Registered Practical Nurse (RPN) Practice Test

What do PMH nurses claim when they commit serious boundary violations?

1. It was a unilateral decision

2. It was a mutual decision with the patient

3. It is always considered a mistake

4. It is universally accepted in nursing

The correct answer is: It was a mutual decision with the patient

When psychiatric mental health (PMH) nurses commit serious boundary violations, they may claim that it was a mutual decision with the patient. This perspective stems from the complex nature of therapeutic relationships, where boundaries can sometimes be blurred due to the emotional connections that develop between the nurse and the patient. In therapeutic contexts, nurses often aim to build trust and rapport, which can lead to a belief that both parties have consented to certain actions or behaviors, even if these actions violate established professional boundaries. Saying it was a mutual decision highlights an attempt by the nurse to rationalize the violation as something that was collaboratively agreed upon, despite ethical guidelines emphasizing the importance of maintaining professional boundaries for the safety and well-being of the patient. Recognizing this claim as a common defense in boundary violation cases underscores the challenges PMH nurses face in navigating the therapeutic relationship while ensuring adherence to professional ethical standards. It reflects the need for ongoing education and supervision in understanding and maintaining boundaries effectively.