Nursing 6512 Week 11 Discussion Essay: 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 Discussion, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios. Nursing 6512 Week 11 Discussion Essay: Ethical Concerns

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. Nursing 6512 Week 11 Discussion Essay: Ethical Concerns

To prepare:

Select three 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.

By Day 3

Post the explanation of the health assessment information required for a diagnosis of your selected patients (include the scenario numbers). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your responses.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days who selected different scenarios than you, using one or more of the following approaches:

Suggest additional health assessment information that would be necessary to collect from the patient
Critique your colleague’s response, and explain alternative approaches to the situation.
Validate an idea with your own experience and additional research.

NURS 6512 Week 11 Quiz

Question 1

When interviewing a disabled patient, it is best to speak to:

Question 2

Which of the following is most likely to enhance examiner reliability?

Question 3

Throughout the history and physical examination, the clinician should:

Question 4

At your first meeting with a patient, it is usually best to say:

Question 5

Which of the following is true regarding the relationship between the examiner and the patient?

Question 6

When conducting a geriatric assessment, basic activities of daily living (ADLs) include:

Question 7

Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her:

Question 8

The reliability of health-related findings and observations is the responsibility of the:

Question 9

The cranial nerves are usually assessed while the patient is in which position?

Question 10

The best way to ease the apprehension of a 3-year-old child before a physical examination is to:

Question 11

When you attempt to move a 10-month-old child from his mother s lap to the examination table, he screams loudly. Your best action is to:

Question 12

Palpation of epitrochlear nodes is part of the:.

Question 13

Which medical condition would exclude one from sports participation?

Question 14

The greatest risk for potential health problems occurs in which age group?

Question 15

Functional assessment is most important during the examination of a(n):

Question 16

When conveying bad or distasteful news to the patient and family, it is best to:

Question 17

The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:

Question 18

To promote your examination time with a cooperative child, your approach to the examination should be to:

Question 19

Which of the following data are not part of your general inspection?

Question 20

Part of the screening orthopedic component of the examination includes evaluating the person while: