Nursing Jurisprudence and Ethics for Texas Nurses Practice Exam

The board's Disciplinary Sanction Policy on Sexual Misconduct explains that

1. sex between a nurse and patient is acceptable if the patient consents

2. sex-related criminal activity by a nurse is a private matter and may not need to be reported to the board

3. sexual misconduct towards patients or in the workplace raises questions regarding the nurse's ability to provide safe, competent care

4. suggestive language between the nurse and patient are acceptable only in a therapeutic nurse-patient relationship

The correct answer is: sex between a nurse and patient is acceptable if the patient consents

The correct answer highlights the critical issue surrounding sexual misconduct in nursing practice. Specifically, sexual misconduct towards patients or in the workplace does indeed raise serious concerns about a nurse's ability to provide safe and competent care. This is rooted in the understanding that the nurse-patient relationship is fundamentally different from any other relationship due to the power dynamics involved. The potential for exploitation or harm makes any sexual relationship between a nurse and a patient ethically and legally impermissible, regardless of consent. In light of this, the emphasis on the nurse's responsibility to maintain professional boundaries and prioritize patient safety and care is essential. Recognizing that sexual misconduct undermines trust, safety, and the integrity of professional nursing practice ensures that nurses are held to high ethical standards.