Legal and Ethical Responsibilities

1. Mr. Gauthier, 72, has early signs of dementia but remains autonomous. During discharge, the LPN explains general community support but avoids mentioning a free Alzheimer support program because she assumes, “He probably won’t follow through anyway.” Two weeks later, the family complains that no one informed them about local cognitive decline resources. What ethical obligation did the LPN fail to uphold? *
2. Mrs. Therrien, 85, has recurring falls at home. The LPN recommends home-care nursing and a physiotherapy assessment. The patient refuses, saying, “I don’t want strangers in my home.” Her refusal places her at significant risk, but she remains fully competent. What should the LPN do next? *
3. An LPN believes Mr. Chen “won’t benefit from therapy because he barely speaks French.” As a result, she omits a referral to community rehab despite the patient expressing interest in improving mobility. Which ethical principle is violated? *
4. A patient with metastatic cancer is eligible for palliative home care. Her adult children tell the LPN, “Don’t tell her about palliative services—she will panic.” The patient is competent and asks, “Are there any supports available for me at home?” What is the LPN’s legal and ethical responsibility? *
5. A busy LPN asks a housekeeping staff member to “explain to the patient where to go in the community for diabetes support.” The staff member gives incorrect information, causing the patient to miss an appointment. Which responsibility has been breached? *
6. Mr. Pelletier asks the LPN to “falsify a letter stating I can’t work so I can get faster social assistance.” He insists that “other nurses do it.” The LPN feels pressured but wants to maintain a good therapeutic relationship. What is the correct ethical action? *
7. A patient has just received a new heart failure diagnosis. He is crying, shaking, and repeatedly saying, “I don’t understand what’s happening.” The LPN begins teaching about diet and sodium restriction, but it is clear the patient is not absorbing the information. What should the LPN do to meet legal + ethical standards? *
9. The LPN owns a private home-care agency on the side. While teaching a patient, she says, “The best service is actually my company—we can sign you up right now.” She does not mention free CLSC services. Which ethical principle is most compromised? *
10. A young woman with a history of substance use asks about parenting support programs. The LPN thinks, “She won’t be responsible enough,” and tells her, “There aren’t any programs available for your situation,” even though multiple services exist. Which legal or ethical obligation was violated? *