A nurse is planning care for a group of clients on a mental health unit. Which of the following actions should the nurse plan to take to create a therapeutic environment?

Choice A Reason:
This statement is an example of assertive communication because it acknowledges the client's feelings while also standing firm on the nurse's actions. Assertive communication is characterized by being direct, clear, concise, honest, confident, and respectful¹. It involves expressing thoughts and feelings in a considerate way that respects others, aiming to foster and maintain healthy relationships, rectify conflicts, and prevent resentment due to unexpressed needs.

Choice B Reason:
Telling a client to calm down can be perceived as dismissive and may not be considered assertive communication. It does not acknowledge the client's feelings and can come across as commanding or condescending, which may escalate the situation rather than resolve it.

Choice C Reason:
While this statement does convey the consequences of the client's actions, it lacks the empathy component that is crucial in assertive communication. It is important to balance directness with understanding when addressing sensitive issues.

Choice D Reason:
Asking why the client chose to behave negatively could be seen as confrontational and may put the client on the defensive. Assertive communication aims to avoid power games and foster clear outcomes, which is best achieved through statements that do not provoke or blame.

Choice A Reason:
Bureaucratic leadership is structured and rule-based, often relying on strict adherence to policies and procedures¹. In the scenario described, the nurse's decision to remove the patients from the group session does not necessarily reflect a bureaucratic approach, as it does not specify adherence to established rules or protocols.

Choice B Reason:
Democratic leadership involves participative decision-making, where the leader includes team members in the process¹. The nurse's action in the scenario does not suggest a democratic style, as the decision was made unilaterally without seeking input from the group.

Choice C Reason:
Autocratic leadership is characterized by individual control over all decisions with little input from group members¹. The nurse's decision to remove the patients without group discussion or input aligns with an autocratic leadership style.

Choice D Reason:
Laissez-faire leadership is a hands-off approach, where leaders allow group members to make the decisions¹. The nurse's proactive decision to remove the patients indicates a more direct and controlled approach, contrasting with the laissez-faire style.