Question

A nurse is facilitating a community meeting for acute care clients. One client is constantly Talking and using the majority of the groups time. Which of the following intervention should the nurse implement

a.Tell the client to talk less or risk being removed from the meeting.MY ANSWERThreatening the client is not a therapeutic intervention.
b.Ask group members to discuss their feelings about this client's monopolizing behavior.This intervention will validate other members' feelings toward the client who is dominating the meeting. It also should encourage group problem-solving.
c.End the group meeting and take the client aside to discuss the disruptive behavior.This intervention is punitive to all members of the group, and it does not address the problem within the group setting.
d.Focus on other group members and ignore the client who is doing all the talking.Ignoring the client does not address the behavior and is unlikely to solve the problem.

Answer 1

The nurse should ask group members to discuss their feelings about one client's dominating behavior, as it validates everyone's feelings and encourages group problem-solving without being punitive.

Step-by-step explanation:

When facilitating a community meeting for acute care clients where one client is dominating the conversation, the most appropriate intervention for the nurse would be to ask group members to discuss their feelings regarding the monopolizing behavior. This approach not only validates the feelings of other group members but also fosters group problem-solving. It encourages open communication and allows the group to address the issue collectively, which can lead to more effective management of group dynamics and ensure that all members have the opportunity to participate. It also connects to broader intervention strategies such as incorporating rapport-building among participants, promoting cultural and individual identity development, and embracing effective therapeutic communication styles.