— 心理社會完整性 · MEDIUM · SATA —
下列哪些行為展現了護理師的專業界限意識？（選所有適合的）
Which of the following actions demonstrates a nurse's professional boundary awareness? (Select all that apply.)
- ASharing personal phone number for after-work friendship提供個人電話號碼以便下班後交友
- BMaintaining a focus on the client's needs rather than personal needs✓ 正解專注於病人的需求而非個人需求
- CAvoiding gifts from patients to prevent conflict of interest✓ 正解避免接受病人贈禮以防利益衝突
- DDiscussing personal trauma to build rapport with the patient討論個人創傷經歷以與病人建立良好關係
- ERefraining from social media interaction with current patients✓ 正解避免與現任病人進行社群媒體互動
— Explanation · 中文詳解 —
護理專業界限（Professional Boundary）要求護理師將互動限制在治療目標內。與病人成為朋友（交換私人電話）、分享個人創傷（自我揭露不當）均會導致界限模糊，將護理師與病人的關係非專業化。拒絕禮物與避免社交媒體互動是維護界限與避免利害衝突的重要措施。
Professional boundaries require the nurse to maintain therapeutic relationships focused solely on client needs, avoiding dual roles such as friendship or personal self-disclosure. Actions like refusing gifts and refraining from social media interaction with current patients prevent conflicts of interest and protect the integrity of the nurse-client relationship.
✦ 台美臨床差異
美國對於專業界限有嚴格法律與倫理規範；台灣臨床對於禮物文化較為寬鬆，護理師需自我判斷避免倫理糾紛。