Exam Guide

Staying Silent About a Doctor's Mistake: Non-Maleficence

Legal & Ethical Issues · Question from the ATI RN Leadership 2023 Proctored Exam study set

Question: A nurse sees a doctor make a mistake but says nothing because they fear the doctor. This violates:
A. Beneficence
B. Non-maleficence
C. Fidelity
D. Veracity

Correct answer: Non-maleficence

Why this is the answer

Non-maleficence is the duty to "do no harm." By not reporting a mistake that could harm the patient, the nurse violates this principle.

The bigger concept

Ethical-principle items require exact definitions. Non-maleficence is the duty to do no harm — allowing a known error to reach the patient breaches it. Beneficence is actively doing good, fidelity is keeping promises, and veracity is truthfulness. When a stem describes preventable harm the nurse allowed to happen, non-maleficence is the answer. The professional response is to speak up using SBAR, and to escalate through the chain of command if the provider does not respond.

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