A PMHNP is treating a patient in individual therapy

A PMHNP is treating a patient in individual therapy and thinks the patient may be a good candidate for group

therapy. The patient is motivated to start group therapy, which meets twice a month. Then the patient adds, “I can come to the first two meetings, but then will be away on business for at least a month, maybe longer. But then I can come to the at least one meeting before my next trip.” Based on this information, what is the most likely recommendation by the PMHNP?

Give her the go-ahead to start group therapy immediately while she is motivated

Have her hold off with group therapy unless her schedule allows for regular attendance

Ask her to come to the first meeting and decide after evaluating her group interactions whether to continue

Tell her that she is free to join the group therapy meetings whenever she is in town

 
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Following the PMHNP’s cancellation of a group session,

Following the PMHNP’s cancellation of a group session, he or she notices a decrease in compliance and attendance

within the group. What does the PMHNP identify as the group’s reason for noncompliance?

A.The group did not expect to have time off, so it may take up to a month to get back into a routine.

B.The group members may believe that the group is not important to the PMHNP.

C.The PMHNP’s absence gave the members a reason to also be absent.

D.The group members feel let down, because the PMHNP cancelled a meeting.

 
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Following the PMHNP's cancellation of a group session,

Following the PMHNP’s cancellation of a group session, he or she notices a decrease in compliance and attendance

within the group. What does the PMHNP identify as the group’s reason for noncompliance?

A.The group did not expect to have time off, so it may take up to a month to get back into a routine.
B.The group members may believe that the group is not important to the PMHNP.
C.The PMHNP’s absence gave the members a reason to also be absent.
D.The group members feel let down, because the PMHNP cancelled a meeting.

 
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A client diagnosed with depression has begun to feel despair and expresses

A client diagnosed with depression has begun to feel despair and expresses a desire to leave the group because he

or she does not believe it is helpful. Which action by the PMHNP will most likely contribute to the client staying in the group?

A.Encouraging the client to attend one more group meeting to see how much he or she is needed

B.Conducting an individual interview to discuss stressors within the group

C.Telling the client that everyone has those feelings and must “stick it out” for things to get better

D.Referring the client to a different group because he or she obviously will not do well within this one

 
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