Nursing professionals face ethical dilemmas daily and more often than the average professional. Ethical dilemmas can arise from many aspects of nursing work. Although one person thinks something is right, someone else may think it is wrong. The main question in this scenario is whether I should inform my superiors of what I witnessed or should I keep quiet? The Nurses Code of Ethics and Ethical Principles are what nurses use to address dilemmas. In Sarah's scenario I am tasked with choosing what I would do. As a future nurse I would take an oath to uphold standards of practice, ethical principles and codes of ethics. Even if it's a situation that conflicts with a decision, I should make one. The scenario takes into account some stakeholders: Patients in Sarah's care have the right to and expect safe and effective care. Supervisors have the right to a competent employee who does not cause harm to patients and/or the facility. The facility has the right to expect non-hazardous actions from its employees. As a friend, I would like to investigate further and even give my friend a chance to explain his situation. However, as a future professional nurse, I know what my duties are. I know that every action has a consequence. If I don't report what I saw I risk my license; if Sarah manages to cause harm to a patient. If I report it I risk losing the trust of a friend. I would risk my reputation as a chatterbox. Ultimately I would risk my friendship with Sarah. According to the American Nurses Association (ANA, 2015), the code of ethics has 9 main provisions. Specifically, provisions three and five are what a nurse practitioner would look at in this situation. Third provision: the nurse promotes, supports and is committed to protecting the health, safety and rights of the patient (ANA, 2015). This provision clearly states that as a nurse my ethical duty is to provide protection and safety to my patients. If I refused to report, unfortunately the situation is inconvenient because of who it will affect. I know that the decision to inform my superiors of my suspicions is the right thing for me to do. This is mostly because Sarah takes care of patients and could cause them serious harm. This outcome has the greatest benefits for all stakeholders. Specifically, patients will not be in danger. Also, I think Sarah needs help. Hopefully Sarah is a candidate for rehabilitation and supervision instead of losing her job and license. Sarah may not see him at the time. In conclusion, as a future professional nurse there are duties that must be followed. These duties and standards are based on the fundamental fact that we hold people's lives in our hands. Mistakes can mean life or death and as nurses we are responsible for them