Test Bank For Advanced Practice Psychiatric
Nursing exam with questions and answers Chapter 1-24
Complete Guide.
10.3. During a therapeutic group, which nursing action demonstrates a laissezfaire
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.
10.10. During an inpatient educational group, a client shouts out, This information is
worthless. Nothing you have said can help me. These statements indicate to the nurse leader
that the client is assuming which group role?
A. The group role of aggressor
B. The group role of initiator
C. The group role of gatekeeper
D. The group role of blocker - ANSWER: A
RATIONALE: The nurse should identify that the client is assuming the group role of the
aggressor. The aggressor expresses negativism and hostility toward others in the group or
to the group leader and may use sarcasm in an effort to degrade the status of others.
Nursing exam with questions and answers Chapter 1-24
Complete Guide.
10.3. During a therapeutic group, which nursing action demonstrates a laissezfaire
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.
10.10. During an inpatient educational group, a client shouts out, This information is
worthless. Nothing you have said can help me. These statements indicate to the nurse leader
that the client is assuming which group role?
A. The group role of aggressor
B. The group role of initiator
C. The group role of gatekeeper
D. The group role of blocker - ANSWER: A
RATIONALE: The nurse should identify that the client is assuming the group role of the
aggressor. The aggressor expresses negativism and hostility toward others in the group or
to the group leader and may use sarcasm in an effort to degrade the status of others.
