A student nurse tells the instructor, Im concerned that when a client asks me for advice I wont have a good solution. Which should be the nursing instructors best response?

Correct Answer: C

Rationale: The best response for the nursing instructor is to advise the student nurse to keep the client's best interests in mind and do the best that they can. It is important for nurses to approach situations with empathy and a commitment to helping clients to the best of their abilities. While nurses may not always have all the answers or solutions, it is essential to prioritize the well-being of the client and act in their best interests. By focusing on the client's needs and doing their best to provide support and assistance, the student nurse can contribute positively to the client's care and build a foundation for continued learning and growth in their practice.

Correct Answer: C

Rationale: The nurse in this scenario used a therapeutic communication technique called reflection by stating, "You seem angry," to help the client explore their feelings. However, the client denied feeling angry, which is an example of the defense mechanism of projection. Projection is when individuals attribute their own unacceptable feelings or impulses onto someone else. In this case, the client is projecting their anger onto the nurse by denying feeling angry, even though their actions (slamming the door) indicate otherwise.

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.