During the pandemic, nurses continue to deliver a crisis standard of care, which requires allocating and using scarce medical resources. This care, in the context of COVID-19, an infectious and potentially fatal illness, requires nurses to balance their duty to care for patients while protecting themselves and their families. Crisis standards of care cause high moral distress for clinicians. The lack of preparedness of U.S. hospitals to initiate crisis care standards is likely amplifying such distress. Could better leadership communication mitigate this distress and consequential poorer mental health?