1. 6512 WK 11 Assignment
Assignment: Ethical ConcernsAs 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 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.
