Nursing Jurisprudence and Ethics for Texas Nurses Practice Exam

Under what condition may a nurse refuse to administer medication?

1. When the medication is too expensive

2. When they believe it would harm the patient or is unsafe

3. When they are too busy to fulfill the request

4. When the patient requests a different medication

The correct answer is: When they believe it would harm the patient or is unsafe

A nurse may refuse to administer medication when they believe it would harm the patient or is unsafe due to the ethical obligation to prioritize patient safety and well-being. Nurses are expected to advocate for their patients, which includes ensuring that any medication provided is appropriate and does not pose a risk to the patient's health. If a nurse has concerns about the safety of a particular medication based on their knowledge, training, or available evidence, they are justified in refusing to administer it. This decision aligns with the principle of nonmaleficence, which emphasizes the duty to do no harm. In such cases, the nurse should communicate their concerns to the healthcare team, allowing for further assessment and appropriate action to ensure that the patient receives safe and effective care. Adhering to this principle is vital not only for patient safety but also for maintaining professional integrity and accountability within nursing practice.