下列哪種陳述顯示護理師維持了專業邊界？
Which statement indicates the nurse is maintaining professional boundaries?
- AI will give you my personal phone number if you feel lonely at night.如果你晚上覺得孤單，我會給你我的私人電話號碼。
- BI appreciate your gift, but I cannot accept it according to hospital policy.✓ 正解我很感謝你的禮物，但根據醫院規定我不能接受。
- CI can visit you at home after my shift ends since we are good friends now.既然我們現在是好朋友，我可以在下班後去你家探望你。
- DI think you should leave your husband; he is not good for you.我認為你應該離開你的丈夫；他對你不好。
專業邊界（Professional boundaries）是護理倫理的核心，旨在保護病人與護理師雙方的權益，確保照護關係維持在專業、客觀且以病人需求為導向的層次。護理師必須避免與病人發展私人情感或社交關係，以防止角色模糊（Role blurring）或剝削行為。選項B展現了正確的專業態度，即在遵守醫療機構政策（Hospital policy）的前提下，婉轉拒絕病人的禮物，維持了專業距離且不失禮貌。反之，A、D、C選項均涉及越過專業界線，可能導致病人產生錯誤的親密感期待或護理師介入病人的私人決策，這些行為均不符合NCLEX強調的護理師專業準則。
Professional boundaries are central to nursing ethics. Their purpose is to protect the rights of both the patient and the nurse and to ensure that the care relationship remains at a professional, objective, patient-needs-oriented level. The nurse must avoid developing private emotional or social relationships with the patient, in order to prevent role blurring or exploitative behavior. Option B demonstrates the correct professional attitude: politely declining the patient's gift under the framework of hospital policy maintains professional distance without being impolite. In contrast, options A, D, and C all involve crossing professional boundaries, which may lead the patient to develop mistaken expectations of intimacy or cause the nurse to become involved in the patient's private decisions; these behaviors do not comply with the professional nursing standards emphasized by NCLEX.
在美國，醫院對收受禮物通常有嚴格的零容忍（Zero-tolerance）或金額上限政策，護理師通常會禮貌拒絕並建議病人改以感謝卡表達謝意。台灣臨床氛圍中，家屬贈送食品或小禮物較為常見，護理師常需採取更具彈性的溝通方式婉拒，以免造成家屬尷尬。