Course Area
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Welcome to Course 02: Essential Boundary Skills in an Ethical Massage Practice. This continuing education course accompanies the digital textbook titled, Boundaries: The Foundation of Ethical Massage Practice. When you complete the course requirements and pass a multiple-choice examination you will receive a certificate of completion and 4 hours of NCBTMB-approved ethics CE. Next, please watch the course orientation video, review the course description, outline, learning objectives, and requirements. Then, follow the numbered directions to get started.
We care about clients. We show up with our great hands and noble hearts to every session. So why do some client relationships feel unhealthy and what can we do to get dysfunctional sessions back on track?
Together, we’ll deepen our understanding of therapeutic relationships, boundary types, boundary forms, and boundary violations. With this informed foundation we’ll use simple but powerful communication skills that make it easier to maintain healthy relationships. We’ll learn to speak our truth and assert our boundaries clearly while respecting our clients and ensuring their wellbeing.
Video presentations, interactive features, and learning activities keep this content fresh, fun and engaging as we learn to respond effectively to client drama and stay grounded in our confidence as health care professionals.
The digital textbook titled, Boundaries: The Foundation of Ethical Massage Practice is required for completion of this course. This textbook is included with the purchase of this course.
PREREQUISITE: Learners must complete the course titled, Personal Space & Personal Boundaries in an Ethical Massage Practice before they begin this course.
BOUNDARIES – CORE CONCEPTS
- Introduction
- Learning objectives
- Terminology preview
- Therapeutic Relationships
- Boundary Development
- Boundary Types and Forms
- Boundary Crossing
- Boundary Violations
- Apply It! (4 Activities)
- Practice Quiz (10 Questions)
ESSENTIAL BOUNDARY SKILLS
- Introduction
- Learning objectives
- Terminology preview
- Understand Relating Styles
- Attention to Body Language
- Active Listening
- Speak Your Truth
- Establish and Maintain Boundaries
- Respect Other’s Boundaries
- Apply It! (3 Activities)
- Practice Quiz (10 Questions)
FINAL COURSE EXAMINATION (20 MULTIPLE-CHOICE QUESTIONS)
Having completed this course, you will be able to:
- Define these terms: Boundaries, therapeutic relationship, power advantage, personal space, permeable boundaries, semipermeable boundaries, impermeable boundaries, boundary crossing, and boundary violation.
- List the features that define therapeutic relationships.
- Compare and contrast client-centric massage sessions with therapist-centric massage sessions.
- Differentiate between permeable, semipermeable, and impermeable boundaries.
- Match each boundary form to its written description.
- Give one example of a professional boundary crossing that would not likely cause harm to a client.
- List three behaviors a client experiencing transference might exhibit.
- List three behaviors a therapist experiencing countertransference might exhibit.
- Explain what is meant by the phrase “sexual exploitation by a helping professional.”
- Define these terms: Active listening, aggressive relating style, assertive relating style, closed body position, open body position, passive relating style, passive-aggressive relating style, presence, reflecting, relating style, verbal encouragement.
- Compare and contrast the characteristics of different relating styles.
- List three benefits of paying attention to other’s body language.
- Describe the position of the face, chest, arms, and legs in an open body position.
- Describe the position of the face, chest, arms, and legs in a closed body position.
- Name three characteristics of active listening.
- List three benefits of reflecting during a conversation with another person.
- Give one example of proper verbal encouragement during a conversation with another person.
- Outline the process of saying “no” politely.
- List two methods for responding to boundary violations effectively.
- Compare and contrast “you-statements” with “I-statements.”
- Transform five “you-statements” into “I-statements.”
- Explain the meaning of unconditional positive regard in relationship to personal boundaries.
- Give an example of a situation in which one person invites another to share their boundaries.
PREREQUISITE: Learners must complete Course 01: Personal Space & Personal Boundaries in an Ethical Massage Practice before they begin this course.
To complete this course (Course 02: Essential Boundary Skills in an Ethical Massage Practice), work through the materials in Lesson 02 (Boundaries – Core Concepts) and Lesson 03 (Essential Boundary Skills) in the digital textbook titled, Boundaries: The Foundation of Ethical Massage Practice.
