During a community meeting, a nurse encourages clients to present unit problems and discuss possible solutions. Which type of leadership style is the nurse demonstrating?

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: 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.

Correct Answer: D

Rationale: The appropriate nursing response is "I can see that you are angry. Let's discuss ways to approach Peter with your concerns." This response acknowledges the client's emotions and validates their feelings, showing empathy and support. By offering to discuss ways to address the issue with Peter, the nurse is engaging in a collaborative problem-solving approach that empowers the client to take appropriate action. This response focuses on addressing the problem constructively and promoting effective communication and conflict resolution skills. It also fosters a therapeutic nurse-client relationship based on mutual respect and understanding.

Correct Answer: B

Rationale: Including the client's family in therapy within the inpatient milieu can greatly facilitate discharge from the hospital. Involving the family in therapy allows for a better understanding of the client's support system, dynamics, and potential challenges they may face after leaving the hospital. This collaboration between the client, family, and treatment team can help create a more robust and effective discharge plan tailored to the client's specific needs and circumstances. By preparing the family to provide ongoing support and assistance post-discharge, the likelihood of successful transition and continued progress is increased.