Nurses are forced to make difficult decisions when presented with patients who are experiencing pain. Ethical dilemmas can also arise around issues such over-medication, under-medication, and opioid side effects to name a few. It is important to gain an understanding of how nurses make these decisions so that more insight can be gained into the factors influencing those decision making processes. This survey is the product of four separate studies, each investigating one specific factor which may be influential during nurses’ assessments of patient pain.