What should be the role of communication in establishing therapeutic nurse-family boundaries?

• A. Communication should be open and two-way.
• B. Communication should be minimal and one-way.
• C. Communication should occur only with the physician.
• D. Communication is not necessary for boundaries.

Answer: (A)

Open, two-way communication is essential for establishing therapeutic nurse-family boundaries. When you invite the family to share their concerns, priorities, and observations, they feel respected and involved in the care, which helps define clear expectations about roles and limits. At the same time, you explain what information you will share, with whom, and why, including confidentiality, consent, and the plan of care. This mutual exchange builds trust and makes boundaries visible and workable, reducing confusion about who is responsible for what and how decisions are made. If communication is only one-way or limited to the physician, families may feel excluded, misunderstandings can arise, and boundaries can blur. Ongoing dialogue supports collaboration, ensures family needs are addressed, and keeps care professional and patient-centered. For example, discussing who can visit, what aspects of care the family can participate in, and what will be shared with the broader team helps everyone stay aligned and protected within appropriate professional limits.