Registered Practical Nurse (RPN) Practice Test

Accepting a gift from someone in a therapeutic relationship can typically be viewed as what?

1. An ethical standard

2. An initial step of boundary violation

3. A professional courtesy

4. A sign of gratitude

The correct answer is: An initial step of boundary violation

Accepting a gift from someone in a therapeutic relationship is generally viewed as an initial step of boundary violation because it can blur the professional boundaries that are essential in a therapeutic setting. In a healthcare context, maintaining clear professional boundaries is crucial to ensure that the relationship remains objective and focused on the patient's well-being. Accepting gifts may create an expectation or an obligation on either side, which can complicate the therapeutic relationship. Therapeutic relationships are built on trust and professionalism, and gifts can introduce an imbalance or perceived favoritism, potentially undermining the efficacy of the treatment or care being provided. This understanding is vital for maintaining the integrity of the nurse-patient relationship and ensuring that care decisions are made solely in the best interest of the patient. While some might interpret gift acceptance as a sign of gratitude or a professional courtesy, these interpretations can detract from the core of patient care, where the focus should remain on the patient's needs rather than personal exchanges. Therefore, recognizing gift acceptance as a boundary violation helps reinforce the importance of professionalism and ethics in nursing practice.