A nurse in an acute care mental health facility is participating in a medication education group. The leader of the group uses a laissez-faire leadership style.
Which of the following actions should the nurse expect from the leader during the session?
The leader has group members vote on what they would like to learn about during the session.
The leader lectures about medication adverse effects to the group members.
The leader allows the group to discuss whatever they would like to regarding their medications.
The leader encourages group members to remain silent until questions are called for.
The Correct Answer is C
The leader allows the group to discuss whatever they would like to regarding their medications. This is because a laissez-faire leadership style is characterized by minimal guidance and direction from the leader, and maximum freedom and autonomy for the followers. The leader does not impose any rules or expectations on the group, and lets them decide how to manage their own learning and behavior.
Choice A is wrong because having group members vote on what they would like to learn about during the session is an example of a democratic leadership style, not a laissez-faire one.
A democratic leader solicits input and feedback from the group, and makes decisions based on consensus and majority rule.
Choice B is wrong because lecturing about medication adverse effects to the group members is an example of an authoritarian leadership style, not a laissez-faire one.
An authoritarian leader dictates what the group should do and how they should do it, without considering their opinions or preferences.
Choice D is wrong because encouraging group members to remain silent until questions are called for is an example of a paternalistic leadership style, not a laissez-faire one.
A paternalistic leader treats the group as if they are incapable of making their own decisions, and assumes a protective and nurturing role over them.
Normal ranges for leadership styles are not applicable in this context, as different styles may be more or less effective depending on the situation and the goals of the group.
However, some general advantages and disadvantages of each style are:
- Laissez-faire: Advantages - fosters creativity, independence, and self-motivation; Disadvantages - may lead to chaos, confusion, and lack of accountability.
- Democratic: Advantages - promotes participation, collaboration, and satisfaction; Disadvantages - may be time-consuming, inefficient, and conflict-prone.
- Authoritarian: Advantages - provides clarity, direction, and control; Disadvantages - may cause resentment, resistance, and dependency.
- Paternalistic: Advantages - creates trust, loyalty, and commitment; Disadvantages - may inhibit growth, development, and empowerment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is Choice B
Choice A rationale: Inserting the catheter without applying suction is correct technique. Suction should only be applied while withdrawing the catheter to prevent mucosal trauma and hypoxia. Initiating suction during insertion can damage tracheal lining and cause bradycardia due to vagal stimulation. Allowing clean insertion without suction reduces injury risk and supports effective secretion removal on withdrawal with controlled suction time.
Choice B rationale: Waiting 2 minutes between suction passes is too long and may delay secretion clearance, risking hypoxia and secretion buildup. Best practice is to wait about 30 seconds to 1 minute or until the client recovers baseline oxygen saturation and heart rate. Prolonged intervals may lead to atelectasis or respiratory distress in patients with poor reserve, especially if suctioning is incomplete or secretions are copious.
Choice C rationale: Suctioning should be limited to 10–15 seconds per pass to reduce hypoxemia and bronchospasm risks. Applying suction for 15 seconds falls within the upper acceptable range, particularly if preoxygenation is done. Extended suction beyond this can decrease PaO₂ levels rapidly. Limiting the suction time ensures safer removal of secretions while minimizing trauma and preserving adequate oxygenation.
Choice D rationale: Encouraging the client to cough facilitates mobilization of secretions toward the upper airway, making suctioning more effective. Coughing also enhances airway clearance naturally and may reduce the number of required suction passes. It is a therapeutic action in tracheostomy care that supports pulmonary hygiene, helps prevent atelectasis, and can reduce the need for deep suctioning interventions.
Correct Answer is D
Explanation
This is because after puncturing the skin and the vein, the nurse needs to advance the catheter into the vein with the finger hub to ensure proper placement and prevent complications such as infiltration or phlebitis.
Choice A is wrong because flushing the catheter with saline should be done after securing the catheter to the skin with a transparent dressing and attaching a primed piece of extension tubing to the catheter.
Choice B is wrong because retracting the stylet should be done after advancing the catheter into the vein and releasing the tourniquet from the client’s arm.
Choice C is wrong because releasing the tourniquet should be done after advancing the catheter into the vein and before retracting the stylet.
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