BCCNM

Question 1

Who is responsible for maintaining the boundaries of a therapeutic relationship?
a. The client
b. The nurse
c. The client’s family
d. The healthcare team

Answer 1

b. The nurse

Question 2

Under which circumstances should a nurse avoid providing care to family or friends?
a. In emergencies only
b. When legislation prohibits it
c. When no other healthcare provider is available
d. When the nurse feels uncomfortable

Answer 2

b. When legislation prohibits it

Question 3

Which of the following is considered professional misconduct according to the BCCNM Standards of Practice?
a. Accepting token gifts from clients with therapeutic intent
b. Disclosing limited personal information for therapeutic purposes
c. Sexual misconduct with a client
d. Accepting a bequest from a client

Answer 3

c. Sexual misconduct with a client

Question 4

What should a nurse do if they receive a significant gift from a client?
a. Accept it with gratitude
b. Redirect or return the gift
c. Share it with colleagues
d. Use it for professional development

Answer 4

b. Redirect or return the gift

Question 5

What action should a nurse take if they suspect a colleague is violating professional boundaries?
a. Ignore the behavior to avoid conflict
b. Report it to the appropriate person
c. Warn the client directly
d. Discuss it only with the colleague

Answer 5

b. Report it to the appropriate person

Question 6

Which of the following behaviors indicate that a nurse may be crossing professional boundaries?
(Select all that apply)
a. Giving preferential care or time to a specific client
b. Disclosing personal intimate details to a client
c. Accepting a token gift with therapeutic intent
d. Hiding aspects of the relationship with the client from others
e. Using the client to meet personal needs for social support

Answer 6

a, b, d, e

Question 7

What are the responsibilities of nurses in maintaining professional boundaries?
(Select all that apply)
a. Beginning, maintaining, and ending a therapeutic relationship based on client needs
b. Avoiding friendships or romantic relationships with clients
c. Disclosing personal information to develop rapport, without therapeutic intent
d. Ensuring their needs are prioritized over the client’s needs
e. Helping colleagues maintain professional boundaries

Answer 7

a, b, e

Question 8

In which situations can a nurse accept or exchange a gift from a client?
(Select all that apply)
a. When the gift is significant and given without conditions
b. When the gift is token and has therapeutic intent
c. When the gift is offered to a group of nurses
d. When the gift is part of a will or bequest
e. When refusing the gift may harm the therapeutic relationship

Answer 8

b, c

Question 9

Which of the following actions are unacceptable for a nurse in maintaining professional boundaries?
(Select all that apply)
a. Acting as a substitute decision-maker when prohibited by legislation
b. Communicating with clients in a demeaning or insulting manner
c. Providing care to family members in an emergency
d. Sharing privileged client information for personal gain
e. Engaging in therapeutic touch with explicit client consent

Answer 9

a, b, d

Question 10

What factors should a nurse consider before forming a personal relationship with a former client?
(Select all that apply)
a. The amount of time since the professional relationship ended
b. The vulnerability and decision-making ability of the former client
c. The therapeutic intent of the relationship
d. Whether the former client is likely to require care again
e. The intensity and duration of the nursing care previously provided

Answer 10

a, b, d, e

Question 11

What should a nurse consider before disclosing personal information to a client?
a. Whether it will help develop trust and establish rapport
b. Whether it will make the client feel more comfortable with the nurse
c. Whether the nurse is comfortable sharing the information
d. Whether the client specifically asks for the information

Answer 11

a. Whether it will help develop trust and establish rapport

Question 12

When is it acceptable for a nurse to form a personal relationship with a former client?
a. Immediately after the professional relationship ends
b. When the client no longer requires ongoing care
c. When the former client initiates contact
d. After careful consideration of factors like time, vulnerability, and nature of care provided

Answer 12

d. After careful consideration of factors like time, vulnerability, and nature of care provided

Question 13

What is a nurse’s primary responsibility in the nurse-client relationship?
a. Ensuring their professional needs are met
b. Maintaining confidentiality and prioritizing the client’s needs
c. Ending the relationship at the client’s request
d. Balancing professional and personal boundaries equally

Answer 13

b. Maintaining confidentiality and prioritizing the client’s needs

Question 14

Which of the following is an example of professional misconduct?
a. Providing care to a family member in an emergency
b. Accepting a token gift with therapeutic intent
c. Using privileged client information for personal advantage
d. Disclosing limited personal information with therapeutic intent

Answer 14

c. Using privileged client information for personal advantage

Question 15

What should a nurse do if they have a dual role with a client (e.g., professional and personal)?
a. Avoid interacting with the client completely
b. Clearly define when they are acting in a professional or personal capacity
c. Focus solely on the personal relationship
d. Discuss the situation only with other healthcare providers

Answer 15

b. Clearly define when they are acting in a professional or personal capacity

Question 16

What should a nurse avoid when communicating with or about clients?
a. Using medical terminology
b. Sharing information in a clear and respectful manner
c. Making remarks that could be perceived as demeaning, seductive, or disrespectful
d. Disclosing limited information for therapeutic purposes

Answer 16

c. Making remarks that could be perceived as demeaning, seductive, or disrespectful

Question 17

In which of the following situations should a nurse avoid touching or hugging a client?
a. When it is explicitly requested by the client
b. When it has therapeutic intent and implicit consent
c. When it is not appropriate, supportive, or welcome
d. When other healthcare providers are present

Answer 17

c. When it is not appropriate, supportive, or welcome

Question 18

What is the recommended action if a nurse cannot transfer the care of a family member to another provider?
a. Provide care without considering boundaries
b. Ensure the family member understands the dual role
c. Refuse to provide any care at all
d. Act as both a family member and decision-maker without restriction

