What is a likely consequence of not reporting impaired practice according to the Code of Ethics?

• A. Immediate criminal charges automatically
• B. No consequences
• C. Improved patient outcomes
• D. Not reporting can have ethical and professional consequences

Answer: (D)

Not reporting impaired practice violates a nurse’s obligation to protect patients and maintain safe, competent care. When a colleague’s ability to practice is impaired, their judgments and actions can put patients at risk. The Code of Ethics expects nurses to take appropriate steps to address concerns, which helps ensure patient safety, supports the colleague in getting help, and preserves public trust in the profession. Because of this duty, failing to report can lead to ethical and professional consequences, such as disciplinary action by the licensing board, sanctions, or other limits on practice.

The other options don’t fit the responsibilities involved. Immediate criminal charges automatically aren’t guaranteed just for not reporting; consequences are typically addressed through professional regulation unless other criminal acts are proven. Saying there are no consequences contradicts the professional obligation to protect patients. And claiming it would improve patient outcomes ignores the risk posed by unaddressed impairment and the purpose of reporting, which is to intervene and protect patients.