Which situation should a nurse identify as an example of an autocratic leadership style?

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: 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Rationale: Support is the group function that the nurse should utilize to help an extremely withdrawn, paranoid client increase feelings of security.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 For a withdrawn and paranoid client, being part of a supportive group can help combat feelings of isolation and build a sense of belonging and security.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.

Correct Answer: A

Rationale: Group therapy provides the opportunity to learn and practice new coping skills. By participating in group sessions, clients can gain support from peers, receive feedback on their thoughts and behaviors, and develop social skills. It can also help individuals feel less isolated and more connected with others who are going through similar experiences. Even if the client feels they are there just to rest, engaging in group therapy can still be beneficial for their overall well-being and treatment progress.

Correct Answer: C

Rationale: A democratic form of self-government in the therapeutic milieu contributes to client therapy by setting community expectations wherein all clients are treated on an equal basis. This fosters a sense of respect, fairness, and inclusivity within the therapeutic environment, enhancing the overall therapeutic experience for each individual. By promoting equal treatment and shared responsibilities, clients in such a democratic setting can feel empowered, respected, and valued, leading to better engagement in therapy and a more supportive community atmosphere. This sense of egalitarianism can also help to build trust among clients and between clients and therapy staff, ultimately facilitating positive therapeutic outcomes.