I don't think that the nurse is implying that he is not annoyed.
If you go sufficiently upthread, you'll find that it started with a post by Swimmer963 who is a nurse and is relating her own experience. In particular, she says:
There are certain lies that I tell over and over again, where I'm 99% sure lying is the morally correct ... When it's 4 am and I desperately want to go on break and eat something, none of these things are true.
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If a nurse started talking to me about her "sacred duty", I certainly would not believe her.
What about if she just said: 'duty'?