My best teachers/Nurses have been the ones who totally stand up for their patients and don't judge. I think the Nurses I've admired the most are the ones who go head to head with the Residents because a patient needs something for break through pain (up and beyond what they are already getting for pain ) sometimes a patient just really needs that extra dose to take the edge off and make them comfortable. Some Dr's are reluctant and even mean when you bug them for such things, especially if the patient has a hx of subtance abuse. Subtance abuse or not, if you've just been cut open from head to toe you might need a little extra pain medicine here and there. I think also giving the same quality care to all the patients on your assignment is critical. Keep personal opinions about people and their lifestyle to yourself. Sometimes sad to say the patients with families with them, whom are very articulate and cultured get more attention, while the ones from low incomes, other races and lifestyles get the bare minimum. I think giving 100% to all the patients on your assignment is soooo important, no matter what we think of them. Whom else will provide the Professional care they so much need???