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

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


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


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


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


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


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.

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