AIIMS Raipur NO - 2019 (Shift-2)
Mental Health Nursing
Easy
Psychotherapy groups in which all members of the group join the group at the same time and have a defined membership is called?
Appeared in: AIIMS Raipur NO - 2019 (Shift-2)
Explanation
- A 'Closed' group is defined by its fixed membership, where all participants begin the therapeutic process together and no new members are admitted after the group starts.
- This structure is intentional, designed to build a strong sense of group cohesion, trust, and security among members.
- The shared experience from start to finish allows for a deeper level of intimacy and therapeutic work, as the group progresses through different stages together without the disruption of new members joining.
Why Other Options Were Wrong
- Option B: An 'Open' group is incorrect because it has a fluctuating membership. New members can join at any time to replace those who have left, which is the opposite of the structure described in the question.
- Option C: A 'Homogeneous' group is incorrect because this term describes the composition of the group, not its membership policy. It means members share similar characteristics, such as age, diagnosis, or life experience.
- Option D: A 'Heterogeneous' group is incorrect as it also describes the group's composition. It refers to a group with members from diverse backgrounds and with different issues, which is intended to create a microcosm of the real world.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Types and structures of psychotherapy groups as background academic context rather than a clinical decision trigger.
- Nurses and therapists must understand the difference between group types to make appropriate referrals. A patient needing intensive, short-term treatment for a specific issue (e.g., social anxiety) would benefit most from a closed, homogeneous group.
- In settings like psychiatric inpatient units, nurses often run or co-facilitate open groups. The key nursing skill here is to quickly orient new members and manage the group dynamics that arise from a constantly changing membership.
- What if? If a patient in a 12-week closed group for smoking cessation drops out in week 4, the leader would not replace them. Instead, the group would process the loss of the member and continue with the remaining participants, maintaining the 'closed' boundary to preserve group trust and cohesion.
How to Approach the Question
- First, identify the key defining phrases in the question stem. Here, the crucial phrases are 'all members of the group join the group at the same time' and 'have a defined membership'.
- Next, analyze what these phrases imply. 'Joining at the same time' and 'defined membership' both point to a static, unchanging group structure.
- Evaluate each option against this understanding.
- The term 'Closed' directly relates to the concept of a fixed boundary and unchanging membership.
- The terms 'Open,' 'Homogeneous,' and 'Heterogeneous' describe different aspects of a group (membership fluidity and member similarity, respectively), which do not match the specific characteristics in the question.
Concept Tested & Keywords
- Concept Tested: Types and structures of psychotherapy groups
- Stem keywords: psychotherapy groups, all members join at the same time, defined membership
- Lead-in keywords: is called
- Negative lead-in flag: false
Question ID
Qlt0fKyHKRKJCbg6-C5621
Reference Book
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) pp. 2379-2381, 2385-2387
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 9660-9662
Practise the full AIIMS Raipur NO - 2019 (Shift-2)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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