Nursing Jurisprudence and Ethics for Texas Nurses Practice Exam

A nurse finds herself in a situation with conflicting interests between her duty to the patient and her employer's policies. How should the nurse proceed?

1. Follow the employer's policies without questioning

2. Ignore the conflict and continue with the planned treatment

3. Consult the nursing code of ethics and prioritize patient care

4. Immediately resign from her position

The correct answer is: Follow the employer's policies without questioning

The most appropriate course of action for the nurse facing a conflict of interest between her duty to the patient and her employer's policies is to consult the nursing code of ethics and prioritize patient care. This ethical framework serves as a guide for nurses in making decisions that uphold their commitment to patient wellbeing. In nursing practice, the primary obligation of the nurse is to the patient, which includes advocating for their needs and ensuring safe and effective care. The nursing code of ethics emphasizes the importance of patient autonomy, dignity, and the responsibility to act in the best interest of the patient, even in situations where there may be conflicts with institutional policies. Following employer policies without questioning might lead to compromised patient care and ethical dilemmas, particularly if the policies do not align with the best interests of the patient. Similarly, ignoring the conflict can jeopardize patient safety and trust. Resigning immediately could be a drastic step that may not necessarily resolve the underlying ethical issue, and it could also deprive the nurse of the opportunity to advocate for change within the institution. By integrating the nursing code of ethics into her decision-making, the nurse can navigate conflicting interests in a manner that respects her professional responsibilities and prioritizes what is best for the patient.