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1. A nurse is caring for a patient who has terminal cancer and is in severe
pain. The patient asks the nurse to administer a lethal dose of morphine to
end his suffering. The nurse believes that euthanasia is morally wrong and
refuses to do so. Which ethical principle is the nurse following?
a) Beneficence
b) Nonmaleficence
c) Autonomy
d) Fidelity*
Rationale: Fidelity is the ethical principle of being faithful to one's
commitments and promises. The nurse is respecting the professional code
of ethics and the legal regulations that prohibit euthanasia.
2. A nurse is working in a public health clinic that provides free
vaccinations for children. The nurse notices that some parents refuse to
vaccinate their children due to religious or personal beliefs. The nurse
thinks that vaccination is essential for preventing diseases and protecting
the community. Which ethical dilemma is the nurse facing?
a) Justice vs. autonomy*
b) Beneficence vs. nonmaleficence
c) Veracity vs. confidentiality
d) Fidelity vs. justice
Rationale: Justice is the ethical principle of treating people fairly and
equally. Autonomy is the ethical principle of respecting people's right to
make their own decisions. The nurse is torn between promoting public
health and honoring parental choice.
3. A nurse is conducting a research study on the effectiveness of a new
drug for hypertension. The nurse obtains informed consent from the
participants and explains the potential risks and benefits of the study. The
nurse also ensures that the participants can withdraw from the study at any
time without any negative consequences. Which ethical principle is the
nurse demonstrating?
a) Beneficence
b) Nonmaleficence
c) Autonomy*
d) Fidelity
Rationale: Autonomy is the ethical principle of respecting people's right toÂ
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