Nursing Ethics for the NCLEX: Principles and Application

Core Ethical Principles

• Autonomy: Respect the client's right to make decisions about their care (informed consent, right to refuse)
• Beneficence: Do good - act in the client's best interest
• Nonmaleficence: Do no harm - avoid actions that could harm the client
• Justice: Fair distribution of resources and equal treatment
• Fidelity: Keep promises and commitments to clients
• Veracity: Tell the truth

Common NCLEX Ethical Scenarios

• Refusal of treatment: Competent adults have the right to refuse - document, educate, but respect the decision
• Advance directives: Honor the client's wishes even if family disagrees
• Organ donation: Approach family sensitively, separate from the care team
• Impaired colleague: Report to supervisor/board of nursing - client safety first
• Client advocacy: Speak up when client's rights or safety are threatened

ANA Code of Ethics

The nurse's primary commitment is to the client. When ethical principles conflict, client safety and autonomy generally take priority.

Review our Safe Care study guide and Safe Care flashcards.