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A nurse is working with a patient who has limited English proficiency. The patient’s family member offers to translate complex medical information, but the nurse is concerned about the accuracy and completeness of the translation, especially for critical consent forms. What is the most ethical approach?

  • Rely on the family member for translation to save time.
  • Use a certified medical interpreter to ensure accurate communication and informed consent.
  • Provide written materials in the patient's language without verbal translation.
  • Ask the patient if they understand after the family member translates.

A nurse is involved in a medical error that resulted in harm to a patient. The error was due to a complex system failure, but the nurse was directly involved in the final step. The hospital administration suggests minimizing the nurse’s role in the incident to avoid legal repercussions for the institution. What is the nurse’s ethical responsibility in this situation?

  • Follow the administration's suggestion to protect the hospital.
  • Accept full blame for the error.
  • Accurately and honestly report their involvement and the circumstances of the error to relevant parties and in official documentation.
  • Conceal the error to avoid personal blame.

A nurse is working in a hospital that is experiencing a severe nursing shortage, leading to excessive workload and inadequate patient-to-nurse ratios. The nurse feels that patient safety is being compromised due to these conditions. What is the most ethical and professional action for the nurse to take?

  • Work harder and longer hours to compensate.
  • Resign immediately due to unsafe conditions.
  • Document concerns, communicate them through official channels (e.g., charge nurse, union, nursing administration), and advocate for systemic changes.
  • Complain openly to patients and families.

A nurse is preparing to administer a medication, but the patient states, “I don’t usually take that pill; my other pill looks different.” The nurse double-checks the medication and order and confirms it is correct according to the chart. However, the patient continues to express doubt. What is the most ethical action for the nurse?

  • Administer the medication as ordered, ignoring the patient's doubt.
  • Explain the medication again and reassure the patient, then administer it.
  • Withhold the medication until the prescribing physician can be consulted to clarify the patient's concerns.
  • Ask the patient to describe their usual pill.

A nurse is caring for a patient who has a Do Not Resuscitate (DNR) order. During a cardiac arrest event, a new physician, unfamiliar with the patient’s chart, orders resuscitation. The family is present and also unaware of the DNR order, urging the team to save their loved one. What is the nurse’s immediate ethical responsibility?

  • Begin resuscitation as per the physician's order.
  • Resuscitate while quickly checking the chart.
  • Immediately inform the physician and family of the DNR order and advocate for its adherence.
  • Wait for the family to clarify their wishes.

A nurse witnesses a colleague providing substandard care due to being technologically incompetent with a new electronic charting system, leading to delayed documentation of critical vital signs. The colleague is otherwise a good nurse but resistant to learning new tech. What is the nurse’s ethical obligation?

  • Avoid interfering to prevent embarrassment.
  • Offer to complete the colleague's charting.
  • Report the technical incompetence to the charge nurse for appropriate training or intervention.
  • Provide one-on-one technical training to the colleague during patient care.

A nurse is participating in a research study where patients are blinded to whether they receive the experimental drug or a placebo. A patient in the placebo group experiences worsening symptoms and asks the nurse if they are on the active drug. The nurse knows they are not but is ethically bound by the study protocol to maintain blinding. What is the most ethical response?

  • Confirm the patient is on the placebo to encourage them to withdraw.
  • Suggest the patient discuss their concerns with the principal investigator.
  • Tell the patient that they are on the active drug to maintain hope.
  • Disclose the blinding status if symptoms worsen further.

A nurse working in a busy clinic frequently sees patients who cannot afford necessary medications or treatments. The nurse often provides free samples or directs patients to charity programs, sometimes bending rules or using their own resources. While well-intentioned, this practice could be seen as blurring professional boundaries or misusing resources. Which ethical concept is the nurse primarily demonstrating, even if potentially misguided?

  • Autonomy
  • Veracity
  • Beneficence
  • Fidelity

A nurse is providing care to a patient who repeatedly expresses racist and discriminatory remarks towards staff members and other patients. The nurse finds these remarks personally offensive but understands the patient’s cognitive impairment may be contributing to the behavior. How should the nurse ethically respond to this situation?

  • Confront the patient about their discriminatory remarks immediately.
  • Document the behavior and continue to provide professional, non-judgmental care.
  • Refuse to provide care to the patient due to personal offense.
  • Request a different nurse be assigned to the patient.

A nurse working in an emergency department receives an unconscious patient who is a known organ donor. The patient has suffered irreversible brain damage, and the medical team determines there is no hope of recovery. The patient’s family is strongly against organ donation, despite the patient’s clear wishes documented in an advance directive. What is the nurse’s ethical priority?

  • Persuade the family to honor the patient's wishes.
  • Respect the family's immediate decision regarding donation.
  • Prioritize the patient's previously expressed autonomous decision (advance directive).
  • Delay the decision to allow more time for family grief.

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