Ethical Concerns







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 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

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