You have already completed the Orientation and Introduction and Lesson 01 in the prerequisite course (Course 01: Personal Space & Personal Boundaries in an Ethical Massage Practice). You do not need to complete Lessons 04 in the digital textbook to meet the requirements for this course (Lesson 04 is the source material for Course 03 in this series).
Please click the “mark complete” button at the bottom of each webpage in the digital textbook to log your progress through the appropriate sections. You must pass the final course examination from the link at the bottom of this Course Area with a score of 70% or higher.



Strong Communication Skills Help Massage Professionals Establish and Maintain Boundaries
Number 01: Complete Prerequisites
Complete the Course 01: Personal Space & Personal Boundaries in an Ethical Massage Practice. Before you begin Course 02: Essential Boundary Skills in an Ethical Massage Practice, you must complete the prerequisite course.
Number 02: Identify the Course Area
This is the Course Area for Course 02: Essential Boundary Skills in an Ethical Massage Practice. In this course area, you can (A) review course information, (B) launch the course examination, (C) complete a course evaluation, and (D) download your certificate of completion for CE reporting after you pass the course examination.
To return to this Course Area, log back into the site and click on the access button for Course 02: Essential Boundary Skills in an Ethical Massage Practice.
Number 03: Identify the Digital Textbook
You’ll complete most of your course requirements using the digital textbook, Boundaries: The Foundation of Ethical Massage Practice. To access this digital textbook at any time, click on any of the textbook links on this page or go to the navigation menu and click the “My Personal Dashboard” link to locate it.
Number 04: Complete Lesson 02: Boundaries – Core Concepts
From the Table of Contents for Boundaries: The Foundation of Ethical Massage Practice, or from the right-side navigation, click on the link to Lesson 02: Boundaries – Core Concepts. Complete each section by watching associated videos, reading the text, completing the learning activities in the “Apply It!” section, and passing the practice quiz. At the bottom of each webpage, click the “mark complete” button. This button records your progress through the course and helps you return to where you left off if you take a break.
Number 05: Complete Lesson 03: Essential Boundary Skills
From the Table of Contents for Boundaries: The Foundation of Ethical Massage Practice, click on the link to Lesson 03: Essential Boundary Skills. Complete each section by watching associated videos, reading the text, completing the learning activities in the “Apply It!” section, and passing the practice quiz. At the bottom of each webpage, click the “mark complete” button. This button records your progress through the course and helps you return to where you left off if you take a break.
Number 06: Pass the Final Course Examination
Note that you do not need to complete all four lessons of the digital textbook to complete this course and pass the final course examination. Lessons 01 and 04 relate to other courses in this series.
- When you are ready, return to this Course Area and scroll down to the final examination link at the bottom of this webpage.
- The final course examination is composed of 20 multiple-choice questions from a test bank of 30 questions.
- The content assessed in the final course examination is based on the information you learned in Lesson 02 and Lesson 03 of the digital textbook (Boundaries: The Foundation of Ethical Massage Practice).
- You must pass the examination with a score of 70 percent or higher.
- If you fail the final course examination, you may try again. You can make five attempts to pass the final course examination.
- Each time you reset an exam to make a new attempt, the learning management system shuffles questions from the test bank and mixes the order of correct answers. You won’t see the same exam twice.
- Please review content in-between failed attempts to ensure you know this material well enough to try again.
- After five failed attempts, you can contact us via email, and we will manually reset the exam to give you five more attempts. There is a $10.00 fee to reset the examinations.
Number 07: Certificate of Completion for CE Reporting
After passing the final examination, you’ll have the option to print or download your certificate of completion. Alternatively, return to this Course Area at any time after successfully completing your exam and you’ll see a large green button labeled “Print My Certificate” at the top of this page. Click that button to download or print your certificate.
Number 08: Complete a Course Evaluation
Please complete a course evaluation after you finish the course. As an approved CE provider, NCBTMB requires that we collect feedback from course users. Your feedback also helps us understand what works and what could use improvement. Thank you for taking the time to help us improve the quality of our digital textbooks and courses.