A client on an inpatient psychiatric unit tells the nurse, I should have died, because I am totally worthless. In order to encourage the client to continue talking about feelings, which should be the nursing initial response?

Correct Answer: C

Rationale: The nursing initial response should focus on acknowledging the client's feelings and encouraging further discussion. Option C, "You've been feeling sad and alone for some time now?" demonstrates empathy and understanding towards the client's emotions, which can help open up communication and provide support for the client to express more about their feelings. This response validates the client's emotions and shows that the nurse is actively listening and ready to engage in a conversation about their experiences. It also helps to create a safe space for the client to express their thoughts and feelings without judgment.

Correct Answer: A

Rationale: The nurse is demonstrating a democratic leadership style by encouraging clients to present unit problems and discuss possible solutions during the community meeting. In a democratic leadership style, decision-making is shared among group members, with the leader facilitating discussions and considering input from others before making decisions. This approach fosters collaboration, participation, and empowerment among group members, ultimately leading to more effective problem-solving and decision-making processes. This style is often used in healthcare settings to promote team cohesion and engagement.

Correct Answer: C

Rationale: The member statement "I can give you all of my baby clothes for your little one" exemplifies Yalom's curative group factor of altruism. Altruism in group therapy refers to the act of selflessly helping and supporting others in the group. In this case, the member offering to give away their baby clothes to the homeless family's child demonstrates a selfless act of kindness and support, which fosters a sense of connection and care within the group. This kind of altruistic behavior can promote a supportive and nurturing group dynamic, ultimately contributing to the healing and growth of all members involved.

Correct Answer: D

Rationale: The student statement "Members themselves run the group, with leadership usually rotating among the members" indicates that learning has occurred because it accurately describes one of the key features of self-help groups like Alcoholics Anonymous (AA). These groups are typically characterized by a lack of formal leadership, with members taking on leadership roles on a rotating basis. This highlights the important aspect of peer support and shared responsibility within these groups.

Correct Answer: C

Rationale: An experienced psychiatric registered nurse is most qualified to lead a parenting group among the options provided. This is because a psychiatric nurse's expertise typically includes knowledge and skills in mental health conditions, behavioral interventions, communication techniques, and family dynamics. Leading a parenting group would allow the nurse to utilize their background to assist parents in managing challenging behaviors, understanding mental health concerns, and enhancing family relationships. In this role, the nurse can provide valuable support and education to help parents navigate various issues related to their children's mental health and well-being.