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therapeutic groups
psych therapeutic groups
Question | Answer |
---|---|
concept of therapeutic groups | altruism-member can increase self-esteem as they learn that they can be useful to others by offering support and alternatives |
development of socializing | members can develop the skills and correct maladaptive behaviors through group interaction |
imitative behavior | member identifies w/ the healthier aspects of other members and the leader |
interpersonal learning | healthy behavior learned in the group is gradually transferred to other situations outside the group |
catharism | expression of feelings(neg&pos) in a non-threatening atmosphere |
group cohesiveness | feelings of 'we' rather than 'I' commitment to the group shown as regular attendance and the ability to communicate a full range of feelings w/out the groups disintegration |
family dynamics | all sorts of families- nuclear, single-parent, blended, extended, communal |
types of family function | physical provision, economic provision, sexual intimacy, education, reproduction |
family structure | different roles as per age of members |
newborn and infant | bonding |
toddler and preschooler | protection, cooperative play, security |
school age and adolescent | role of best friend, puberty, peer groups |
adult and older adult | intimacy, need peer group support, affect of aging on partners |
factors affecting family function | culture, economic resources, lifestyle, previous experiences, coping tolerance, illness, traumatic experience, SA |
manifestations of altered family function | separation or divorce, role strain, abuse, social isolation, emotional problems |
family therapeutic groups | important not to blame w/ family but intervene and diffuse blame. consider entire family as object of tx because the family is a system, any change in family causes change of whole family |
genogram | used to record family facts and relationships |
nurse role in therapeutic groups | ask ? to facilitate expression of thought and feelings ad stimulate ideas for change of thinking and behavior to improve situation. ask what others were thinking when another was talking |
Milieu therapy | freedom of movement, hospital and community setting, group and social interactions, view client as responsible human beings. rules and expectations are mediated by peer pressure |
seven assumptions of milieu therapy | health realized and encouraged to grow, every interaction is opportunity for intervention, pt owns their own environment and behavior, peer pressure useful tool, inappropriate behavior dealt w. as they occur, restriction & punishment avoided |
group therapy | group defined as 2 or more individuals who share common goal, meet over a period of time, face-face interactions, and achieve an identifiable goal |
roles of group members | task(keep group focused), maintenance(compromiser,encourager,gatekeeper), individual-(agressor,blocker,help seeker, playboy, recognition seeking) |
group therapy benefits | more efficient, cheaper, individual frames of reference |
psych mental health nursing assessment | MSE, psychosocial assessment, physical exam, hx, interviews, standardized rating scales, psychosocial, spiritual and cultural assessment |
dx | id problem, prioritize diagnosis |
outcome | id attainable and culturally expected outcomes. include estimates for outcome |
planning | id safe, pertinent evidence-based actions, include culture and health practices relevant w/ pt. |
communication skills | verbal vs nonverbal, body behaviors, facial expression, promothing |
phases of n-pt relationship | peplau described n-pt relationship as evolving, interlocking, overlapping. phases include preorientation, orientation, working, and termination |