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Boundaries & Abuse In The Nurse-Client Relationship

25 Questions
Relationship Quizzes & Trivia

Review of material from class 4.

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Questions and Answers
  • 1. 
    Which of the following activities are potential boundary crossings or violations? Check all that apply.
    • A. 

      Asking pertinent questions about the client’s sexual activities when completing a medical history

    • B. 

      Keeping secrets with the person receiving care

    • C. 

      Believing that only you understand what your client’s needs are

    • D. 

      Discussing aspects of your personal life with a person in your care

  • 2. 
    “One is One Too Many” is the name of the abuse prevention program organized by which nursing organization?
    • A. 

      RNAO

    • B. 

      CNA

    • C. 

      CNO

    • D. 

      ONA

  • 3. 
    A nurse should never provide care to a client with which he had had a prior personal relationship.
    • A. 

      True

    • B. 

      False

  • 4. 
    The nurse should always refuse gifts from patients.
    • A. 

      True

    • B. 

      False

  • 5. 
    • A. 

      I

    • B. 

      I and ii

    • C. 

      Iii

    • D. 

      I, ii, iii, and iv

    • E. 

      Iv

  • 6. 
    Within the nurse-client covenant, personal social relations provide significant healing benefits.
    • A. 

      True

    • B. 

      False

  • 7. 
    When unsure if accepting of a gift is appropriate who/what should you consult?
    • A. 

      Nursing Manager

    • B. 

      CNO Practice Standard document

    • C. 

      Agency Policy

    • D. 

      All of the above

  • 8. 
    Susan, a colleague of yours has been working with a client named Greg for some time, and they have developed a close relationship.  On a number of occasions Susan stayed late after her shifts to talk to Greg, and on days that she was not assigned to care for Greg she made sure to go and see how he was doing.  One day you are assigned to care for Greg, and he shows you a stuffed bear that he plans to give Susan on Valentine’s Day.  What is the appropriate response or action in this circumstance?
  • 9. 
    Statements that outline acceptable requirements for determining the quality of nursing care a client receives are:
    • A. 

      Nursing practice standards

    • B. 

      Competencies

    • C. 

      Professional boundaries

    • D. 

      Accountability practices

  • 10. 
    Suzanne is a nurse working in home care. Another nurse, Stephanie, works for the same agency. Stephanie knows that Suzanne and her husband are having serious financial difficulties and may lose their house. One day Suzanne calls in sick and Stephanie goes to visit one of Suzanne’s clients, a man who happens to live in a wealthy neighbourhood. At the end of the visit, the client gives Stephanie a cheque and asks her to make sure that it gets to Suzanne. When Stephanie asks what the cheque is for, the client tells her that he has been helping out with Suzanne’s mortgage payments in exchange for the wonderful care that she provides. True or false: Stephanie should take the cheque and give it to Suzanne.
    • A. 

      True, she is helping a friend who is in trouble, and the client can clearly afford to give Suzanne money.

    • B. 

      False, this represents financial abuse and she should refuse the cheque and report Suzanne.

  • 11. 
    When, if ever, is it acceptable to accept gifts from clients? (select the best answer)
    • A. 

      It is never acceptable to accept a gift from a client

    • B. 

      When it is a team gift or a gift to the unit

    • C. 

      When refusal will harm the nurse-client relationship

    • D. 

      When the client is mentally competent and does not expect anything in return

  • 12. 
    • A. therapeutic relationship
    • A.
    • B. non-professional relationship
    • B.
    • C. professional boundaries
    • C.
    • D. nurse-client relationship
    • D.
    • E. non-therapeutic relationship
    • E.
  • 13. 
  • 14. 
    Which of the following scenarios represent client abuse?
    1. Accepting power of attorney for a client who is currently under your care
    2. Withholding food and drink when a client is NPO before surgery
    3. Ignoring a client’s call bell because they are not being compliant with their medication
    4. Pulling a client’s hair to get them to stop thrashing while you are trying to get them dressed
    • A. 

      I and iii

    • B. 

      I, ii, and iv

    • C. 

      I, iii, and iv

    • D. 

      Ii and iii

  • 15. 
    • A. 

      Professional incompetence

    • B. 

      Sexual misconduct

    • C. 

      Boundary crossing

    • D. 

      Boundary violation

  • 16. 
    Some boundary crossings are acceptable if in the nurse’s professional judgment, they help to meet the client’s therapeutic needs.
    • A. 

      True

    • B. 

      False

  • 17. 
  • 18. 
    • A. 

      Ignore it, this is a part of nursing life

    • B. 

      If re-establishment of a professional relationship is not possible, transfer the person’s care to another nurse

    • C. 

      Play along as it will likely have therapeutic benefits

    • D. 

      Discuss the client’s feelings in a constructive manner and attempt to re-establish a professional relationship

  • 19. 
  • 20. 
    It is the client that influences the level of intimacy or physical contact during the therapeutic and diagnostic process.
    • A. 

      True

    • B. 

      False

  • 21. 
    Your best friend’s 19-year-old son, Jacob has been brought into the emergency department due to alcohol poisoning.  There is limited staff and you resultantly must help care for Jacob.  After the appropriate procedures are completed and Jacob is ready to be discharged, he asks you to please not tell his mother about this incident.   However, the next day when you meet Jacob’s mother for coffee she asks you to tell her what happened/ why her son was in the ER the night before.  What is the appropriate response in this situation?
  • 22. 
    Janet was recently admitted to hospital for an elective surgical procedure. While her nurse, Dan, is completing a health history, he asks her if she is single, and peppers the interview with sexually explicit comments. True or false: Dan is abusing Janet sexually.
    • A. 

      True, his remarks may reasonably be interpreted as sexually suggestive and therefore fall within the realm of client abuse under CNO guidelines.

    • B. 

      False, these sorts of remarks are appropriate as he is just joking around.

  • 23. 
    The client and the nurse are responsible for ensuring that professional caring and social relationships are not confused with one another.
    • A. 

      True

    • B. 

      False

  • 24. 
    Scenario:  A client on your ward is severely ill and has very few visitors as majority of his family lives overseas.  This client has been in your ward in a private room for several months and over the holidays the nursing staff decides to get him a small gift to brighten his spirits as they know his family is unable to visit.  According to the CNO Practice Standard is this acceptable?
  • 25. 
    • A. financial abuse
    • A.
    • B. verbal abuse
    • B.
    • C. neglect
    • C.
    • D. physical abuse
    • D.