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Category: Nursing Ethics

A nurse is reviewing a patient’s medication list and notices a potentially dangerous drug-drug interaction that was overlooked by the prescribing physician. The nurse verifies the interaction with a pharmacist. What is the nurse’s immediate ethical responsibility?

  • Administer the medication as ordered, trusting the physician.
  • Withhold the medication and report the interaction to the prescribing physician for clarification or modification of the order.
  • Administer one of the interacting drugs and hold the other.
  • Document the interaction in the chart and wait for the physician to notice.

A nurse is asked by a family member to withhold sensitive diagnostic information from a patient because they believe “the truth will devastate them.” The patient is competent and has previously expressed a desire to be fully informed about their condition. What is the nurse’s ethical obligation?

  • Respect the family's wishes to protect the patient.
  • Disclose only part of the information to the patient.
  • Uphold the patient's right to full information (veracity) and autonomy.
  • Delay disclosure until the family is ready.

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 observes that the healthcare facility is frequently understaffed during night shifts, leading to increased patient falls and medication delays. The nurse reports this concern to the nursing supervisor, but no immediate action is taken. What further ethical action might the nurse consider?

  • Remain silent and continue to do their best.
  • Publicly criticize the hospital on social media.
  • Document all incidents of compromised care and escalate concerns to higher management or regulatory bodies if necessary.
  • Refuse to work night shifts.

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 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 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 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.

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