RUHS, Jaipur, PB B.Sc Nursing Entrance-2019
Mental Health Nursing
Easy
While conducting group therapy for the patients, which group of patients will not be allowed to attend?
Appeared in: RUHS, Jaipur, PB B.Sc Nursing Entrance-2019
Explanation
- Patients who are actively delusional are excluded from general group therapy because they are experiencing acute psychosis.
- Their connection to reality is impaired, which prevents them from engaging meaningfully and safely in a group setting.
- They may misinterpret discussions, become disruptive, or feel threatened, making the environment non-therapeutic for them and other members.
- Such patients require stabilization through individual therapy and medication before they can be considered for group work.
Why Other Options Were Wrong
- Option A: This is incorrect because group therapy is a primary treatment modality for substance use disorders.
- Option B: This is incorrect as group therapy, particularly Cognitive Behavioral Therapy (CBT) groups, is a highly effective treatment for anxiety.
- Option C: This is incorrect because specific anger management groups are designed for these individuals.
Related Visual
Clinical Relevance
- Nursing practice connection: Knowing Contraindications for Group Therapy helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- A nurse's primary responsibility in group therapy is to ensure the safety and therapeutic integrity of the group environment. This involves careful pre-screening of all potential members.
- Failure to exclude an acutely psychotic patient can jeopardize the safety of all members, disrupt the therapeutic process, and cause psychological harm to the unstable individual.
- What if? If a patient with a history of delusions is now stable on antipsychotic medication and demonstrates good reality testing, they could be considered for a high-functioning, supportive therapy group. The decision would depend on a thorough psychiatric evaluation.
How to Approach the Question
- First, identify the core of the question, which asks for a contraindication to group therapy. The keyword 'not' is critical.
- Next, consider the basic requirements for a person to benefit from group therapy: ability to interact with others, maintain a connection to reality, and not pose a threat to the group's safety.
- Evaluate each option against these requirements.
- Recognize that substance use, anxiety, and anger issues are common reasons for attending group therapy, as groups are designed to address these very problems.
- Identify that being 'delusional' signifies a break from reality (psychosis), which makes safe and effective group participation impossible.
- Conclude that the delusional patient is the one who must be excluded.
Concept Tested & Keywords
- Concept Tested: Contraindications for Group Therapy
- Stem keywords: group therapy, patients, not be allowed
- Lead-in keywords: not
- Negative lead-in flag: This question uses a negative lead-in ('not'), asking to identify the group that should be excluded.
Question ID
Qek8anSI8Rvseu0cYqfuHG
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 12708-12710, 14276-14278
Practise the full RUHS, Jaipur, PB B.Sc Nursing Entrance-2019
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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