Neuroscience nursing, a specialised field dedicated to caring for patients with neurological conditions, often presents complex ethical dilemmas. This article explores the multifaceted ethical considerations in neuroscience nursing, emphasising the need to balance patient care and decision-making. Key issues include patient autonomy, informed consent, confidentiality, end-of-life care, and the nurse role in advocating for patients. By examining these challenges and discussing best practices, this article aims to provide a comprehensive guide for neuroscience nurses to navigate ethical complexities while maintaining compassionate and competent care.