Nurses can use these reflective questions to help determine whether a specific activity or behaviour is appropriate within the context of the therapeutic nurse-client relationship. Along with self-reflection and input from peers, these questions may support decision-making and guide discussions about client care within individual practice settings.

How do I use these questions?

Read the reflective questions and ask yourself if the answer is “yes” or “no.” If you answer “yes” to the questions, you may proceed with the activity or behaviour and document as required. 

If you answer “no” to a question, you should not move forward with the activity or behaviour. Instead, pause and seek consultation or clarification from your supervisor or employer before continuing.

Reflective Questions:

• Does this behaviour address a clearly identified therapeutic need of the client, rather than meeting a personal need of your own?
• Is the primary focus of this behaviour on the client’s needs and best interests?
• Does this behaviour uphold the client’s dignity, autonomy, and overall well‑being?
• Is the behaviour culturally safe, inclusive, and respectful of the client’s identity and preference?
• Have you ensured this behaviour will not harm, or potentially harm, the therapeutic nurse–client relationship?
• Have you ensured this behaviour will not blur the boundaries between a professional and personal relationship with the client?
• Have you ensured this behaviour will not result in any personal, financial, or other form of benefit to you beyond appropriate compensation for nursing services?
• Is this behaviour consistent with your role, responsibilities and scope within your practice setting?
• Have you ensured performing this activity will not create confusion for the client or others about your professional role?
• Is your employer aware that you are engaging in this activity or behaviour?
• Does this activity align with employer policies, expectations and procedures?
• Would you feel comfortable if your colleagues, employer or regulatory body were aware that you engaged in this behaviour?

It is important to always consider the context and sensitivity of your situation. Reflecting on these questions will help ensure your actions remain ethical and client‑centred—so when in doubt, always pause and consult for guidance.