What should the Nurse Coach discuss with the client regarding the Nurse Coaching relationship?

• A. Personal opinions about client life.
• B. The ethical guidelines and specific parameters (logistics, fees, scheduling).
• C. Medical treatment protocols.
• D. None; not discuss.

Answer: (B)

Clarifying boundaries and the logistical terms of the nurse coach–client relationship is essential. The nurse coach should discuss ethical guidelines and specific parameters such as logistics, fees, and scheduling at the outset. This sets clear expectations, establishes professional boundaries, and protects both parties by outlining how information is shared, confidentiality is maintained, and what the coaching relationship will and will not cover. It also reinforces that coaching focuses on behavior change, goals, and self-management within an approved scope, rather than providing medical treatment or clinical directives.

Discussion of personal opinions about the client’s life would blur professional boundaries, and detailing medical treatment protocols belongs to the clinical care team rather than coaching. So addressing ethics and practical terms of the relationship is the appropriate and necessary starting point.