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1. Professional boundaries are limits that protect the space between the nurse’s professional power and the client’s vulnerability.
True*
False
2. Professional boundaries are the borders that mark the edges between a professional, therapeutic relationship and a non-professional or personal relationship between a nurse and a person in their care.
True*
False
3. Nurses must always obtain informed consent from persons in their care prior to undertaking any therapeutic, professional interaction.
True*
False
4. Brief excursions across professional boundaries that may be inadvertent, thoughtless or even purposeful if done to meet a specific therapeutic/care need are known as:
Boundary crossings*
Boundary violations
Sexual misconduct
Professional incompetence
5. When nurses confuse their own needs with the needs of the person in their care, this is considered:
Boundary crossings
Boundary violations *
Sexual misconduct
Professional incompetence
6. Excessive personal disclosure by the nurse, secrecy or even a reversal of roles is considered to be:
Boundary crossings
Boundary violations*
Sexual misconduct
Professional incompetence
7. Any behavior that is seductive, sexually demeaning, harassing or reasonably interpreted as sexual by the person who is in a therapeutic relationship with a nurse is considered:
Boundary crossings
Boundary violations
Sexual misconduct *
Professional incompetence
8. Which of the following activities is NOT a potential professional boundary crossing or violation?
Nurse discusses aspects of her intimate or personal life with a person in their care
Nurse keeps secrets with the person receiving care
Nurse believes that only she understands and can meet the person’s needs
Nurse asks pertinent questions about the client’s sexual activities when completing a medical history*
9. Which of the following activities is NOT a potential professional boundary crossing or violation?
Nurse discusses personal problems with a person in her care
Nurse discusses feelings of sexual attraction with her client
Nurse spends an inappropriate amount of time with a particular person in their care
Nurse explains actions and aspects of care with a particular client to colleagues*
10. Which of the following activities is NOT a potential professional boundary crossing or violation?
Nurse becomes guarded or defensive when someone questions her interactions with a particular client
Nurse reports all aspects of behavior of the person in their care *
Nurse visits the client when off duty
Nurse believe she is immune from fostering a non-therapeutic relationship with a client
11. Which of the following activities is NOT a potential professional boundary crossing or violation?
Nurse advocates strongly for the client’s interests and well-being *
Nurse swaps roster allocations to be with a particular client
Nurse employs sexual innuendo, off-color jokes or offensive language
Nurse fails to recognize the development of a sexual attraction with a person in their care
12. Which of the following is NOT a factor a nurse must consider when establishing professional boundaries?
Care setting
Community influences
Well-being of client*
Nature of therapy
13. If a nurse observes a professional boundary violation in a colleague, what should she NOT do?
Ignore it as it is none of her business *
Document incidents in a timely manner
Consult with trusted supervisor or colleague
Comply with legal and ethical mandates in reporting violations
14. Receiving gifts from clients such as chocolates or flowers is generally acceptable.
True*
False
15. Professional boundary issues are only applicable to nurses involved in a therapeutic relationships with clients.
True
False*
16. The incidence of professional boundary violations reported to nursing regulatory bodies is fairly high.
True
False*
17. Relationships with clients have both the power to heal and the power to harm.
True *
False
18. Nurses are expected to avoid personal bias when collecting, interpreting and communicating information about those in their care.
True*
False
19. Nurses are expected to restrain the client’s participation, choice and control in meeting their health-care needs.
True
False*
20. Professional boundaries are fixed and usually clearly defined by relevant law, code of ethics and practice standards.
True
False*
Healthy professional boundaries are flexible within the bounds of relevant law and sound professional judgment.
21. Repeated touching of clients in a very personal way should be employed as it is a powerful therapeutic tool.
True
False*
Repeated touching in spite of signals that the action is distressing or unwelcome, is not helpful, and might even feel abusive to some people.
22. Some boundary crossings are acceptable if in the nurse’s professional judgment, they help to meet the client’s therapeutic needs.
True*
False
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