NBCOT Group Process and Group Dynamics

Question 1

According to Tuckman's stages of group development, which stage is characterized by conflict and resistance as members test limits and establish norms?

Accepted Answer

Storming

Answer

The 'storming' stage involves interpersonal conflict, competition, and resistance as members negotiate roles and challenge the leader. Forming involves orientation and dependency; norming involves cohesion; performing involves productive task completion.

Question 2

In Yalom's therapeutic factors, 'universality' refers to:

Accepted Answer

The realization that one's problems are not unique and others share similar experiences

Answer

Universality is the curative recognition that other group members share similar struggles, reducing a client's sense of isolation and shame. It is one of Yalom's key therapeutic factors unique to group treatment.

Question 3

An OT leading a task group notices one member consistently dominates while another withdraws entirely. The MOST therapeutically appropriate response is to:

Accepted Answer

Process the group's interaction pattern and invite reflection from all members

Answer

Processing the group's interaction pattern harnesses the unique therapeutic power of the group itself, allowing members to develop interpersonal awareness and practice social skills. Direct redirection may occasionally be necessary but group-level processing is more therapeutically rich.

Question 4

Which type of group is MOST appropriate for clients in the early stages of psychiatric recovery who have limited social skills and high anxiety?

Accepted Answer

Activity-based parallel group

Answer

A parallel group allows members to work on individual tasks in the presence of others without requiring significant interaction. This low-demand social structure is appropriate for early-level functioning where direct peer interaction may be overwhelming.

Question 5

A client in a work skills group repeatedly sabotages others' projects. According to group role theory, this client is exhibiting:

Accepted Answer

An anti-group (dysfunctional) role

Answer

Anti-group or dysfunctional roles include behaviors that impede group progress, such as blocking, aggression, or sabotage. Task roles facilitate work completion; maintenance roles support group cohesion; neither category describes destructive behavior.

NBCOT - National Board for Certification in Occupational Therapy Practice Test

NBCOT - National Board for Certification in Occupational Therapy Practice Test

NBCOT Group Process and Group Dynamics