CONCLUSION
Healthcare providers have an obligation to provide safe and ethical care to their clients. It is apparent that in order to provide ethical care to clients, it is crucial for the clinician to understand the definition of boundaries. They must recognize boundary situations, distinguish a boundary crossing from a boundary violation, and have a knowledge
base for evaluating and navigating boundary dilemma situations. Use of a model or framework for ethical decision making can help the provider recognize, analyze, and navigate the complexities of ethical boundary dilemmas in order to achieve the best possible outcome for their client.
MANAGING PROFESSIONAL BOUNDARIES Self-Assessment Answers and Rationales
1. The correct answer is d. Rationale: The principle of autonomy/justice states that clinicians treat clients equitably and without discrimination. Beneficence relates to promoting well-being, nonmaleficence relates to doing no harm, and integrity/ fidelity relates to honesty and truthfulness. 2. The correct answer is: b. Rationale: Sexually provocative conversations are a boundary violation with potential for harm to the client. The other options are nonexploitative boundary crossings. 3. The correct answer is d. Rationale: All of these factors should be considered when determining if a gift is an acceptable boundary crossing and can be accepted . 4. The correct answer is c. Rationale: Connecting with a current client by “friending” or “following” may lead to inappropriate therapist self- disclosure. It creates a privacy concern, has the potential for harm, and is specifically addressed in most codes of ethics.
5. The correct answer is c. Rationale: Sexual relationships with clients are clear unethical boundary violations, have the potential for harm and exploitation of the client, and are illegal in all states. 6. The correct answer is b. Rationale: The model chosen for use should help the clinician identify the problem, analyze alternatives, choose and implement an action, and evaluate the consequences of the decision, all of which provide sound justification for the chosen course of action. 7. The correct answer is d. Rationale: There is rarely only one right answer or action when faced with ethical decisions, and different clinicians may choose different alternatives. Use of a decision-making model provides structure and organization to help guide the clinician in evaluating all aspects and consequences so that they can arrive at the best possible option for the client.
WORKS CITED https://uqr.to/ManagingPB
MANAGING PROFESSIONAL BOUNDARIES Final Examination Questions Select the best answer for each question and mark your answers on the Final Examination Answer Sheet found on page 97, or complete your test online at EliteLearning.com/Book 57. Which ethical principle states that the clinician must strive to do no harm to their client? a. Beneficence
61. When reflecting on a decision about a boundary crossing, Pope and Keith-Spiegel (2008) suggest all of the following except: a. There should be minimal or no documentation about the decision b. Imagine the best and worst possible outcome from the crossing c. Pay attention to uneasy feelings or confusion about the situation d. Consider guidance from a colleague, ethics codes, or laws 62. The Blundell and colleagues (2022) study found that professional boundaries: a. Cause therapist anxiety b. Make professional burnout more likely c. Foster a sense of confidence and competence in the counselor d. Cause the clinician’s personal issues to become blurred with those of the client 63. According to professional ethics codes, a dual or multiple relationship: a. Is always avoidable b. Is not necessarily unethical if it does not cause harm
b. Nonmaleficence c. Integrity/fidelity d. Autonomy/justice 58. A boundary crossing:
a. May be therapeutically helpful b. Always leads to boundary violations c. Is very infrequent in practice d. Is a clear ethical violation a. Has risk of harm to the client b. Is often exploitative of the client c. Violates professional ethical standards d. All of the above
59. A boundary violation:
60. Accepting a minor gift from a client, running into a client in the store, and extending the length of a session one time are all examples of: a. Ethical violations
b. Boundary violations c. Boundary crossings d. Breach of confidentiality
c. Does not cause a conflict of interest d. Does not apply to counselor-supervisee relationships
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Book Code: PYTX1325
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