A patient in the United States gives the nurse an expensive watch and says, "Please keep this because you have been so kind." What is the nurse's best action?
Correct answer: C. Politely decline it and follow facility policy
- A. Accept it because the patient offered it freely
- B. Accept it but avoid documenting the gift
- C. Politely decline it and follow facility policy
- D. Give it to another patient on the unit
Explanation
The nurse should maintain professional boundaries by politely declining an expensive personal gift and following the facility's policy. Accepting valuable gifts can create a conflict of interest or an exploitative appearance.
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About US Legal and Ethical Nursing Practice
US nursing law and ethics include state nurse practice acts, scope of practice, standards of care, negligence, malpractice, documentation, confidentiality under HIPAA and informed consent. Ethical reasoning applies autonomy, beneficence, nonmaleficence, justice and fidelity to conflicts such as refusal of treatment, advance directives, privacy breaches and mandatory reporting, which are not the same as legal liability.
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