Eva Corpuz

BSN II

BIOETHICS

1. A therapeutic nurse client relationship is fundamental to professional nursing practice. It is

focused on the needs of the client and conducted with in well-defined boundaries

Therapeutic nurse client relationship is building trust and confidence. A helping relationship that
is based on mutual trust and respect, nurturing faith and hope and assisting the patient’s
physical, emotional, and spiritual needs through the nurses skills and knowledge. Yes it is
focused on the needs of the client though I would say that it is a win-win situation in which you
can both experience growth by sharing the “moment” with each other. It should be conducted
with in a well-defined boundaries, some patients require a therapeutic touch such as hand
holding and hugging and some don’t want to be touched. For example I had a patient in labor
and her cervix is already 7cm, its her first time to deliver a baby, when I went near her to get her
vital signs she grabs my hands so I held her hand for a bit, gave her some health teachings how
to breath and push and I felt that she feels she is not alone in shall I say ordeal, it was a shame
that we finish our duty 5 mins before she delivers her baby.

2. Nurses use professional judgement in determining the acceptable boundaries of a therapeutic

relationship with each client. It is always the nurse who is responsible for establishing and
maintaining appropriate boundaries.

Professional boundaries are limitations which protect the space between the professional’s
power and the clients’ vulnerability; which draws a line between a professional therapeutic
relationship and personal relationship over a nurse and the client. Nurses in therapeutic
relationship should have skills and knowledge that includes personal information of the client. In
doing so the nurse can provide the proper and necessary care need by the client. Yes it is always
the responsibility of the nurse to maintain their professional boundaries. Having said that,
nurses should be able to communicate these boundaries to the client if it is necessary. Since we
are human, we tend to get too close to the client especially when we are dealing with them in a
daily basis. For example, a nurse who works in a care home and a client who is staying there
gained her trust and is giving the nurse her jewelry as a sign of her gratitude for caring for her,
the nurse should be aware that she can’t accept it and its not appropriate to receive it because
of going beyond that boundaries.
3. Nurses assume responsibility for ensuring relationships with clients are therapeutic and
professional. Where nurse-client relationships exist, nurse must not enter into friendship,
romantic, sexual or similar personal relationship.

I agree that nurse must not enter into any personal relationship with the client because it is
going beyond the professional boundaries of the nurse-client relationship. Entering such
relationship is abusing such power which places the recipient of care in a position of
vulnerability. And in my view it is being unprofessional to do such and the nurse would not be
able to execute properly the set of plans and goal for the wellbeing of the client.

4. Nurses are responsible for initiating, maintaining and terminating a relationship with a client in a
manner that ensures the client’s needs are first and foremost.

Nurse-client relationship is an interaction aimed to enhance the well-being of a “client” which

may be an individual, a family, a group or a community. (Wikipedia.org) Nurses are responsible
for initiating, maintaining, and terminating the relationship in a manner that ensures the needs
of the client are met. Interaction with the client will create or the need of care is being realize.
From there the nurse can formulate the plan of care. When a plan of care is made the nurse
make sure that it is followed and applied in order to meet the needed care and reach the well-
being of the client, in doing so the nurse should make sure that professional relationship is
maintained. When the goal is met, nurse-client relationship is terminated. When the client is
well and able to take care of herself in maintaining healthy life.

5. Nurses provide intimate care to clients and have access to privileged and confidential
information, but never use this access or information to exploit or coerce clients.

I don’t think that nurses should provide intimate care for the patient, nurses should practice
within the codes of professional conduct and ethics of the community. Never the less if the client
discloses confidential informations, it should be treated as confidential as long as it’s not
hindrance in giving the care that is needed by the client. Those informations should not be used
by the nurse to their advantage over their patient, knowing that coercing a clients’ compliance
may be an abuse of power.
 Quiz No. 2
Bioethics

NAME: Eva Corpuz Yr. Level : BSN II Score:_____

There are 4 tyoes of ethical thoughts according to Kant, Ross, St. Thomas Aquinas. From
your own point of view, who among the following philosophers’ principle is best applied
in the nursing profession. Explain your answer by definition of principle, compare and
contrast, advantsges and disadvantages (if there are), implication to the nursing
profession and situational example. (20pts)

When we say Ethical Theory, the first thing it comes in to my mind is that it deals with
the principle of morality and well desired standards of good and right, in terms of
obligation, roles, duties that benefits the society.
It also provides part of decision making. When ethics are in play, because these theories
represents the viewpoint from which the individuals seek guidance as they make
decisions. Each theory and each Philosopher emphasizes different point, a different
decision making style or decision rule. In order to understand ethical theory one must
have better understanding of a common set of goal that decision makers seek to achieve
in order to be successful, it is imfortant for the nurse to realize that not everyone makes
decision in the same way using the same information employing the same rule.
I think these four ethical thoughts of Kant, Ross, Rawl and St. Thomas Aquinas are very
important in nursing profession, these four have their vital roles in nursing. I thinks these
four ethical theories must be possessed by everyone in nursing profession.
Being beneficence, these principles guides us in doing what is right and good. Least
harm, I believe that Dalai Lama once quoted that “that our prime purpose in this life is to
help others, if we can’t help them at least don’t hurt them

Kant based his ethical theory on the belief that reason should be used to determine how
people ought to act. He argued that the only virtue that can be qualifiedly good is a
goodwill. He believes that goodwill is unique in that it is always good and maintains its
moral value even when it fails to achieve its moral intentions.