Test Bank For Advanced Practice Psychiatric
Nursing 3rd Edition by Kathleen Tusaie, Joyce
Fitzpatrick 9780826185334 Chapter 1-24 Complete
Guide.
10.3. During a therapeutic group, which nursing action demonstrates a laissez-
faire leadership style?
A. The nurse mandates that all group members reveal an embarrassing personal
situation.
B. The nurse asks for a show of hands to determine group topic preference.
C. The nurse sits silently as the group members stray from the assigned topic.
D. The nurse shuffles through papers to determine the facility policy on length of
group. - ANSWER: C
RATIONALE: The nurse leader who sits silently and allows group members to
stray from the assigned topic is demonstrating a laissez-faire leadership style.
This style allows group members to do as they please with no direction from the
leader. Group members often become frustrated and confused in reaction to a
laissez-faire leadership style.
10.4. During a community meeting, a nurse encourages clients to present unit
problems and discuss possible solutions. Which type of leadership style is the
nurse demonstrating?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Bureaucratic - ANSWER: A
RATIONALE: The nurse who encourages clients to present problems and
discuss solutions is demonstrating a democratic leadership style. Democratic
leaders share information with group members and promote decision making by
the members of the group. 10.1. During a therapeutic group, a client talks about
,personal accomplishments in an effort to gain attention. Which group role,
assumed by this client, should the nurse identify?
A. The task role of gatekeeper
B. The individual role of recognition seeker
C. The maintenance role of dominator
D. The task role of elaborator - ANSWER: B
RATIONALE: The nurse should evaluate that the client is assuming the individual
role of the recognition seeker. Other individual roles include the aggressor, the
blocker, the dominator, the help seeker, the monopolizer, and the seducer.
10.2. 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?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic - ANSWER: A
RATIONALE: The nurse who excuses clients from the group has demonstrated
an autocratic leadership style. An autocratic leadership style may be useful in
certain situations that require structure and limit-setting. Democratic leaders
focus on the members of the group and group-selected goals. Laissez-faire
leaders provide no direction to group members.
10.5. Which situation should a nurse identify as an example of an autocratic
leadership style?
A. The president of Sigma Theta Tau assigns members to committees to
research problems.
B. Without faculty input, the dean mandates that all course content be delivered
via the Internet.
,C. During a community meeting, a nurse listens as clients generate solutions.
D. The student nurses association advertises for candidates for president. -
ANSWER: B
RATIONALE: The nurse should identify that mandating decisions without
consulting the group is considered an autocratic leadership style. Autocratic
leadership increases productivity but often reduces morale and motivation due
to lack of member input and creativity.
10.6. A single, pregnant teenager in a parenting class discloses her
ambivalence toward the pregnancy and the subsequent guilt that these thoughts
generate. A mother of three admits to having felt that way herself. Which of
Yaloms curative group factors does this illustrate?
A. Imparting of information
B. Instillation of hope
C. Altruism
D. Universality - ANSWER: D
RATIONALE: The scenario is an example of the curative group factor of
universality. Universality occurs when individuals
realize that they are not alone in the problems, thoughts, and feelings they are
experiencing. This realization reduces anxiety by the support and understanding
of others.
10.7. A man diagnosed with alcohol dependence experiences his first relapse.
During his AA meeting, another group member states, I relapsed three times,
but now have been sober for 15 years. Which of Yaloms curative group factors
does this illustrate?
A. Imparting of information
B. Instillation of hope
C. Catharsis
D. Universality - ANSWER: B
, RATIONALE: This scenario is an example of the curative group factor of
instillation of hope. This occurs when members observe the progress of others
in the group with similar problems and begin to believe that personal problems
can also be resolved.
10.8. During a group discussion, members freely interact with each other. Which
member statement is an example of Yaloms curative group factor of imparting
information?
A. I found a Web site explaining the different types of brain tumors and their
treatment.
B. My brother also had a brain tumor and now is completely cured.
C. I understand your fear and will be by your side during this time.
D. My mother was also diagnosed with cancer of the brain. - ANSWER: A
RATIONALE: Yaloms curative group factor of imparting information involves
sharing knowledge gained through formal instruction as well as by advice and
suggestions given by other group members.
10.9. Prayer group members at a local Baptist church are meeting with a poor,
homeless family they are supporting. Which member statement is an example of
Yaloms curative group factor of altruism?
A. Ill give you the name of a friend that rents inexpensive rooms.
B. The last time we helped a family, they got back on their feet and prospered.
C. I can give you all of my baby clothes for your little one.
D. I can appreciate your situation. I had to declare bankruptcy last year. -
ANSWER: C
RATIONALE: Yaloms curative group factor of altruism occurs when group
members provide assistance and support to each
other, creating a positive self-image and promoting self-growth. Individuals
increase self-esteem through
mutual caring and concern.
