Establishing personal connections

Yes, you may determine that sharing your experience is appropriate and helpful for the client if it is brief, relevant to the client’s needs and immediately brings the focus back to the client’s care. Limited, clinical self-disclosure may support building a rapport with the client and reducing anxiety.

You may offer supportive touch, but only after confirming that the client has given consent and that their cultural and personal preferences are respected. When used appropriately, supportive touch can be therapeutic, for example, during times of grief, provided it is time-limited, respectful of boundaries and offered with sensitivity.

Explain that sharing personal contact information crosses a professional boundary and may violate employer policies (if applicable). Politely decline the offer and share with the client appropriate follow-up resources (for example, clinic number, care coordinator community resources).

Politely decline the request and explain that you are not permitted to accept friend requests on social media from clients. You can share the communication resources that are appropriate, for example, the clinic number. Accepting friend requests on social media blurs the personal and professional roles, including exposing private information, and potentially influencing clinical judgment. Nurses should limit communication with clients to professional communication channels.

You should reflect on your practice. Reflecting on how you spend your time with clients is an important part of maintaining therapeutic boundaries. If you notice that you are consistently spending more time with one client because of personal rapport rather than clinical need, it’s helpful to pause and explore why. Consider whether the additional time is supported by the client’s care plan or whether personal factors may be influencing your practice. When extra time is not clinically indicated, adjusting your approach helps ensure that all clients receive equitable and consistent care. If you are unsure or would like support, consider discussing the situation with your manager or another appropriate team member as soon as possible. 

Accepting gifts

You may determine it is appropriate to accept this gift if your employer policies permit it, the value is nominal and you’re transparent in accepting the gift. Nurses must not accept cash, personal or expensive items. Nurses must also ensure that accepting a small gift does not impact other clients. For example, a perception of preferential treatment. 

Addressing personal matters 

Empathize with them but explain that you are not permitted to get involved in a client’s personal financial matters, including lending money. You can refer them to appropriate resources, for example, community support, financial assistance programs, and a social worker, if available, who can help the client explore options. 

Personal questions from clients are common, but you must remain mindful of how much you disclose. If you notice that you’ve shared more personal information than is necessary, it may signal a boundary concern. Excessive self‑disclosure can redirect the focus away from the client, create dependency and compromise professionalism. Gently redirect the conversation back to the client’s needs and re‑establish appropriate boundaries.

When you realize that a client is someone with whom you already have a personal relationship—even something as simple as being neighbours—it’s important to pause and reflect on the implications. Dual relationships can compromise objectivity, confidentiality and the client’s trust in the therapeutic relationship.

Discuss the situation with your manager or appropriate team member as soon as possible. If possible, arrange a transfer of care to another provider to ensure professional boundaries remain clear and to support safe, ethical nursing practice.

This request can fall outside the nursing role and blur professional boundaries. While assisting with health‑related forms may be appropriate, taking on unrelated administrative tasks can create dependency and extend beyond your scope. You should maintain clear limits and, when needed, consult your employer or team to identify appropriate community or organizational support.