Registered Practical Nurse (RPN) Practice Test

In preparing to form a small group in an inpatient psychiatric setting, how many clients should the nurse ideally select?

1. Five to six clients

2. Seven to eight clients

3. Nine to ten clients

4. Two to four clients

The correct answer is: Seven to eight clients

The ideal number of clients for small group therapy in an inpatient psychiatric setting typically falls between seven to eight participants. This range strikes a balance that promotes effective communication and engagement while allowing for a variety of perspectives and experiences within the group. Groups that are too small, such as those with two to four clients, may lack diversity in perspectives and can sometimes lead to over-reliance on certain individuals, which might inhibit broader discussions or shared experiences. On the other hand, groups that are too large, like those with nine to ten clients, can become unwieldy, making it challenging for each participant to engage meaningfully. Such larger groups can also lead to feelings of anonymity, which could hinder the development of trust and rapport essential for therapeutic processes. By selecting seven to eight clients, the nurse can facilitate a dynamic environment where each person has the opportunity to contribute while still maintaining intimacy and connection, which are crucial in any therapeutic setting. This ideal group size encourages participation, provides adequate time for each member to share, and fosters a supportive atmosphere that can enhance therapeutic outcomes.