A student nurse tells the clinical instructor, "I've found that I do not need to interact with my

Question

assigned clients. I learn what I need to know simply by observing them.".

The instructor can best
interpret the nursing implications of Sullivan's theory to the student by responding
a. "Nurses cannot be isolated from the therapeutic situation. We need to interact
with clients to provide opportunities for them to practice interpersonal skills.".
b. "Observing client interactions can provide sufficient data to formulate priority
nursing diagnoses and appropriate interventions.".
c. "I wonder how accurate your assessment of the client's needs hierarchy can be if
you do not interact with the client.".
d. "It is important to note client behavioral changes because these signify changes in
personality.".

Answer 1

ANS: A
Sullivan believed that the nurse's role includes educating clients and assisting them in developing
effective interpersonal relationships. Mutuality, respect for the client, unconditional acceptance, and
empathy are cornerstones of Sullivan's theory. These cornerstones cannot be demonstrated by the
nurse who does not interact with the client. Option B: Observations provide only objective data.
Priority nursing diagnoses usually cannot be accurately established without subjective data from the
client. Option C: This response pertains to Maslow's theory. Option D: This response pertains to
behavioral theory.