<P> It is the nurse's job to be aware of signs that professional boundaries may be crossed or have been crossed . Warning signs of boundary crossing that may lead to boundary violations include frequently thinking of a client in a personal way, keeping secrets with a specific client, favouring one client's care at the expense of another's and telling a client personal things about yourself in order to make an impression . Anything that could comprise the client's well - being if the relationship with a registered nurse is continued or discontinued can be considered a warning sign . Boundary violations are never acceptable and it is the nurse's job to handle any situation with any regards to it professionally and therapeutically regardless of who initiated it . </P> <P> This makes the relationship safe and establishes trust . The patient should feel comfortable disclosing personal information and asking questions . The nurse is to share information only with professional staff that needs to know and obtain the client's written permission to share information with others outside the treatment team . </P> <P> Nurses are expected to always act in the best interests of the patient to maintain a relationship that is strictly with all intent to only benefit the client . The nurse must ensure that their client's needs are met while being professional . Extensive research and clinical observation has shown that the body, mind and emotions are in unity . Therefore, in order to help another person, one must consider all these aspects; this means not neglecting the person and strictly just treating the illness . Caring for patients is beyond the treatment of disease and disability . </P> <P> The necessary knowledge aspects that are needed to maintain a therapeutic nurse - client relationship are: background knowledge, knowledge of interpersonal and development theory, knowledge of diversity influences and determinants, knowledge of person, knowledge of health / illness, knowledge of the broad influences on health care and health care policy, and knowledge of systems . </P>

The effectiveness of nurse-client communication is best validated by