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.

Answer and Explanation

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.

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Correct Answer is ["B","C","E"]

Explanation

The nurse should include the following statements in the teaching:

You should eat foods that are low in fat. A low-fat diet can help reduce the amount of digestive enzymes your pancreas releases and prevent further inflammation and pain.
Notify your provider if you experience vomiting or diarrhea. These symptoms can lead to dehydration and malnutrition, which can worsen your condition and require hospitalization.
You should eat foods high in protein. Protein can help your body heal and repair damaged tissues. It can also prevent muscle wasting and weight loss, which are common complications of chronic pancreatitis.

Choice A is wrong because caffeine can stimulate the pancreas and increase pain and inflammation. Choice D is wrong because alcohol can damage the pancreas and trigger more attacks. People with chronic pancreatitis should avoid alcohol completely.

A. “Would you like to speak to a spiritual advisor?” B. “Do you need a prescription for an antianxiety medication?” C. “Would you like to talk to a counselor about advance directives?” D. “Do you need information on hospice care?”

Correct Answer is A

Explanation

This statement shows respect for the client’s spirituality and offers support without imposing the nurse’s beliefs or values. Spirituality focuses on the significance and purpose of life and can help clients cope with depression and terminal illness.

Choice B is wrong because it implies that the client needs medication to deal with their feelings, which can be dismissive and insensitive.

Antianxiety medication may be appropriate for some clients, but it should not be the first option.

Choice C is wrong because it assumes that the client is ready to discuss advance directives, which may not be the case.

Advance directives are legal documents that specify the client’s wishes for end-of-life care, such as resuscitation, organ donation, or power of attorney.

The nurse should assess the client’s readiness and understanding before initiating this conversation.

Choice D is wrong because it suggests that the client is close to death and needs hospice care, which can be discouraging and frightening. Hospice care is an interdisciplinary team effort that provides palliative care for clients who have a terminal illness and a life expectancy of less than 6 months.

The nurse should explain the benefits of hospice care and obtain the client’s consent before making a referral.

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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?

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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?