course material

1. A 19-year old female presents to your clinic with complaints
A 19-year old female presents to your clinic with complaints of nausea and vomiting every
morning for the past week. She admits she has been sexually active with 1 male partners in
the past 3 months. She has never used any form of protection or contraceptive. She reports
she took a home pregnancy test 1 week ago and that it was positive. She states her last
menstrual period was almost 3months ago. She Lives with parents and one older female
sibling in a single-dwelling home. She is a college student in local private Christian
college. She describes herself as an “A-student” and involved in several extracurricular
school activities or athletics. She reports experimenting with alcohol and cigarettes when
she was in junior high school but that “both made her so sick” that she did not continue to
use. Denies illicit drug use in the past or present. She reports feeling safe in her
home. She’s had a 20-year old boyfriend for the past two months. She denies history of
emotional, sexual, and physical abuse. She reports she feels safe in her home and when she
is with her boyfriend. FICA assessment reveals that is of Christian faith and belief and that
her faith is very important to her. She attends church on Sunday and is an active member of
her college discipleship group. She holds her faith as essential to her life and desires faith
integration into her health care. The Nurse Practitioner informs the patient that her urine
pregnancy test is positive. The patient upon hearing of her pregnancy began weeping. She
told the NP that her parents and her boyfriend would be devastated that she had become
pregnant out of wedlock and that she was terrified to share this information with them. The
NP listened compassionately and asked the patient to consider sharing the information with
a trusted Christian mentor. The patient said she knew just who she would seek
guidance. The NP also referred the patient to gynecology for prenatal care.The patient
returned to the clinic two days later with her boyfriend to discuss pregnancy options. Her
appt is scheduled with gynecology in 10 days. While her boyfriend is in the waiting room,
the patient tells the NP that she has not discussed her pregnancy with her Christian mentor
but did tell her boyfriend. Her boyfriend is not a Christian and he wants her to have an
abortion. The patient is tearful, saying that she doesn’t know what to do. She requests that
the NP help them understand their options and the boyfriend joins the meeting with the
patient and the NP. The boyfriend states he is in his fourth year of premed, that his father
and grandfather are physicians and his career trajectory cannot be compromised by a child.
He wants the NP to counsel them regarding options for pregnancy termination. He states
he’s heard she can just take a pill and that technically would not be abortion. The NP is also
a Christian, facing a spiritual dilemma, as she believes that life begins at conception and that

2. abortion is morally and ethically wrong. QUESTION:Identify and discuss a
spiritual/moral/ethical dilemma that this patient is experiencing. Considering the NP
Standards of Practice, the Nursing Code of Ethics and the six principles of spiritual
interventions discussed in Shelly & Miller (2006) Chapter 14, discuss how the Christian NP
should approach the care of this patient.Document this assignment in a 2 page word
document and at least 3 references published in last 5 years