Each nurse-client relationship can be plotted on a continuum of professional behavior according the National Council of State Boards of Nursing (1996)

One end of the continuum is over-involvement, such as boundary crossings, and the other end of the continuum is referred to by the National Council of State Boards of Nursing as: a. professionalism c. burnout
b. under-involvement d. noncaring


B

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A Incorrect. Between over-involvement and under-involvement, professionalism may be found. It is not on the ends, but in the center.
B Correct. The continuum of professional behavior ranges from under-involvement (distancing, disinterest, and neglect) to over-involvement (boundary crossings and boundary violations). The zone of helpfulness is in the center of the continuum.
C Incorrect. Burnout may lead to under-involvement, but burnout is not the other end of the continuum with overinvolment.
D Incorrect. Noncaring is a serious issue for nursing professionalism and may lead to under-involvement, but noncaring is not the other end of the continuum with over-involment.

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