ethical concerns paper

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

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you do when these situations occur?

In this Assignment, you will explore evidence-based practice guidelines and ethical

considerations for specific scenarios.

Scenario 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.

Scenario 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.

Scenario 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.

Scenario 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.

Scenario 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.

Scenario 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.

Scenario 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.

To prepare:

? Select one scenarios, and reflect on the material presented throughout this course.

? What necessary information would need to be obtained about the patient through health

assessments and diagnostic tests?

? Consider how you would respond as an advanced practice nurse. Review evidence-

based practice guidelines and ethical considerations applicable to the scenarios you

selected.

To complete:

Write a detailed one-page narrative (not a formal paper) explaining the health

assessment information required 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 3 different references from current

evidence based literature.