Answers) A+ Guide 2024-2025
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✅✅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 - correct answer✅✅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.
10.3. During a therapeutic group, which nursing action demonstrates a
laissez-faire leadership style?
,Unit III Mental Health Test Bank (All
Answers) A+ Guide 2024-2025
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✅✅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 - correct answer✅✅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. The leader provides guidance and expertise as
needed.
10.5. Which situation should a nurse identify as an example of an autocratic
leadership style?
,Unit III Mental Health Test Bank (All
Answers) A+ Guide 2024-2025
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✅✅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 - correct answer✅✅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
, Unit III Mental Health Test Bank (All
Answers) A+ Guide 2024-2025
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 - correct answer✅✅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. - correct
answer✅✅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?