Ethical Concerns

Assignment 1: Lab Assignment: Ethical Concerns
 
As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?
In this Lab Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.
 
 
Instructions – Lab Assignment
 
· Review the scenarios provided by your instructor for this week’s Assignment (see below).
· Select  one  scenario
· Write a detailed one-page narrative
· Explain what necessary information would need to be obtained about the patient through health assessments and diagnostic tests for a diagnosis of your selected patient (include the scenario number).
· Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations.
· Justify your response using at least five different references from current evidence-based literature.
· APA 7
 
 
SCENARIOS
 
CASE STUDY 1
The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines.
 
CASE STUDY 2
A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.
 
CASE STUDY 3
A 27-year-old man with Crohn’s disease has been admitted to the emergency room with an extreme flare-up of his condition. He explains that he has not been able to afford his medications for the last few months and is concerned about the costs he may incur for treatment.
 
CASE STUDY 4
A single mother has accompanied her two daughters, aged 15 and 13, to a women’s health clinic and has requested that the girls receive a pelvic examination and be put on birth control. The girls have consented to the exam but seem unsettled.
CASE STUDY 5
A 17-year-old boy has come in for a check-up after a head injury during a football game. He has indicated that he would like to be able to play in the next game, which is in 3 days.
 
CASE STUDY 6
A 12-year-old girl has come in for a routine check-up and has not yet received the HPV vaccine. Her family is very religious and believes that the vaccine would encourage premarital sexual activity.
 
CASE STUDY 7
A 57-year-old man who was diagnosed with motor neuron disease 2 years ago is experiencing a rapid decline in his condition. He prefers to be admitted to the in-patient unit at a hospice to receive end-of-life care, but his wife wants him to remain at home.
 

Assignment 1: Lab Assignment: Ethical Concerns
 
 
As an advanced practice nurse, you will run into situations where a patient’s wishes about his or
her health conflict with evidence, your own experience, or a family’s wishes. This may create an
ethical dilemma. What do you do when these situations occur?
 
In this Lab Assignment, you will explore evidence

based practice guidelines and ethical
considerations for specific scenarios.
 
 
 
Instructions

 
Lab Assignment
 
 
·
 
Review the scenarios provided by your instructor for this week’s Assignment
 
(see
below)
.
 
·
 
Select
 
one
 
scenario
 
·
 
Write a
 
detailed
 
one

page narrative
 
·
 
Explain
 
w
hat necessary information would need to be obtained about the patient through
health assessments
and diagnostic tests
 
for a diagnosis of your selected patient (include
the scenario number).
 
·
 
Explain how you would respond to the scenario as an advanced practice nurse using
evidence

based practice guideline
s and applying ethical considerations.
 
·
 
Justify your response using at least
five
 
different references from current evidence

based
literature.
 
·
 
APA 7
 
 
 
SCENARIOS
 
 
CASE
 
STUDY
 
1
 
The
 
parents
 
of
 
a
 
5

year

old
 
boy
 
have
 
accompanied
 
their
 
son
 
for
 
his
 
required
 
physical
 
examination
 
before
 
starting
 
kindergarten.
 
His
 
parents
 
are
 
opposed
 
to
 
him
 
receiving
 
any
 
vaccines
.
 
 
CASE
 
STUDY
 
2
 
A
 
49

year

old
 
woman
 
with
 
adv
anced
 
stage
 
cancer
 
has
 
been
 
admitted
 
to
 
the
 
emergency
 
room
 
with
 
cardiac
 
arrest.
 
Her
 
husband
 
and
 
one
 
of
 
her
 
children
 
accompanied
 
the
 
ambulance
.
 
 
CASE
 
STUDY
 
3
 
A
 
27

year

old
 
man
 
with
 
Crohn’s
 
disease
 
has
 
been
 
admitted
 
to
 
the
 
emergency
 
room
 
with
 
an
 
extreme
 
flare

up
 
of
 
his
 
condition.
 
He
 
explains
 
that
 
he
 
has
 
not
 
been
 
able
 
to
 
afford
 
his
 
medications
 
for
 
the
 
last
 
few
 
months
 
and
 
is
 
concerned
 
about
 
the
 
costs
 
he
 
may
 
incur
 
for
 
treatment
.
 
 
CASE
 
STUDY
 
4
 
A
 
single
 
mother
 
has
 
accompanied
 
her
 
two
 
daughters,
 
aged
 
15
 
and
 
13,
 
to
 
a
 
women’s
 
health
 
clinic
 
and
 
has
 
requested
 
that
 
the
 
girls
 
receive
 
a
 
pelvic
 
examination
 
and
 
be
 
put
 
on
 
birth
 
control.
 
The
 
girls
 
have
 
consented
 
to
 
the
 
exam
 
but
 
seem
 
unsettled
.
 
CASE
 
STUDY
 
5
 
Assignment 1: Lab Assignment: Ethical Concerns
 
As an advanced practice nurse, you will run into situations where a patient’s wishes about his or
her health conflict with evidence, your own experience, or a family’s wishes. This may create an
ethical dilemma. What do you do when these situations occur?
In this Lab Assignment, you will explore evidence-based practice guidelines and ethical
considerations for specific scenarios.
 
 
Instructions – Lab Assignment
 
 Review the scenarios provided by your instructor for this week’s Assignment (see
below).
 Select one scenario
 Write a detailed one-page narrative
 Explain what necessary information would need to be obtained about the patient through
health assessments and diagnostic tests for a diagnosis of your selected patient (include
the scenario number).
 Explain how you would respond to the scenario as an advanced practice nurse using
evidence-based practice guidelines and applying ethical considerations.
 Justify your response using at least five different references from current evidence-based
literature.
 APA 7
 
 
SCENARIOS
 
CASE STUDY 1
The parents of a 5-year-old boy have accompanied their son for his required physical
examination before starting kindergarten. His parents are opposed to him receiving any vaccines.
 
CASE STUDY 2
A 49-year-old woman with advanced stage cancer has been admitted to the emergency room
with cardiac arrest. Her husband and one of her children accompanied the ambulance.
 
CASE STUDY 3
A 27-year-old man with Crohn’s disease has been admitted to the emergency room with an
extreme flare-up of his condition. He explains that he has not been able to afford his medications
for the last few months and is concerned about the costs he may incur for treatment.
 
CASE STUDY 4
A single mother has accompanied her two daughters, aged 15 and 13, to a women’s health clinic
and has requested that the girls receive a pelvic examination and be put on birth control. The
girls have consented to the exam but seem unsettled.
CASE STUDY 5