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Category: Nursing Ethics

A nurse is using a newly installed vital signs monitor. The monitor frequently displays error messages and provides inconsistent readings. The nurse suspects it is faulty but knows that new equipment is expensive. What is the ethical obligation?

  • Use the monitor and manually verify readings.
  • Disregard the monitor and use only manual methods.
  • Document the malfunction and report the faulty equipment to the biomedical department for repair or replacement, as it impacts patient safety.
  • Tell patients the monitor is unreliable.

A nurse is involved in end-of-life care for a patient. The patient has designated a specific surrogate decision-maker in an advance directive. However, other family members are strongly disagreeing with the surrogate’s decisions. The nurse’s ethical duty is to:

  • Side with the majority of the family.
  • Follow the wishes of the most vocal family member.
  • Support and adhere to the decisions made by the legally designated surrogate decision-maker.
  • Make decisions based on what the nurse believes is best.

A nurse is performing a sterile dressing change. During the procedure, the nurse accidentally contaminates a sterile glove. The nurse is tempted to continue the procedure, as changing gloves would cause a slight delay. What is the ethical requirement in this situation?

  • Continue, as the risk is minimal.
  • Quickly change the glove without anyone noticing.
  • Immediately stop the procedure, change contaminated gloves, and ensure sterility to prevent infection.
  • Use a non-sterile glove.

A nurse is assigned to a patient who has been declared brain dead. The family is struggling to accept this and wants to continue all life support indefinitely, even though it prolongs the inevitable and uses significant resources. What is the nurse’s ethical responsibility in facilitating communication?

  • Support the family's indefinite wishes without question.
  • Encourage the family to immediately withdraw support.
  • Provide compassionate support, educate the family about brain death, and facilitate discussions between the family and the medical team regarding end-of-life options and resource implications.
  • Leave the family alone to grieve.

A nurse is asked to participate in a public health campaign promoting a controversial vaccination. The nurse has personal reservations about the vaccine’s safety based on unverified information from social media. What is the nurse’s ethical responsibility as a public health advocate?

  • Promote personal doubts about the vaccine.
  • Refuse to participate in the campaign.
  • Promote evidence-based information regarding the vaccine's safety and efficacy, putting personal unsubstantiated beliefs aside.
  • Share personal reservations with the public.

A nurse working in an intensive care unit (ICU) finds that some essential medical equipment is faulty and poses a risk to patient safety. The nurse reports this to management, but the equipment is not immediately replaced or repaired due to budget constraints. What is the nurse’s primary ethical obligation?

  • Continue using the faulty equipment until it is replaced.
  • Refuse to work with the faulty equipment.
  • Document the equipment issue and take all possible precautions to mitigate risk while advocating for its repair or replacement.
  • Warn patients about the faulty equipment.

A nurse observes that a patient’s discharge instructions are incomplete and unclear, potentially leading to adverse outcomes. The nurse is in a hurry for shift change. What is the nurse’s ethical responsibility?

  • Leave the incomplete instructions for the next shift.
  • Rush through the instructions and assume the patient will understand.
  • Take the necessary time to ensure clear and complete discharge instructions are provided and understood by the patient or caregiver.
  • Advise the patient to call the hospital if they have questions later.

A nurse is working in a long-term care facility and notices that residents are frequently left unattended for extended periods, leading to unmet needs and potential safety risks. The nurse reports this to management, but no changes are made. What is the nurse’s further ethical recourse?

  • Continue to work and do their best.
  • Publicly shame the facility.
  • Document specific instances of neglect and escalate concerns to regulatory agencies or professional nursing organizations.
  • Organize a protest among staff.

A nurse is providing care to a patient who repeatedly expresses unrealistic expectations about their recovery post-surgery, despite clear explanations from the medical team about potential long-term limitations. What is the nurse’s ethical responsibility?

  • Agree with the patient's unrealistic expectations to maintain hope.
  • Correct the patient harshly to ensure reality.
  • Continue to provide realistic information and support, while acknowledging the patient's feelings and hopes.
  • Avoid discussing recovery at all.

A nurse is using a new piece of medical technology for patient care. The nurse has not been adequately trained on its operation and feels technically incompetent. However, they are expected to use it. What is the nurse’s ethical responsibility?

  • Use the technology anyway and hope for the best.
  • Refuse to use the technology completely.
  • Decline to use the technology until proper training is provided, and seek supervision or assistance from a trained colleague.
  • Learn on the job by trial and error.

A nurse receives a subpoena for a patient’s medical records related to a legal case. The nurse understands the importance of confidentiality. What is the nurse’s primary ethical obligation in this situation?

  • Refuse to provide records, citing confidentiality.
  • Provide all records immediately.
  • Consult with legal counsel and the hospital's legal department to ensure compliance with the subpoena while protecting patient privacy to the extent legally permissible.
  • Provide only the minimum necessary information.

A nurse is present during a physician’s disclosure of a terminal diagnosis to a patient. The physician uses highly technical medical terms, and the patient appears confused. What is the nurse’s ethical role in this situation?

  • Remain silent and let the physician handle it.
  • Take over the conversation and simplify the terms.
  • Clarify information for the patient using simpler language, assess their understanding, and offer emotional support after the physician's departure.
  • Advise the patient to seek a second opinion.

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