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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.

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 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 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 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 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 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.

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