NURS 1090 Confidentiality and Boundaries

Questions and Answers

What is a primary responsibility of nurses in relation to patient boundaries?

To set and maintain the boundaries (correct)

To limit communication with patients

To develop personal friendships with patients

To share personal experiences with patients

Which of the following actions is considered a boundary violation?

Offering to help a patient with their personal life

Establishing a rapport with a patient for effective communication

Discussing work-related issues with a patient

Accepting a small gift from a patient (correct)

Which guideline should a nurse follow regarding physical contact with patients?

Physical contact is always acceptable to comfort patients

Limit physical contact to therapeutic interactions only (correct)

Physical contact should occur as often as possible

Avoid all physical contact with patients

What should nurses do if they encounter warning signs of poor boundaries?

Seek help from coworkers and managers Signup and view all the answers

Why is it important for nurses to limit self-disclosure?

To maintain a professional relationship focused on the patient Signup and view all the answers

How should nurses manage their social media presence to maintain professional boundaries?

Adhere to guidelines regarding professional content Signup and view all the answers

What could be a potentially negative outcome of developing too close a relationship with a patient?

Difficulty maintaining professional boundaries Signup and view all the answers

Which behavior reflects a possible violation of nurse-patient boundaries?

Complaining to patients about personal problems Signup and view all the answers

What is a key component of maintaining confidentiality in nursing?

Releasing information only to authorized individuals directly involved in care Signup and view all the answers

Which of the following actions is considered a violation of patient confidentiality?

Sharing a patient's medical condition with their employer without consent Signup and view all the answers

What is the definition of boundaries in the context of nursing?

An invisible line that provides limits to professional behavior Signup and view all the answers

When does an action cross a boundary according to nursing ethics?

When it no longer focuses on the patient's needs Signup and view all the answers

Which of the following questions should be considered to assess the need for disclosing patient information?

Do I need this information? Signup and view all the answers

According to the Ohio Nurse Practice Act, what must a licensed nurse do concerning professional boundaries?

Delineate, establish, and maintain professional boundaries with each patient Signup and view all the answers

Which of the following can be a method to ensure confidentiality is maintained?

Using secure electronic communication for patient information Signup and view all the answers

Which law establishes guidelines for confidentiality in nursing practice in Ohio?

The Ohio Revised Code Chapter 4723 (Nurse Practice Act) Signup and view all the answers

What is the primary responsibility of the nurse in the nurse-patient relationship?

To maintain boundaries Signup and view all the answers

Which action constitutes a boundary violation in nursing?

Accepting gifts from patients Signup and view all the answers

Under what circumstance can a nurse engage in boundary crossings?

If it is documented and discussed with the patient Signup and view all the answers

How is emotional abuse characterized in nursing practice?

By causing mental distress through manipulation Signup and view all the answers

What should be the nurse's approach to patient consent?

The nurse must always explain the benefits fully Signup and view all the answers

What constitutes an inappropriate involvement in a patient’s personal relationships?

Taking part in social events with the patient Signup and view all the answers

Which of the following actions is an example of boundary crossing?

Attending a patient's social event briefly Signup and view all the answers

What does the nurse's power in the nurse-patient relationship stem from?

Their professional position and access to private information Signup and view all the answers

Study Notes

Confidentiality

Governed by Chapter 4723 of the Ohio Revised Code (Nurse Practice Act) and Chapters 4723-1 through 4723-27 of the Ohio Administrative Code.
Involves sharing patient information only with authorized personnel directly involved in the patient’s care.
Covers all forms of communication: written, verbal, and electronic.
An example of appropriate disclosure includes discussing a patient’s treatment plan with colleagues; improper disclosure involves sharing patient information with an employer without consent.

Key Questions for Information Disclosure

Do you need this information?
Do you have a right to know this information?
Where will this information be discussed?
Who will you be discussing it with?

Boundaries in Nursing

Defined as limits that distinguish professional behavior, ensuring a safe relationship focused on patient needs.
Responsibilities of nurses include maintaining professional boundaries and providing respectful, dignified care.
Ohio law mandates that nurses establish and uphold these boundaries to prevent abuse and inappropriate personal involvement with patients.

Boundary Crossings and Violations

Boundary crossings are departures from accepted practice that might benefit the patient, such as staying after a shift for care.
A brief boundary crossing is acceptable if returned promptly, while serious violations occur when the patient’s needs are overshadowed by the nurse’s needs.
Accepting gifts or engaging in personal relationships with patients constitutes boundary violations.

Recognizing Boundary Violations

Signs include becoming too close to patients, inappropriate physical contact, and sharing personal information like living arrangements.
Evaluate your boundaries if you:
- Share your personal life extensively with patients.
- Plan activities outside of the professional setting.
- Accept gifts or visit patients socially.

Prevention of Boundary Violations

Familiarize yourself with Ohio Board of Nursing laws and policies.
Set patient-centered goals.
Be aware of warning signs indicative of poor boundaries.
Seek guidance from colleagues or managers when uncertainties arise.

Maintain professional boundaries; keep personal and professional lives separate.
Avoid discussing patient cases or personal problems on social media platforms.
Resources available online for further understanding of social media guidelines for nurses.

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Description

This quiz focuses on the essential concepts of confidentiality and professional boundaries in nursing, as outlined in the Ohio Nurse Practice Act and HIPAA regulations. It highlights the legal responsibilities of nurses regarding patient information and the importance of adhering to ethical standards in healthcare.