HESI Registered Nurse EXIT Practice Exam

A patient frequently admitted to a psychiatric unit invites a nurse on a date. What is the best response from the nurse?

1. Request to be reassigned away from the client.

2. Indicate that such behavior is inappropriate.

3. Explain the hospital policy against dating clients.

4. Discuss the therapeutic relationship boundaries with the client.

The correct answer is: Discuss the therapeutic relationship boundaries with the client.

The best response from the nurse involves discussing the therapeutic relationship boundaries with the client. This approach is essential for maintaining a professional and ethical nurse-client relationship. By addressing the boundaries directly, the nurse can reinforce the importance of the therapeutic alliance, which is built on trust, respect, and a professional dynamic. This conversation not only helps the patient understand the nature of the relationship but also serves as a moment for teaching about appropriate behaviors within a clinical setting. Addressing boundaries is crucial in psychiatric care, where the distinction between personal and professional relationships must remain clear to protect both the patient and the nurse. Through this response, the nurse can foster a supportive environment while recognizing the patient's feelings without encouraging any maladaptive behavior. This approach aligns with the ethical guidelines of nursing practice, which emphasize the need for maintaining professional relationships and safeguarding the integrity of the care provided.