Exam (elaborations)
N408 EXAM 2 with correct answers
- Course
- NURS 408
- Institution
- Maryville College
N408 EXAM 2 with correct answers
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N408 EXAM 2 with correct answersCH 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 Correct Answer-B. The individual role of
recognition seeker
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.
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 Correct Answer-A. Autocratic
,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.
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. Correct Answer-C. The nurse sits silently as the group
members stray from the assigned topic.
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.
,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 Correct Answer-A. Democratic
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 pro
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.
Correct Answer-B. Without faculty input, the dean mandates that all
course content be delivered via the Internet.
, 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.
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 Correct Answer-D. Universality
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.
7. A man diagnosed with alcohol dependence experiences his first
relapse. During his AA meeting, another
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