CANS Professional Ethics & Standards 2 — Questions and Answers
Question 1: A patient requests a procedure that the aesthetic nurse believes is medically unnecessary and potentially harmful. What is the most ethical course of action?
- Perform the procedure to maintain patient satisfaction
- Decline and explain clinical concerns while offering alternatives (Correct answer)
- Refer the patient to another provider without explanation
- Document refusal and discharge the patient from the practice
Correct answer: Decline and explain clinical concerns while offering alternatives
Ethical practice requires honest communication about clinical concerns while respecting patient autonomy by offering appropriate alternatives.
Question 2: Which ethical principle is most directly violated when an aesthetic nurse performs a procedure on a patient who has not provided informed consent?
- Beneficence
- Justice
- Autonomy (Correct answer)
- Veracity
Correct answer: Autonomy
Autonomy requires that patients have the right to make informed decisions about their own care, which is violated without proper consent.
Question 3: An aesthetic nurse is approached by a colleague who is practicing beyond the scope of their license. What is the appropriate professional response?
- Ignore the situation to preserve workplace harmony
- Report the concern through appropriate channels such as the nursing board or supervisor (Correct answer)
- Confront the colleague publicly in front of patients
- Take over the colleague's patient care without notification
Correct answer: Report the concern through appropriate channels such as the nursing board or supervisor
Nurses have a professional obligation to report unsafe or unlicensed practice to protect patient safety and uphold professional standards.
Question 4: A patient shares confidential information during a consultation. Under HIPAA, in which scenario is the aesthetic nurse permitted to disclose this information without patient authorization?
- A family member requests information out of concern
- The patient's employer asks about treatment progress
- A public health authority requires reporting of a communicable disease (Correct answer)
- A friend of the patient claims to be helping with their care
Correct answer: A public health authority requires reporting of a communicable disease
HIPAA permits disclosure without authorization for public health activities, including required reporting of communicable diseases to authorized agencies.
Question 5: Which action best demonstrates the ethical principle of justice in an aesthetic nursing practice?
- Providing the same procedure to all patients regardless of clinical indication
- Ensuring equitable access and fair treatment regardless of a patient's socioeconomic background (Correct answer)
- Charging lower fees to patients the nurse personally likes
- Prioritizing treatments based on the nurse's personal aesthetic preferences
Correct answer: Ensuring equitable access and fair treatment regardless of a patient's socioeconomic background
Justice requires fair, equitable, and appropriate treatment of all individuals without discrimination or favoritism.
Question 6: An aesthetic nurse receives a gift of significant monetary value from a grateful patient. What is the most ethically sound response?
- Accept the gift as it was given voluntarily by the patient
- Decline the gift to avoid a conflict of interest or appearance of impropriety (Correct answer)
- Accept but donate the gift to charity on the patient's behalf
- Accept only if the treatment plan for the patient is already complete
Correct answer: Decline the gift to avoid a conflict of interest or appearance of impropriety
Accepting gifts of significant value can compromise professional boundaries and create conflicts of interest that undermine the therapeutic relationship.
Question 7: The concept of 'veracity' in nursing ethics most directly obligates the aesthetic nurse to:
- Perform all procedures competently
- Share equal resources among all patients
- Provide truthful information to patients about procedures and risks (Correct answer)
- Maintain patient confidentiality at all times
Correct answer: Provide truthful information to patients about procedures and risks
Veracity is the obligation to be truthful and honest with patients, including disclosing all material information about procedures, risks, and outcomes.
A patient requests a procedure that the aesthetic nurse believes is medically unnecessary and potentially harmful.
What is the most ethical course of action?