What behaviors indicate a non-therapeutic relationship with children and families?

• A. Visiting families on off-duty days and purchasing clothes and toys for the child
• B. Asking questions to clarify information
• C. Learning about the family's beliefs
• D. Providing medical explanations

Answer: (A)

Maintaining professional boundaries is essential in how nurses relate to children and families. A non-therapeutic relationship occurs when the nurse steps outside those boundaries and becomes more of a social contact than a caregiver focused on the child’s health. Visiting families on off-duty days and purchasing clothes or toys for the child are clear boundary violations because they mix personal involvement with professional care. This dual relationship can create expectations of special treatment, affect the nurse’s objectivity, and potentially influence the care provided. It can also place pressure on families to reciprocate and raise concerns about confidentiality and consent. In pediatrics, keeping a clear boundary protects the child and preserves trust in the healthcare team.

By contrast, asking questions to clarify information supports safe, accurate assessment; learning about the family’s beliefs helps tailor care to cultural and individual values; and providing medical explanations fosters understanding and empowerment. These are professional, therapeutic behaviors that promote collaboration and the child’s well-being.