Nursing involves close interaction between nurses and patients, a situation which can create the potential for boundary violations. Which of the following situations most clearly constitutes a boundaries violation?
A) A community health nurse continues weekly visits to a former client despite the fact that the
client is no longer receiving care.
B) A nurse states that she is willing to advocate to the patient's employer than the patient was
genuinely ill and not feigning health complaints to gain time off work.
C) A nurse attends a family meeting at the hospital in which the patient and his family discuss
the patient's code status.
D) A nurse contacts a social worker without the patient's knowledge because of admissions
the patient has made about her substandard living conditions.
Ans: A
Continuing contact with a patient outside of the domain of care is a boundaries
violation. Informing an employer that a patient was ill is not likely a boundaries violation, since
the nurse is reporting facts with the patient's permission. Nurses often participate in family
meetings and referrals made without a patient's knowledge are not a violation of boundaries.
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