A student nurse tells the instructor, "I don't need to interact with my patients. I learn what I need to know by observation." The instructor can best interpret the nursing implications of Sullivan's theory to the student by responding:

Question

a. "nurses cannot be isolated. We must interact to provide patients with opportunities to practice interpersonal skills."
b. "observing patient interactions can help you formulate priority nursing diagnoses and appropriate interventions."
c. "I wonder how accurate your assessment of the patient's needs can be if you do not interact with the patient."
d. "noting patient behavioral changes is important because these signify changes in personality."

Answer 1

ANS: A
Sullivan believed that the nurse's role includes educating patients and assisting them in developing effective interpersonal relationships. Mutuality, respect for the patient, unconditional acceptance, and empathy are cornerstones of Sullivan's theory. The nurse who does not interact with the patient cannot demonstrate these cornerstones. Observations provide only objective data. Priority nursing diagnoses usually cannot be accurately established without subjective data from the patient. The third response pertains to Maslow's theory. The fourth response pertains to behavioral theory.