Registered Practical Nurse (RPN) Practice Test

How should a nurse respond to an individual who consistently self-discloses personal problems irrelevant to the group purpose?

1. Encourage further sharing

2. Limit repeated episodes and redirect discussion

3. Ignore the behavior

4. Address the issue at the end of the session

The correct answer is: Limit repeated episodes and redirect discussion

When an individual consistently shares personal problems that are irrelevant to the group's purpose, the most appropriate response is to limit these repeated episodes and redirect the discussion. This approach maintains the focus of the group and ensures that the objectives of the session are met. By guiding the conversation back to the agenda, the nurse helps all participants benefit from the group’s structure and objectives, fostering a more productive environment. Redirecting the discussion also acknowledges the individual's need to express themselves without validating or encouraging behavior that detracts from group dynamics. This intervention promotes a balance between allowing personal expression and maintaining the group's focus, which is essential in therapeutic settings. By setting boundaries in this manner, the nurse manages the discussion effectively and supports other group members in their participation.