Answer 18

b. Ensure the family member understands the dual role

Question 19

What is a nurse’s role when they notice a colleague violating professional boundaries?
a. Ignore the situation to maintain workplace harmony
b. Report the issue to the appropriate person or authority
c. Discuss the violation with the client directly
d. Assume the colleague will address it themselves

Answer 19

b. Report the issue to the appropriate person or authority

Question 20

Why is it important for nurses to avoid personal relationships with clients?
a. It helps maintain trust and therapeutic boundaries
b. It reduces the likelihood of personal bias in care
c. It ensures professional standards are upheld
d. All of the above

Answer 20

d. All of the above

Question 21

Which of the following is NOT an acceptable reason to disclose personal information to a client?
a. To establish a rapport with the client
b. To develop trust with the client
c. To meet the nurse’s personal needs
d. To assist in the client’s therapeutic goals

Answer 21

c. To meet the nurse’s personal needs

Question 22

What is the nurse’s primary responsibility when managing boundaries with a client’s family and friends?
a. Establishing a close friendship to build trust
b. Maintaining the same boundaries as with the client
c. Prioritizing the family’s needs over the client’s needs
d. Sharing confidential information with family if requested

Answer 22

b. Maintaining the same boundaries as with the client

Question 23

A client expresses feelings of loneliness and asks for a hug from the nurse. What is the most appropriate action?
a. Hug the client immediately to provide comfort.
b. Politely refuse and explain that hugs are not allowed in professional settings.
c. Assess whether a hug would be supportive, therapeutic, and welcome in this situation.
d. Offer the client a handshake instead to maintain professional boundaries.

Answer 23

c. Assess whether a hug would be supportive, therapeutic, and welcome in this situation.

Question 24

A nurse working in a rural community is asked to provide care to a close friend. What should the nurse do?
a. Accept responsibility for care without discussion since no other providers are available.
b. Transfer care to another provider, if possible, and discuss boundaries if the situation is unavoidable.
c. Provide care while avoiding any discussion of their personal relationship.
d. Refuse to provide care and recommend the friend seek help elsewhere.

Answer 24

b. Transfer care to another provider, if possible, and discuss boundaries if the situation is unavoidable.

Question 25

A former client reaches out to a nurse on social media, requesting to become friends. What is the best course of action? a. Accept the request and maintain a friendly relationship online. b. Decline the request and explain that it is against professional boundaries to connect on social media. c. Accept the request but avoid discussing any personal or professional matters online. d. Block the client to ensure no further communication occurs.

Answer 25

b. Decline the request and explain that it is against professional boundaries to connect on social media.

Question 26

A nurse notices a colleague spending an unusual amount of time with a particular client and being secretive about their interactions. What should the nurse do? a. Discuss the concerns directly with the client. b. Report the observed behavior to a supervisor or the appropriate authority. c. Ignore the behavior, assuming it is part of the colleague’s therapeutic approach. d. Warn the colleague privately to avoid disciplinary action.

Answer 26

b. Report the observed behavior to a supervisor or the appropriate authority.

Question 27

During a home visit, a client offers the nurse a valuable antique as a gift. What is the most appropriate action for the nurse to take? a. Politely accept the gift to avoid offending the client. b. Accept the gift but inform the client it must be documented as part of their care. c. Refuse the gift, explaining that accepting significant gifts is against professional guidelines. d. Suggest the client donate the antique to the healthcare organization.

Answer 27

c. Refuse the gift, explaining that accepting significant gifts is against professional guidelines.

Question 28

A nurse is caring for a client who has just been discharged. The client later asks the nurse to meet socially for coffee to discuss their recovery. What is the best response? a. Agree to meet, as the professional relationship has ended. b. Decline the invitation and explain the need to maintain professional boundaries. c. Suggest meeting at a neutral location with other healthcare professionals present. d. Agree to meet but only discuss topics unrelated to their recovery.

Answer 28

b. Decline the invitation and explain the need to maintain professional boundaries.

Question 29

A nurse feels uncomfortable about a comment made by a client’s family member that seems flirtatious. What should the nurse do? a. Ignore the comment and continue with the care plan. b. Politely but firmly address the comment and re-establish professional boundaries. c. Joke about the comment to diffuse the situation. d. Report the incident to a supervisor immediately.

Answer 29

b. Politely but firmly address the comment and re-establish professional boundaries.

Question 30

A client gives the nurse a handwritten note expressing romantic feelings and asks them to keep it secret. What is the nurse’s best course of action? a. Accept the note but keep it confidential to protect the client’s feelings. b. Politely decline the note and explain the importance of maintaining professional boundaries. c. Read the note, then report the incident to the healthcare team for guidance. d. Ignore the situation and continue providing care as usual.

Answer 30

b. Politely decline the note and explain the importance of maintaining professional boundaries.

Question 31

A nurse providing end-of-life care notices that the client’s family keeps asking personal questions about the nurse’s life. What is the best response? a. Share personal details to build rapport with the family. b. Redirect the conversation to focus on the client’s needs. c. Politely inform the family that personal questions are inappropriate. d. Avoid answering and try to minimize contact with the family.

Answer 31

b. Redirect the conversation to focus on the client’s needs.

Question 32

A nurse administrator receives a report that a staff nurse has accepted a significant bequest in a client’s will. What action should the administrator take? a. Allow the nurse to keep the bequest if the client provided consent. b. Investigate the situation and remind the staff nurse of professional boundaries. c. Report the incident to the appropriate regulatory body for further action. d. Dismiss the report as irrelevant to the nurse-client relationship.

Answer 32

c. Report the incident to the appropriate regulatory body for further action.