Texas Board of Nursing (BON) Practice Exam

A nurse providing nursing services to a young child in a home setting asks the parent to bring the child to the nurse's home for nursing care. The nurse asks the parent to keep this arrangement confidential. This could be considered

1. a violation of professional boundaries of the nurse-client relationship

2. an appropriate way to build trust with the parent

3. a standard practice in pediatric home care

4. an approved method by the Texas BON

The correct answer is: a violation of professional boundaries of the nurse-client relationship

The correct answer is A, a violation of professional boundaries of the nurse-client relationship. Asking the parent to bring the child to the nurse's home for nursing care and to keep it confidential is not appropriate. This request blurs the boundaries of the professional relationship between the nurse and the client, as it involves personal space and privacy that should not be breached in a professional setting. It is important for nurses to maintain professionalism and ethical standards by providing care within appropriate healthcare facilities or settings and not involving personal spaces for such purposes. Options B, C, and D are incorrect because they do not align with the professional standards and ethics expected in nursing practice. Trust with the parent should be built through transparency and integrity in providing care, pediatric home care should be conducted within the appropriate settings with the necessary equipment and resources, and the Texas BON does not approve of nurses providing care in their personal homes to clients due to the potential risks and ethical implications involved in such arrangements.