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Category: Nursing Ethics

A nurse is caring for an elderly patient who is experiencing mild cognitive impairment. The family is attempting to coerce the patient into making certain decisions about their finances and care that are not in their best interest. What is the nurse’s ethical role?

  • Support the family's decisions to avoid conflict.
  • Report the family's actions to adult protective services if coercion or exploitation is suspected.
  • Encourage the patient to comply with the family's wishes.
  • Ignore the situation as it is a family matter.

A nurse is caring for a patient who expresses discomfort with a particular male nurse performing their hygiene care, requesting a female nurse instead, for cultural or personal reasons. What is the ethical response?

  • Ignore the request and proceed with care.
  • Refuse to provide care due to the request.
  • Graciously accommodate the request for a different gender nurse if feasible, respecting patient preference and dignity.
  • Tell the patient their request is discriminatory.

A nurse discovers that a new medical device being used in the hospital has a known design flaw that could cause intermittent failures and patient harm. The manufacturer has not yet issued a recall. What is the nurse’s ethical obligation?

  • Continue using the device carefully.
  • Hide the knowledge of the design flaw.
  • Report the design flaw and its potential risks to hospital administration, risk management, and the appropriate regulatory bodies.
  • Inform patients about the flaw.

A nurse is tasked with ensuring proper disinfection of medical instruments between uses. The nurse notices that the facility’s disinfection protocol is outdated and not fully compliant with current national guidelines, potentially putting patients at risk of infection. What is the nurse’s ethical obligation?

  • Follow the outdated protocol to avoid changing routines.
  • Disinfect instruments using their own improvised methods.
  • Report the outdated protocol to infection control, and advocate for updating and strict adherence to current guidelines to protect patient safety.
  • Tell patients about the outdated protocol.

A nurse is caring for a patient who is actively dying. The family asks for a “code blue” to be called, even though the patient has a DNR order and the medical team has determined it would be futile and undignified. The nurse’s role is to:

  • Initiate the code to placate the family.
  • Explain the DNR order and the futility of resuscitation, offering compassionate support to the family in accepting the patient's wishes.
  • Ignore the family's request.
  • Call the code, then explain the DNR.

A nurse is asked by a patient’s family to provide information about the patient’s condition to a new relative who has just arrived. The nurse has not verified this relative’s identity or relationship to the patient. What is the nurse’s ethical obligation?

  • Provide the information assuming they are family.
  • Decline to provide information until identity and relationship are verified and patient consent is confirmed.
  • Ask the patient if they want to share information.
  • Refer the relative to the physician.

A nurse discovers that a patient’s medical history includes a previous adverse drug reaction that was not properly documented or flagged in the current electronic health record system. This could lead to re-exposure and harm. What is the nurse’s ethical responsibility?

  • Assume the physician has reviewed the full history.
  • Administer the drug as ordered and monitor for reaction.
  • Add the information to the patient's allergy/warning section and inform the prescribing physician to prevent future harm.
  • Document the oversight but do nothing else.

A nurse observes that a patient’s pain medication is being administered too infrequently, leading to uncontrolled pain. The physician’s orders allow for more frequent administration, but the day nurse is hesitant. What is the ethical action?

  • Administer less frequent doses to avoid over-medication.
  • Administer the pain medication more frequently as per order and advocate for better pain management.
  • Wait for the physician to proactively change the order.
  • Tell the patient to endure the pain.

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