A student nurse tells the instructor "I don't feel as though I'm helping my assigned client. I don't

have the opportunity to engage him in formal counseling sessions. I only spend time with him as he
has time between appointments.".

The best reply for the instructor would be
a. "It is appropriate for beginners to progress slowly and develop skills.".
b. "It's all new to you. By the end of your second week on the unit you will find you
feel more helpful.".
c. "I'm sorry you're feeling disappointed. Have you considered whether your goals
for the experience were realistic?"
d. "In informal contacts your psychosocial communication skills help him feel
listened to and supported. You provide feedback and encourage use of adaptive
coping skills.".


ANS: D
Nurses should be aware that informal contacts are often as significant as formal contacts because
they occur during natural activities of daily and social living and are therefore based on reality.

Nursing

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