During a therapeutic group, which nursing action demonstrates a laissez-faire leadership style?

Correct Answer: C

Rationale: In a therapeutic group setting, a laissez-faire leadership style is characterized by the nurse taking a hands-off approach and allowing group members to largely determine the direction of the discussion. By sitting silently as the group members stray from the assigned topic, the nurse is displaying a laissez-faire leadership style. This approach can be beneficial in some situations to foster group dynamics and encourage members to take ownership of the discussion.

Correct Answer: D

Rationale: In the final phase of group development, which is the termination phase, the group leader should prioritize helping the members process feelings of loss. Termination of a group can bring about feelings of sadness, separation anxiety, and even a sense of loss for the relationships and support gained within the group. By assisting members in acknowledging and processing these feelings, the group leader can facilitate a smooth transition and help the members integrate their experiences from the group into their lives moving forward. This emotional aspect of group termination is crucial for closure and overall group growth.

Correct Answer: A

Rationale: The most likely explanation for the absence of the two most faithful and participative couples at the last group meeting is that they are experiencing problems with termination, leading to feelings of abandonment. In the context of group development, as a group nears its termination phase, members may experience a range of emotions including sadness, anxiety, and a sense of loss. This can be particularly acute for members who have been highly engaged in the group process and formed strong connections with other group members. The absence of these couples at the last meeting suggests that they may be struggling with the impending ending of the group and the potential loss of the supportive environment it provided. Their absence can be seen as a manifestation of their difficulty with the termination process and feeling abandoned as the group comes to an end.

Correct Answer: C

Rationale: In milieu therapy, the therapeutic environment is seen as an essential component of treatment. Every interaction, even seemingly mundane or conflict-laden ones, is viewed as an opportunity to promote healing and growth. In this scenario, the nurse should approach the situation with the mindset that addressing the client's concerns about their missing lunch is not just about solving a practical problem but also about engaging in a therapeutic interaction. By actively listening, empathizing, and working towards a resolution, the nurse can help the client feel supported and respected, fostering a more therapeutic environment on the inpatient unit. Consequently, conflict resolution is not limited to formal therapy sessions but is integrated into daily interactions to promote healing and progress.

Correct Answer: D

Rationale: The nurse working on an inpatient psychiatric unit should aim to choose a group topic that is relevant and beneficial to the patients in that setting. Stress management is a highly appropriate topic for individuals in a psychiatric unit, as many patients may be experiencing heightened levels of stress and anxiety. Teaching patients about stress management techniques can empower them with coping skills to better manage their emotions and improve their overall well-being. Dream analysis, creative cooking, and paint by number are not as directly applicable to the needs of patients in a psychiatric unit and may not address their immediate concerns effectively.