Of the following actions, which indicate that the relationship ...

[RRMR]

Of the following actions, which indicate that the relationship between nurse and client may be moving outside professional boundaries? Select all that apply.
 
  A) The client brings the nurse a baked item for their lunch.
  B) The nurse is spending more time with the client than the others in the group.
  C) The nurse objectively listens and contributes to the team meeting about behaviors the client is displaying.
  D) The nurse tells a friend that she is the only one who truly understands this client.
  E) The nurse informs her supervisor that the client asked her to keep a secret from the rest of the staff.

Question 2

A nurse knows rapport has been established when the client: Select all that apply.
 
  A) Tries to isolate him- or herself from others in the group.
  B) Acknowledges that they wish to keep many topics off limit and private.
  C) Develops a sense of sharing.
  D) Displays decreased anxiety and feels comfortable in the presence of the nurse.
  E) Begins speaking with a more rapid, repetitive speech.

[hugthug12]

Answer to Question 1

Ans: A, B, D
Indicators that the relationship may be moving outside professional boundaries are gift giving on either party's part, spending more time than usual with a particular client, strenuously defending or explaining the client's behavior in team meetings, the nurse feeling that he or she is the only one who truly understands the client, keeping secrets, or frequently thinking about the client outside of the work situation.

Answer to Question 2

Ans: C, D
When rapport develops, a client feels comfortable with the nurse and finds self-disclosure easier. The nurse also feels comfortable and recognizes that an interpersonal bond or alliance is developing. All of these factorscomfort, sense of sharing, and decreased anxietyare important in establishing and building the nurseclient relationship. The other choices are signs that the client is distrustful of the therapeutic relationship.