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Assignment 1: Lab Assignment: Ethical Concerns

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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 adetailed 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

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