This document outlines several challenges to professionalism that nurses may face, including ethical dilemmas when making difficult patient care decisions, maintaining appropriate boundaries with patients, providing effective communication in stressful situations, and ensuring cultural competence. It also discusses challenges relating to work-life balance, workforce issues, patient advocacy, legal and regulatory compliance, team dynamics, managing stress and burnout, keeping up with technology, dealing with patient suffering, moral distress, and working with limited resources. The document suggests that nurses can address these challenges through ongoing education, seeking support from colleagues, self-reflection, and self-care.