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A nurse is caring for a patient who has a history of opioid addiction. The patient frequently requests pain medication, even when objective signs of pain are minimal. The nurse suspects drug-seeking behavior but also wants to ensure adequate pain management. What is the most ethical approach?

  • Give the patient whatever they ask for to avoid conflict.
  • Strictly refuse all pain medication requests.
  • Assess the patient thoroughly for pain, consider alternative pain management strategies, and collaborate with the medical team on a comprehensive pain management plan that addresses both pain and potential addiction.
  • Accuse the patient of drug-seeking behavior.

A nurse discovers a significant security flaw in the hospital’s electronic health record system that could expose sensitive patient data. The nurse reports it to the IT department, but they dismiss the concern, stating it’s “not a priority.” What is the nurse’s ethical responsibility moving forward?

  • Accept the IT department's decision.
  • Leak the information to the media to force action.
  • Document the security flaw and their communication, and escalate the concern to hospital administration or regulatory bodies if patient privacy is at risk.
  • Try to fix the flaw themselves.

A nurse observes a colleague repeatedly violating dress code policy, which includes wearing excessively long, painted fingernails. While this seems minor, it is against infection control guidelines. What is the nurse’s ethical responsibility?

  • Ignore it, as it's a minor issue.
  • Publicly confront the colleague about their appearance.
  • Remind the colleague of the dress code policy and its infection control implications, and if the issue persists, report it to the charge nurse.
  • Paint their own nails to fit in.

A nurse discovers that a colleague is accessing patient records without a legitimate reason, simply to gossip about their conditions. The nurse confronts the colleague, who denies it and becomes defensive. What is the nurse’s ethical obligation?

  • Accept the denial and drop the issue.
  • Inform the patient whose record was accessed.
  • Report the suspected unauthorized access to patient records to the appropriate hospital authority.
  • Warn the colleague that they will be watched.

A nurse is caring for a terminally ill patient who is experiencing severe pain. The patient has repeatedly expressed a desire to discontinue all life-sustaining treatments, including pain medication, citing a wish for a peaceful, natural end. The patient’s family, however, insists that all measures, including aggressive pain management, be continued, believing it is their duty to prolong life. Which ethical principle is most directly challenged in this situation?

  • Beneficence
  • Non-maleficence
  • Autonomy
  • Justice

A new graduate nurse is assigned to a complex patient case and feels overwhelmed. During a shift, they realize they made a medication error but quickly corrected it before it reached the patient. The patient suffered no harm. The nurse is now debating whether to report the error to their charge nurse, fearing disciplinary action and damage to their new career. Which ethical concept is primarily at play in the nurse’s dilemma regarding disclosure?

  • Confidentiality
  • Fidelity
  • Accountability
  • Veracity

A nurse is part of a healthcare team discussing an elderly patient with severe dementia. The patient lacks capacity to make medical decisions. The family is divided on whether to pursue aggressive treatment for a new acute illness or opt for palliative care. The team’s physician is leaning towards aggressive treatment, citing the possibility of improvement, while some nurses advocate for palliative care based on the patient’s long-term quality of life. Which ethical dilemma is most prominent here?

  • Resource allocation
  • Surrogate decision-making and best interest
  • Professional boundary violation
  • Informed consent for research

A nurse is attending a community health fair and is approached by a former patient who asks for specific details about another patient they both know, who recently underwent a highly publicized surgery. The former patient assures the nurse they won’t share the information with anyone else. What is the nurse’s immediate ethical responsibility in this situation?

  • Provide general information without specifics
  • Inform the former patient that they cannot disclose any patient information due to privacy regulations and ethical codes.
  • Verify if the patient has given consent for information sharing.
  • Refer the former patient to the hospital's public relations department.

A nurse discovers that a colleague is consistently coming to work late, appears drowsy, and has made several minor errors in patient care, such as charting inaccuracies and delayed medication administration. The nurse suspects substance abuse but has no direct proof. The nurse is concerned about patient safety but also fears alienating their colleague. Which ethical duty takes precedence for the nurse?

  • Advocating for patient safety.
  • Maintaining collegial relationships.
  • Protecting the colleague's reputation.
  • Avoiding confrontation.

A physician orders a blood transfusion for a patient who is a Jehovah’s Witness. The patient, who is conscious and competent, explicitly refuses the transfusion based on their religious beliefs, even after understanding the life-threatening consequences of refusal. The nurse’s personal belief is that life should be preserved at all costs. What is the nurse’s ethical obligation in this situation?

  • Persuade the patient to accept the transfusion for survival.
  • Administer the transfusion as ordered by the physician in an emergency.
  • Respect the patient's autonomous decision, even if it conflicts with the nurse's personal values.
  • Seek a court order to override the patient's refusal.

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