Question

The nurse is caring for a client admitted to a medical surgical unit. Which of the following situations would indicate a professional nurse's boundary violation? Select all that apply.

-Sharing a personal experience with a client that is very similar to the situation the client is experiencing
-Speaking to the client's family about a diagnosis without permission from the client
-Being concerned about a client's welfare and seeking ways to protect them
-Having well-intentioned behaviors that detract from achievable health outcomes for clients
-Reminding a client who has dementia that certain sexual touch behaviors are not acceptable

Answer 1

As a healthcare professional, it is important to educate patients about disease prevention while respecting their cultural and moral values. Promoting your own moral agenda may not be ethical or effective. Instead, focus on providing evidence-based care that aligns with the patient's beliefs.

Step-by-step explanation:

As a healthcare professional, it is essential to educate patients about behaviors that put them at risk for diseases while respecting their cultural and moral values. Promoting your own moral agenda to patients can be unethical and may not be effective in achieving positive health outcomes. Instead, you can advocate for practical disease prevention strategies that are culturally sensitive and align with the personal views of your patients.

For example, when working with a patient who has different cultural values regarding sexual touch behaviors, it is important to approach the topic with sensitivity and empathy. Reminding them that certain touch behaviors are not acceptable can be done in a non-judgmental and educational way, focusing on the health risks involved. Respect their cultural perspectives while providing accurate information and discussing alternative behaviors that can reduce the risk of disease transmission.

Ultimately, as a healthcare professional, your responsibility is to provide evidence-based care that is respectful of the cultural and moral values of your patients. Education and advocacy should be centered around practical disease prevention while establishing an open and trusting relationship with the patient.

Answer 2

The situations that would indicate a professional nurse's boundary violation include:

- Speaking to the client's family about a diagnosis without permission from the client.

- Reminding a client who has dementia that certain sexual touch behaviors are not acceptable.

Step-by-step explanation:

In the nursing profession, maintaining clear boundaries is crucial for providing ethical and effective care. Discussing a client's diagnosis with their family without proper authorization breaches confidentiality, infringing on the client's right to privacy. This violation can erode trust between the nurse and the client, potentially compromising the therapeutic relationship.

Reminding a client with dementia about appropriate sexual behaviors, on the other hand, raises concerns about respecting the individual's dignity and autonomy. While it may be well-intentioned to ensure the client's safety, addressing such matters should be handled with sensitivity and in consultation with appropriate healthcare professionals, such as a social worker or psychologist. Approaching the situation without proper expertise can lead to misunderstandings and emotional distress for the client.

In summary, these boundary violations highlight the importance of upholding professional standards, respecting confidentiality, and approaching sensitive topics with the necessary expertise and sensitivity. Nurses should prioritize the well-being and autonomy of their clients while adhering to ethical guidelines to ensure the delivery of high-quality and compassionate care.