Module 24—Healthy Boundaries

Objectives:
To recognize potential and actual violation of boundaries between nurse and patient
To recognize the heightened feelings and emotional vulnerability common in early recovery
To identify helpful responses to use when patients cross boundaries of intimacy

You must score a 70% or above on the post test to receive continuing education credit via-cebroker.com

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* 1. Entering your nursing license information

First Name *

Last Name *

License Type and #

State/Province *

Email Address *

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* 2. Nurses work in a profession where special status is assumed, and it is vitally important to have a good understanding of boundaries. Boundaries:

provide a sense of safety for patients and serve as a means of protecting oneself from a patient who may become sexually provocative

provide a sense of safety for nurses from their coworkers

provide a sense of well-being for patients

provide a sense of well-being for nurses

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* 3. Boundaries are described as:

limits that allow a patient and nurse to connect safely in a therapeutic relationship, based on the nurse’s needs

limits that allow a patient and nurse to establish a good relationship

limits that allow a patient and nurse to connect safely in a therapeutic relationship, based on the patient’s needs

limits that allow a patient and nurse to connect safely in a healthy relationship

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* 4. All of the following are key principles underlying the nurse-patient relationship EXCEPT:

the needs of the patient always come first

it is never acceptable to discuss personal problems or any aspect of your intimate life with patients

it is the nurse’s responsibility and not the patient’s to maintain boundaries

it is never acceptable to discuss any aspect of your personal life with patients

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* 5. Setting appropriate verbal boundaries, treating patients respectfully when redirecting inappropriate behavior and documenting all interactions with patients per hospital policy are all examples of:

tips on how to handle a situation in which a patient makes sexual advances

ideas about how to handle situations when caring for sick patients

tips on how to develop healthy relationships with patients

tips on how to handle a situation in which a coworker makes sexual advances

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* 6. Nurses who may be especially vulnerable for the risk of boundary crossing are:

in late stages of recovery

in early recovery

in middle recovery

in all stages of recovery

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* 7. Assessing ones’ vulnerability for crossing boundaries can be done by:

discussing this with a sponsor

discussing this with coworkers

completing a self-assessment checklist

completing a self-inventory

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* 8. Having spent more time than was clinically necessary with a patient, made plans to see a patient when not on duty and made or kept secrets with a patient are examples of:

boundary crossing

healthy boundaries

developing healthy relationships with patients

meeting the needs of patients

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* 9. If you become sexually attracted to a patient:

remember that this is not harmful to the nurse-patient relationship

discuss your feelings with the patient

limit your time with this patient

never act on your feelings

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* 10. In the nurse-patient relationship, the responsibility for maintaining boundaries:

is the patient’s responsibility

is the nurse’s responsibility

is the responsibility of the nurse and the patient

is the responsibility of the physician in charge of the patient’s care

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* 11. A tip to remember when one is sexually attracted to a patient is:

discuss your feelings with the patient

discuss your feelings with a family member

discuss your feelings with a trusted supervisor or colleague

discuss your feelings with the patient’s family