Group members are having difficulty deciding what topic to cover in today's session. Which nurse leader response reflects autocratic leadership?

Correct Answer: A

Rationale: The correct answer is A because an autocratic leader makes decisions for the group without consulting them. In this response, the leader dictates the topic without considering input from group members. Choice B involves democratic leadership by seeking input from everyone. Choice C also reflects democratic leadership by allowing the group to reach a decision collectively. Choice D demonstrates a collaborative approach, not autocratic, as the leader is working with the group to find a suitable topic.

Correct Answer: A

Rationale: The correct answer is A: erotomaniac. This delusion involves falsely believing that someone of higher social status, like a celebrity or royalty, is in love with them. In this case, the client believes they will marry Prince Harry. This delusion is characterized by a romantic or sexual focus on the person of interest. Choice B, grandiose delusion, involves an exaggerated sense of self-importance or power, not related to a specific person. Choice C, somatic delusion, involves beliefs about one's body, health, or physical condition. Choice D, persecutory delusion, involves feeling targeted, harassed, or conspired against, which is not applicable in this scenario.

Correct Answer: A

Rationale: The correct answer is A: To have the client choose the topic of the conversation. By asking the client to share what's on their mind, the nurse is allowing the client to lead the discussion and express their concerns or thoughts. This empowers the client to direct the conversation towards what is most important to them, promoting client-centered care and fostering a sense of autonomy. Choice B is incorrect because the purpose is not to present new ideas but to encourage the client to share their own thoughts. Choice C is incorrect as conveying interest is important in therapeutic communication but not the primary purpose of this specific technique. Choice D is incorrect as the purpose is not specifically to provide time for reflection but to allow the client to initiate the conversation.

Correct Answer: A

Rationale: The correct answer is A because seeing oneself as capable of achieving ideals and meeting demands indicates a positive self-perception and mental strength, aligning with the goal of demonstrating mentally healthy behavior. Choice B is incorrect as it describes impulsive behavior, which is not indicative of mental health. Choice C suggests aggressive and selfish behavior, which goes against mental health principles. Choice D, seeking help when needed, is important but does not directly demonstrate the achievement of mentally healthy behavior like choice A does.

Correct Answer: B

Rationale: The correct answer is B: primary prevention. By encouraging victims to describe their memories and feelings about the tornado, the nurse is promoting emotional processing and resilience, which are key components of primary prevention. This approach aims to prevent the development of long-term mental health issues by addressing immediate emotional needs. Explanation for incorrect choices: A: Triage involves prioritizing and allocating resources based on the severity of the situation. While important after a disaster, encouraging victims to share their experiences is not directly related to triage. C: Psychosocial rehabilitation focuses on restoring functioning and quality of life for individuals with existing mental health issues. This choice does not align with the scenario of addressing immediate emotional responses to a traumatic event. D: Psychiatric case management involves coordinating services for individuals with severe mental illness. This choice is not relevant in the context of supporting victims of a natural disaster in processing their emotions.