While in a therapeutic group, two clients get into a heated debate over politics that turns aggressive. The nurse makes the decision to have both patients removed from the group session. The nurse has demonstrated which leadership style?
Bureaucratic
Democratic
Autocratic
Laissez-faire
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Supporting the client's wish to refuse prescribed medications is a direct demonstration of respecting the client's autonomy. Autonomy in nursing is the right to self-determination, where patients are provided with adequate information to make their own decisions based on their beliefs and values. By supporting the client's decision, the nurse acknowledges the client's capacity to make informed choices about their own health care, even if the choice is different from what the medical team suggests.
Choice B Reason:
Ensuring that the client understands expectations for participation is more about informed consent and education rather than autonomy. While it is related to autonomy, it does not directly demonstrate the ethical concept since it does not involve a decision made by the client.
Choice C Reason:
Explaining unit rules and policies about unacceptable behaviors is part of the education process and setting boundaries within the healthcare environment. This action is necessary for all clients but does not specifically address the client's autonomy in making personal health decisions.
Choice D Reason:
Encouraging client feedback about satisfaction with the facility experience is a way to involve clients in the evaluation process of the facility's services. While this can be seen as respecting the client's opinions, it is not a direct action of supporting the client's autonomous decisions regarding their treatment plan
Correct Answer is D
Explanation
Choice A reason:
An unwillingness to accept that treatment is needed is not, by itself, a condition that can legally justify extending a hospital hold beyond the initial 72 hours. Treatment refusal can be a complex issue and may require a deeper understanding of the client's capacity to make informed decisions.
Choice B reason:
The client's intention to move out of the state does not constitute a legal basis for extending a hospital hold. The focus of continued hospitalization would be on immediate safety concerns rather than future living arrangements.
Choice C reason:
Disliking a neighbor is not a condition that warrants an extended hospital hold. Personal feelings or disputes do not equate to a risk that justifies involuntary hospitalization.
Choice D reason:
If the client poses a danger to themselves or others, this is a condition under which the hospital can legally extend the hold beyond 72 hours. The primary concern is the safety of the client and those around them, and if there is a risk of harm, the client may be held involuntarily until it is deemed safe for them to be discharged.
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