Which of the following behaviors suggests a breach of professional boundaries? (Select all chat to apply)
The nurse shares the details about her family problems.
The nurse makes plans to have lunch with the client after discharge.
The nurse agrees to keep a secret from the client
The nurse allows a client to hold her hand before chemotherapy.
The nurse reads a ’get-well’ card to the client.
Correct Answer : A,B,C
A. Sharing personal information with a client is a boundary violation, as it blurs the professional relationship and creates a risk for the client to become involved in the nurse's personal issues.
B. Making plans to have lunch with a client after discharge is also a boundary violation, as it can be interpreted as crossing the professional boundary and compromising the nurse's objectivity and impartiality.
C. Agreeing to keep a secret from a client can also be a boundary violation, as it may interfere with the nurse's professional judgment and duty to protect the client's safety and well-being.
D. Allowing a client to hold the nurse's hand before chemotherapy is not necessarily a boundary violation, as this can be a form of emotional support that is appropriate in some circumstances.
E. Reading a 'get-well' card to a client is not a boundary violation, as it is a form of emotional support that is appropriate and professional.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
These are all indicators of mental health. Perception of reality refers to the ability to accurately perceive and interpret the world around us. Love and belonging refer to the need for social connections and relationships. Positive self-thought refers to having a positive self-image and self-esteem. Environmental mastery refers to the ability to effectively navigate and control one’s environment. Dependency is not an indicator of mental health.
Correct Answer is C
Explanation
Confidentiality is a critical aspect of the nurse-patient relationship. However, there are specific circumstances where confidentiality must be breached to ensure the patient's safety and well-being. For instance, if a patient is expressing suicidal ideation or harm to others, the nurse has an ethical and legal obligation to report it to the treatment team to prevent harm. It is essential to explain this to the client to establish trust and clarify the limitations of confidentiality.
Option (a) is incorrect because not all information can remain confidential.
Option (b) is incorrect because not all information requires the client's approval to share.
Option (d) is incorrect because the nurse has the responsibility to disclose certain information to other healthcare professionals for the patient's benefit.
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