During a therapeutic group, two clients engage in an angry verbal exchange. The nurse leader interrupts the exchange and excuses both of the clients from the group. The nurse has demonstrated which leadership style?

Correct Answer: A

Rationale: The correct answer is A: Autocratic. This leadership style is characterized by making decisions independently and enforcing them without input from the group. In this scenario, the nurse leader interrupted the exchange and made the decision to excuse both clients without consulting the group. This approach is necessary in situations requiring immediate intervention to maintain order and ensure the safety of all group members. Summary of other choices: B: Democratic - In a democratic leadership style, decisions are made through group discussion and input from all members. This was not demonstrated in the scenario. C: Laissez-faire - In a laissez-faire leadership style, the leader takes a hands-off approach and allows group members to make decisions. This was not demonstrated as the nurse leader took immediate action. D: Bureaucratic - Bureaucratic leadership involves following strict rules and procedures. The scenario did not involve following predetermined rules but rather a quick decision made by the nurse leader.

Correct Answer: B

Rationale: The correct answer is B because it shows the client actively engaging in problem-solving and considering specific strategies, indicating progress to the working phase. Choice A reflects the initial phase where trust and sharing are still developing. Choice C suggests a dependency on professional advice, not group collaboration. Choice D demonstrates resistance and a lack of ownership over personal growth, indicating an earlier phase of group development.

Correct Answer: D

Rationale: The correct answer is D: To encourage the group to solve the problem collectively. The role of the group leader in this situation is to promote group cohesion and problem-solving skills. By encouraging the group to collectively address the issue of differing opinions on spanking, the leader fosters open communication, respect for diverse perspectives, and teamwork. This approach allows group members to explore the topic in a constructive manner, learn from each other, and reach a consensus or understanding. Choice A is incorrect because the leader's role is not to referee or take sides in the debate. Choice B is incorrect as the leader should not impose personal views but facilitate a balanced discussion. Choice C is incorrect as avoiding controversial topics hinders group growth and learning.

Correct Answer: A

Rationale: The correct answer is A: Encouraging members to provide feedback to each other about individual progress. In the orientation phase of group development, it is crucial for the nurse leader to foster open communication and trust within the group. Encouraging members to provide feedback helps promote mutual understanding and support, which can enhance cohesion and collaboration. This also helps in identifying individual strengths and areas for improvement. Explanation of why the other choices are incorrect: B: Ensuring that rules established by the group do not interfere with goal fulfillment - This choice could be more suitable for the norming or performing phase, where balancing rules with achieving goals is essential. C: Working with group members to establish rules that will govern the group - This is more relevant for the initial phase of group development, not specifically the orientation phase. D: Emphasizing the need for and importance of confidentiality within the group - While confidentiality is important throughout group development, it may not be the primary focus during the orientation phase.

Correct Answer: A

Rationale: The correct answer is A because it promotes self-reliance by empowering clients to take responsibility for their own medication schedule. By encouraging clients to request their medications at the appropriate times, the nurse fosters autonomy and self-management. Choice B is incorrect as it is too extreme and may compromise client safety by withholding medications based solely on client request. Choice C is incorrect as it puts the responsibility solely on the client without appropriate guidance from the nurse. Choice D is incorrect as it does not actively involve the client in the medication administration process.