— 照護管理 · MEDIUM · MCQ —
護理師照顧一位有藥物濫用史的病人，哪種行為最能維護職業界線？
A nurse is caring for a client with a history of substance abuse. Which behavior is the most appropriate for the nurse to maintain professional boundaries?
- ASharing one's own struggles with alcohol to build rapport分享自己與酒精的掙扎以建立關係
- BSpending extra time alone with the client to understand their story花額外時間單獨與病人相處以了解其故事
- CFocusing the care plan on the client's treatment goals and safety✓ 正解將護理計畫聚焦於病人的治療目標與安全
- DOffering to give the client personal money for recovery提供個人金錢給病人用於康復
— Explanation · 中文詳解 —
護理專業界線（Professional boundaries）要求護理師應將重心放在醫療照護目標上，而非個人情誼。分享個人故事（A）、提供金錢（D）或過度私下相處（B）均會模糊護理師與病人的專業關係，應避免。專注於治療目標與安全評估才是專業的做法。
Professional boundaries in nursing require the nurse to focus on care goals rather than personal friendship. Sharing personal stories (A), offering money (D), or excessive private contact (B) all blur the professional nurse-client relationship and should be avoided. Focusing on treatment goals and safety assessment is the professional approach.
✦ 台美臨床差異
美台對專業界線（Professional Boundaries）的要求一致，但美國醫院針對此議題有更明確的教育訓練。