about our group discussions will help us achieve our goals."
d. "Everyone is expected to share a personal experience at each group meeting."
e. "It is important for everyone to arrive on time for our group."
ANS: B, E
The leader must set ground rules for the group before members can effectively participate. Confidentiality of personal experiences should be maintained. Arriving on time is important to the group process. Talking to family members would jeopardize confidentiality. While groups are cost-effective, blaming the budget would not help members feel valued. Setting an expectation to share may be intimidating for a withdrawn patient.
You might also like to view...
The client who has a positive enzyme immunoassay test asks the nurse if that means that he is HIV positive. The nurse's most helpful response would be
a. "No, many people have positive enzyme immunoassays." b. "No, you need to have the Western blot test to confirm that you are positive." c. "Yes, but antiretrovirals will probably combat the infection now." d. "Yes, you should seek medical care for antiretroviral drugs."
A client who has heart failure is asking about end of life. The priority for the nurse's discussion with the client is to:
1. Be as honest as possible about the progression of the disease and the support needed. 2. Tell the client that nursing staff might be available if needed, but that family will need to help provide client support. 3. Have the health care provider discuss end-of-life topics with the client. 4. Reassure the client that the chances for survival are good.
Your client uses a wheelchair and cannot get into the building where the client works because it does not have a ramp. According to the Americans with Disabilities Act, your client's employer:
1. will need to make appropriate accommodations for your client to work at home. 2. is not obligated to do anything special for your client. 3. will need to make reasonable efforts to accommodate the special needs of your client and other disabled employees (e.g., installing a ramp for any employee who uses a wheelchair). 4. will recommend that your client seek other employment that can accommodate the client's needs.
The mother of an 18-month-old male client shares with the nurse that she is trying to get her child to tell her when he needs to have a bowel movement. Which of the following statements is the most appropriate response from the nurse?
1. "I'm sure that you will be glad to have your son out of diapers." 2. "I once heard of a child who was totally potty-trained by the time he was a year old." 3. "Development of neuromuscular control of the bowels doesn't normally occur un-til a child is between 2 and 3 year of age." 4. "You will have to really be persistent about taking him to the bathroom frequently in order to be successful."