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.
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
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
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
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.
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
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.
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.
? 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
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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