Case Study Colleen, a psychiatric mental health RN, is leading a therapeutic group for inpatients who...

Case Study

Colleen, a psychiatric mental health RN, is leading a therapeutic group for inpatients who have a history of alcohol abuse. The group is in the orientation phase, and members are still getting to know one another. Even at this early stage, however, Colleen recognizes behavior and personality traits of two members, in particular, that could pose potential problems in the group. One member, Howard, comes across as extremely negative and fairly aggressive. At times, he directly criticizes and belittles other members. When one group member discusses his wife’s disapproval of his drinking, Howard replies in disgust, “I don’t understand spineless guys like you who let women run your life. No wonder you can’t quit drinking.” When not confronting members directly, Howard makes dismissive and disparaging sounds or gestures. Other members seem offended by his behavior. Another member of the group, Fatima, has not spoken at all, except when directly asked a yes-or-no question. She does not seem unpleasant or unhappy to be in the group, but she keeps her eyes down, as though she’s afraid to be “called on.”

What term describes the type of group behavior Howard is demonstrating? How might Colleen address this behavior most effectively?

Fatima is what type of group member? How is this best addressed? Should Colleen leave Fatima alone since she is not disrupting the group or causing any trouble? Or should Colleen be more proactive with this member?

The members of Colleen’s group are inpatients. What bearing, if any, should this have on your suggestions above for Colleen in addressing member behavior? How might this affect Colleen’s overall leadership style for this group?

Solutions

Expert Solution

The orientation phase focuses on the patient's problem. Colleen gets to know about the problem of Howard and Fatima in this phase and it is very obvious.

1) Howard has unsocialized, negative and aggressive behavior. For that colleen has to first make him comfortable and provide a safe and comfortable atmosphere for self-disclosure. And provide positive reinforcement, this gives ego support and encourages future growth. Rewarding comments of group members can be in some way fruitful to improve his behavior. Role-playing may help a member develop insight into how he relates to others. This can be the best way to handle Howard.

2)Fatima has a "fragile" behavior. Colleen should approach her in a gentle, supportive, and non-threatening manner. Colleen should help in increasing the socialization behavior of Fatima by maintaining eye contact or asking her to comment on the discussions. Colleen can ask a group member who she thanks can support Fatima as help from other group members can be fruitful. colleen should not leave Fatima instead approach differently.

3) having inpatients in a group can be in favor of Colleen as she can observe the behavior of every member and a change in behavior towards or against the good prognosis. This attentive and observing behavior of Colleen can improve the overall leadership style.

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

Case Study Colleen, a psychiatric mental health RN, is leading a therapeutic group for inpatients who...

Case Study Colleen, a psychiatric mental health RN, is leading a therapeutic group for inpatients who have a history of alcohol abuse. The group is in the orientation phase, and members are still getting to know one another. Even at this early stage, however, Colleen recognizes behavior and personality traits of two members, in particular, that could pose potential problems in the group. One member, Howard, comes across as extremely negative and fairly aggressive. At times, he directly criticizes and...

Colleen, a psychiatric mental health RN, is leading a therapeutic group for inpatients who have a...

Case Study 4: You are an RN and work in a community mental health clinic in...

Case Study 4: You are an RN and work in a community mental health clinic in Sydney. The clinic you work in primarily specialises in adolescent mental health and receives many referrals from the justice system of mentally ill, troubled or disordered minors who have gotten in trouble with the law. As part of their court orders they are usually required to undergo professional treatment and counselling. You are part of the multidisciplinary team which delivers this care. As part...

CASE STUDY Jon is a psychiatric mental health nurse in a large metropolitan clinic, which is...

CASE STUDY Jon is a psychiatric mental health nurse in a large metropolitan clinic, which is connected to a research hospital. Jon likes the fact that it’s a walk-in clinic. One day he is just getting ready to eat his sack lunch, when a slender young woman who looks exhausted and timid knocks at his open door. “Excuse me,” she says. “Can I get into a research project?” Jon puts down his bologna sandwich. “What’s that?” he says. He’s confused....

Case Study Therapeutic Communication 1.The psychiatric nurse is initiating an interview with Mr. Johnson. He is...

Case Study Therapeutic Communication 1.The psychiatric nurse is initiating an interview with Mr. Johnson. He is a 33-year-old male clientadmitted to the Behavioral Center with a diagnosis of schizophrenia. The nurse begins the interaction by saying, “What shall we talk about today?” a.Explain why this is an appropriate opening statement to initialize a clinical interview session. b.Why should the nurse use simple, concrete, and direct messages with the client?

important of CINAHL Plus in research and in Psychiatric Mental Health Nursing

Jon is a psychiatric mental health nurse in a large metropolitan clinic, which is connected to...

Jon is a psychiatric mental health nurse in a large metropolitan clinic, which is connected to a research hospital. Jon likes the fact that it’s a walk-in clinic. One day he is just getting ready to eat his sack lunch, when a slender young woman who looks exhausted and timid knocks at his open door. “Excuse me,” she says. “Can I get into a research project?” Jon puts down his bologna sandwich. “What’s that?” he says. He’s confused. “Research?” “Yes,”...

Chapter 1, Introduction to Psychiatric–Mental Health Nursing 1. After learning about mental illnesses in class, a...

Chapter 1, Introduction to Psychiatric–Mental Health Nursing 1. After learning about mental illnesses in class, a classmate expresses her fear of developing a mental illness. She says to you, “I see a little bit of myself in every mental illness diagnosis we talk about. I am so afraid I may develop one of these diseases one day.” a. What are the elements of mental health? In what way do you meet these elements? b.What are the influences on mental health?...

You are an RN and work in a community mental health clinic in Sydney. The clinic...

You are an RN and work in a community mental health clinic in Sydney. The clinic you work in primarily specialises in adolescent mental health and receives many referrals from the justice system of mentally ill, troubled ordisordered minors who have gotten in trouble with the law. As part of their court orders they are usually required to undergo professional treatment and counselling.You are part of the multidisciplinary team which delivers this care. As part of the multi-disciplinary team, you...

You are an RN and work in a community mental health clinic in Sydney. The clinic...

You are an RN and work in a community mental health clinic in Sydney. The clinic you work in primarily specialises in adolescent mental health and receives many referrals from the justice system of mentally ill, troubled or disordered minors who have gotten in trouble with the law. As part of their court orders they are usually required to undergo professional treatment and counselling. You are part of the multidisciplinary team which delivers this care. As part of the multi-disciplinary...

Subjects