Nursing 3rd Edition by Kathleen Tusaie, Joyce
Fitzpatrick 9780826185334 Chapter 1-24 Complete
Guide.
10.3. During a therapeutic group, which nursing action demonstrates a laissez-
faire leadership style?
A. The nurse mandates that all group members reveal an embarrassing personal
situation.
B. The nurse asks for a show of hands to determine group topic preference.
C. The nurse sits silently as the group members stray from the assigned topic.
D. The nurse shuffles through papers to determine the facility policy on length of
group. - ANSWER: C
RATIONALE: The nurse leader who sits silently and allows group members to
stray from the assigned topic is demonstrating a laissez-faire leadership style.
This style allows group members to do as they please with no direction from the
leader. Group members often become frustrated and confused in reaction to a
laissez-faire leadership style.
10.4. During a community meeting, a nurse encourages clients to present unit
problems and discuss possible solutions. Which type of leadership style is the
nurse demonstrating?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Bureaucratic - ANSWER: A
RATIONALE: The nurse who encourages clients to present problems and
discuss solutions is demonstrating a democratic leadership style. Democratic
leaders share information with group members and promote decision making by
the members of the group. 10.1. During a therapeutic group, a client talks about
,personal accomplishments in an effort to gain attention. Which group role,
assumed by this client, should the nurse identify?
A. The task role of gatekeeper
B. The individual role of recognition seeker
C. The maintenance role of dominator
D. The task role of elaborator - ANSWER: B
RATIONALE: The nurse should evaluate that the client is assuming the individual
role of the recognition seeker. Other individual roles include the aggressor, the
blocker, the dominator, the help seeker, the monopolizer, and the seducer.
10.2. 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?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic - ANSWER: A
RATIONALE: The nurse who excuses clients from the group has demonstrated
an autocratic leadership style. An autocratic leadership style may be useful in
certain situations that require structure and limit-setting. Democratic leaders
focus on the members of the group and group-selected goals. Laissez-faire
leaders provide no direction to group members.
10.5. Which situation should a nurse identify as an example of an autocratic
leadership style?
A. The president of Sigma Theta Tau assigns members to committees to
research problems.
B. Without faculty input, the dean mandates that all course content be delivered
via the Internet.
,C. During a community meeting, a nurse listens as clients generate solutions.
D. The student nurses association advertises for candidates for president. -
ANSWER: B
RATIONALE: The nurse should identify that mandating decisions without
consulting the group is considered an autocratic leadership style. Autocratic
leadership increases productivity but often reduces morale and motivation due
to lack of member input and creativity.
10.6. A single, pregnant teenager in a parenting class discloses her
ambivalence toward the pregnancy and the subsequent guilt that these thoughts
generate. A mother of three admits to having felt that way herself. Which of
Yaloms curative group factors does this illustrate?
A. Imparting of information
B. Instillation of hope
C. Altruism
D. Universality - ANSWER: D
RATIONALE: The scenario is an example of the curative group factor of
universality. Universality occurs when individuals
realize that they are not alone in the problems, thoughts, and feelings they are
experiencing. This realization reduces anxiety by the support and understanding
of others.
10.7. A man diagnosed with alcohol dependence experiences his first relapse.
During his AA meeting, another group member states, I relapsed three times,
but now have been sober for 15 years. Which of Yaloms curative group factors
does this illustrate?
A. Imparting of information
B. Instillation of hope
C. Catharsis
D. Universality - ANSWER: B
, RATIONALE: This scenario is an example of the curative group factor of
instillation of hope. This occurs when members observe the progress of others
in the group with similar problems and begin to believe that personal problems
can also be resolved.
10.8. During a group discussion, members freely interact with each other. Which
member statement is an example of Yaloms curative group factor of imparting
information?
A. I found a Web site explaining the different types of brain tumors and their
treatment.
B. My brother also had a brain tumor and now is completely cured.
C. I understand your fear and will be by your side during this time.
D. My mother was also diagnosed with cancer of the brain. - ANSWER: A
RATIONALE: Yaloms curative group factor of imparting information involves
sharing knowledge gained through formal instruction as well as by advice and
suggestions given by other group members.
10.9. Prayer group members at a local Baptist church are meeting with a poor,
homeless family they are supporting. Which member statement is an example of
Yaloms curative group factor of altruism?
A. Ill give you the name of a friend that rents inexpensive rooms.
B. The last time we helped a family, they got back on their feet and prospered.
C. I can give you all of my baby clothes for your little one.
D. I can appreciate your situation. I had to declare bankruptcy last year. -
ANSWER: C
RATIONALE: Yaloms curative group factor of altruism occurs when group
members provide assistance and support to each
other, creating a positive self-image and promoting self-growth. Individuals
increase self-esteem through
mutual caring and concern.
