Which of the following behaviors by the nurse would lead you to suspect the nurse had crossed the professional boundaries with a family in his or her caseload?
a. disclosing personal details such as being single and available
b. establishing house rules such as where to store belongings and where to park and defining routines
c. listening to various family members talk about their needs and feelings
d. letting the family have their wishes, being flexible, and encouraging the family to participate in care
A
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A Correct. Home health care nurses should recognize signs that they have crossed boundaries, including excessive self-disclosure, secretive behavior, "super nurse" behavior, selective communication, flirtations, and failure to protect the client.
B Incorrect. To ensure the establishment of professional boundaries, house rules should be established such as where to store belongings and where to park and defining routines.
C Incorrect. To ensure the establishment of professional boundaries, the nurse will insist upon listening to various family members talk about their needs and feelings.
D Incorrect. Letting the family have their wishes, being flexible, and encouraging the family to participate in care will facilitate and maintain a professional working relationship.
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