If a boundary concern arises, what is the recommended practice?

• A. They should be documented and discussed with a supervisor, while maintaining confidentiality
• B. They should be discussed only with the client
• C. They should be ignored to avoid conflict
• D. They should be discussed with the client and the client’s family only

Answer: (A)

Boundary concerns are handled through documentation and supervision, with confidentiality kept intact. Documenting the situation creates a clear record of what happened and the steps taken, while consulting a supervisor brings additional guidance to assess risk and decide on appropriate actions. Keeping information limited to what is necessary and sharing it only with the supervisor helps protect the client’s privacy and maintain professional ethics. Discussing the issue with the client or with the client’s family alone could blur boundaries or breach confidentiality, and ignoring the concern would jeopardize safety and ethical practice. This approach: document, involve a supervisor, and maintain confidentiality, is the standard way to address boundary issues effectively.