Ethics
Which Statement is Safer to Post on Socials as a Student Nurse?
A) Happy Canada Day! Use fireworks safely, trust me when I say that you do not want me as your nurse during today's shift lol.
B) Can't believe the things I saw today! This was definitely the best career choice I made.
A) Happy Canada Day! Use fireworks safely, trust me when I say that you do not want me as your nurse during today's shift lol.
Which Nursing Governing Body has a value about Dignity and Autonomy?
CNA Value 1: Honouring the Dignity and Autonomy of All People.
Which CNO Principle would apply to maintaining trust of the public? What does the principle state?
Principle 6: A Nurse must maintain Public Confidence in the Nursing Profession
Can You Ask a Fellow Nurse for an Opinion on a Patient Case?
Yes: If the opinion is in pursuit of better care for the client and you have their best interest, safety, and outcomes in mind.
No: If to gossip about the patient case and compare to each other's experiences
You are a student nurse and want to post a picture on Instagram of your hospital unit because you think it looks “cool.” Before posting, what should you consider?
- Patient Confidentiality
- Professionalism/Professional Boundary
- Policies and Codes on Conduct
You are providing care to an older female adult who requires assistance with bathing. The patient becomes upset demanding only a female practitioner but they are all busy.They tell you to get out claiming they "Would rather stay dirty". What is the best nursing response?
Respect the patient’s autonomy and dignity by acknowledging her preference for a female caregiver and her right to refuse care. Offer alternatives, such as delaying the bath or providing partial care she can accept, while ensuring her safety. Document her refusal and preferences, and notify a supervisor if needed to support her care.
Best Describe the Roles of the CNO, RNAO, and CNA in terms of Ethics in Nursing.
CNO → Regulates nurses in Ontario and enforces ethical standards.
RNAO → Supports nurses with evidence-based guidelines and ethical practice advice.
CNA → Provides a National Code of Ethics and guidance for ethical decision-making and advocacy.
Is writing a CRW as a student a breach of Patient Privacy and Confidentiality? If yes/no, how?
No.
If written correctly according to the McMaster SON, then there should be no identifiable patient authenticators written about and no public access to the CRW.
Is it okay to post about a Code Blue you experienced at work on your public socials?
No! You cannot share patient cases and confidential information that you are privy to when at work as this would pertain to a specific patient that can easily be found through investigating.
A patient you are treating has different values and beliefs when it comes to their health and well-being. However, you receive orders that would go against their wishes, how should you proceed?
- Respect Patient Autonomy and Advocate
- EIDM, ensure they are fully knowledgeable about their case
- Clarify their wishes and assess their ability to make decisions
Overall, respect patient's decision even if it goes against orders or nurse's values and beliefs
A patient you are caring for has the same illness as you had a while back. During AM Care they ask "Have you ever had this? How did you get better?", according to the CNA Values how should you respond?
Maintain professional boundaries, share only what is appropriate.
Be honest but focus on the patient do not make it about yourself.
Support and educate by providing guidance, coping strategies, and evidence-based advice.
Reflect on the CNA values like: client-centred care, professionalism, integrity, and advocacy.
You are a nurse working at Mac's Children's Hospital. One shift, your patient asks if you will film a TikTok with her. Based on professional values, what should your response be?
Politely Decline using therapeutic communication.
Explain why you cannot participate in the video.
You are a nursing student on clinical placement. After a long shift, you post a TikTok showing your hands preparing medication, with the hospital unit visible in the background. You do not show any patients or reveal any information, but the unit chart summary is partially visible. Explain what is right and wrong with this.
Right:
- No patient information released on purpose
- Potentially education material
Wrong:
- Can breach Hospital Policy
- Breaches professional boundaries
- Breaks patient and public trust
You are caring for a capable adult patient with advanced Parkinson’s disease. The patient refuses to use the hospital bedpan because they feel it is “pathetic and weak” and wants to use the bathroom instead. However, they are at high risk for falls and the physician strongly recommends using the bedpan to prevent injury. What should you do as their nurse?
You should respect the patient’s autonomy by acknowledging their preference to use the bathroom and validating their feelings about dignity. At the same time, advocate for their safety by explaining the risks and offering alternatives, such as a bedside commode or assisted bathroom visits.
A Nurse posts a video online about a patient's condition and what their experience was caring for that patient, stating "how gross" it was. Which CNO Principle does this violate?
Multiple right answers!
Principles 1, 2, 5, & 6.
You are caring for a capable adult patient who refuses a blood transfusion due to their religious beliefs. The physician insists that the transfusion is necessary to save the patient’s life and writes the order. The patient clearly states, “I do not want this treatment and I know the implications of refusing.” What is your role as the patient's nurse?
- Respect Patient Autonomy and Dignitiy
- Advocate for the Patient
- Maintain Professional Accountability according to the governing bodies
- Collaborate with the HCT and Patient for options