Which nursing response is an example of the nontherapeutic communication block of requesting an explanation?

Correct Answer: D

Rationale: Option D, "Are you not understanding the explanation I provided?" is an example of the nontherapeutic communication block of requesting an explanation. This response can be seen as confrontational and can make the patient feel defensive or inadequate. It does not facilitate open communication or promote a therapeutic relationship. Instead, the nurse should focus on clarifying the information provided and ensure understanding without putting the patient on the spot or making assumptions about their comprehension.

Correct Answer: B

Rationale: An autocratic leadership style is characterized by a leader making decisions without much input or feedback from others. In this scenario, the dean mandating that all course content be delivered via the Internet without faculty input indicates an autocratic leadership style. This decision is being made unilaterally without considering the perspectives or opinions of the faculty members who are directly involved in the teaching process.

Correct Answer: D

Rationale: In group dynamics, the role of a blocker is to consistently oppose other group members' ideas, suggestions, or actions. They may use negative attitudes or behaviors to thwart progress and hinder the group from achieving its goals. In the scenario provided, the client shouting that the information is worthless and nothing said can help indicates a negative attitude and an unwillingness to engage constructively with the group. This behavior aligns with the characteristics of a blocker in a group setting.

Correct Answer: B

Rationale: Support is the group function that the nurse should utilize to help an extremely withdrawn, paranoid client increase feelings of security. Support groups provide a safe and accepting environment where individuals can share their experiences, feelings, and concerns with others who are facing similar challenges. For a withdrawn and paranoid client, being part of a supportive group can help combat feelings of isolation and build a sense of belonging and security. Through receiving support from others, the client can gradually increase trust and feel more comfortable in social situations, ultimately enhancing their overall sense of security.

Correct Answer: C

Rationale: In psychodrama, the client is not simply an observer from the audience but actively participates as the protagonist. The protagonist takes on a role and interacts with other group members, often reenacting real-life situations to gain insight and work through emotions. This active involvement is a key aspect of psychodrama therapy, so the statement that the client observes actor interactions is incorrect and indicates a need for further teaching on how psychodrama therapy works.