CGRN Professional Standards and Ethics 3

Question 1

A gastroenterologist offers tickets to a sporting event in exchange for scheduling his patients preferentially. What ethical principle is violated?

Accepted Answer

Justice and professional integrity (anti-kickback)

Answer

Beneficence

Answer

Autonomy

Answer

Fidelity

Question 2

A medical device malfunctions during endoscopy, causing minor patient injury. What reporting obligations apply?

Accepted Answer

Internal incident report, risk management notification, and FDA MedWatch if device caused/contributed to injury

Answer

No reporting for minor injuries

Answer

Report to manufacturer only

Answer

Report only if patient requests

Question 3

What is the nurse's role in ensuring cultural competence during informed consent?

Accepted Answer

Ensure language interpretation, respect cultural health beliefs, and verify understanding culturally appropriately

Answer

Cultural considerations are not relevant

Answer

Only provide materials in English

Answer

Defer to the social worker

Question 4

A GI nurse witnesses a breach in sterile technique during endoscopy. The physician dismisses the concern. What should the nurse do?

Accepted Answer

Advocate for the patient by escalating through the chain of command

Answer

Accept the physician's decision

Answer

Document but take no further action

Answer

Wait to see if infection develops

Question 5

What ethical framework guides decisions about allocation of limited endoscopy resources?

Accepted Answer

Distributive justice — fair allocation based on clinical need, urgency, and equity

Answer

First come, first served only

Answer

Physician preference only

Answer

Revenue-based prioritization

Question 6

A newly certified CGRN is asked to precept a new graduate nurse. Which mentoring practice best supports professional development?

Accepted Answer

Provide graduated responsibility with constructive feedback and competency validation

Answer

Have the orientee observe only for the entire orientation

Answer

Immediately assign full patient loads without oversight

Answer

Focus exclusively on technical skills