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Sample Answer for LAB ASSIGNMENT: ETHICAL CONCERNS NURS 6512 Included After Question
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 Lab Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.
To Prepare
Review the scenarios provided by your instructor for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your scenarios.
- Based on the scenarios provided:
- Select one scenario, 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.
The Lab Assignment
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 three different references from current evidence-based literature.
By Day 6 of Week 11
Submit your Assignment.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
- Please save your Assignment using the naming convention “WK11Assgn+last name+first initial.(extension)” as the name.
- Click the Week 11 Assignment Rubric to review the Grading Criteria for the Assignment.
- Click the Week 11 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
- Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK11Assgn+last name+first initial.(extension)” and click Open.
- If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
- Click on the Submit button to complete your submission.
Grading Criteria
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Week 11 Assignment Rubric
Check Your Assignment Draft for Authenticity
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Submit your Week 11 Assignment draft and review the originality report.
Submit Your Assignment by Day 6 of Week 11
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Week 11 Assignment
A Sample Answer For the Assignment: LAB ASSIGNMENT: ETHICAL CONCERNS NURS 6512
Title: LAB ASSIGNMENT: ETHICAL CONCERNS NURS 6512
It is not uncommon for nurses advanced practice nurses to encounter situations where a patient’s wishes regarded their health are in conflict with the family’s wishes, professional experience, or evidence hence creating ethical dilemmas (Haahr et al., 2020). Therefore, it is important for an advanced practice nurse to make informed decisions that can positively impact the patient’s condition. The case considered in this assignment is for a 60-year-old man who was diagnosed with inclusive body myositis several years ago and is currently facing a rapid decline in his condition. While the patient prefers to be at home and get end-of-life care from there, the wife is of the opinion that her husband is admitted to the inpatient care setting.
Making a better decision regarding this case requires particular assessment information. Inclusive body myositis exposes the patients to falls; hence this patient is at risk of falling (Weihl, 2019). I would assess the patient’s quality of life and ability to undertake daily life activities. Assessing the proficiency of the home caregiving would be key in determining whether the partner can offer good care and give moral support.
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An appropriate response to this scenario requires that I consider ethics as an advanced practice nurse. Guided by nursing ethics, I would strive to educate the family and the patient to ensure that they have sufficient knowledge regarding the condition and how the family can help take care of the patient. After the assessment, I would also collaborate with the patient’s wife and other family members to help come up with an appropriate care plan which is likely to have a better impact on the patient’s condition. These actions are in accordance with the principles of beneficence and nonmaleficence, which involve doing the right and good thing for the patient and doing no harm (McDermott-Levy et al., 2018). I would also ensure that I treat the patient’s medical details with confidentiality.
References
Haahr, A., Norlyk, A., Martinsen, B., & Dreyer, P. (2020). Nurses experiences of ethical dilemmas: A review. Nursing Ethics, 27(1), 258-272. https://doi.org/10.1177%2F0969733019832941
McDermott-Levy, R., Leffers, J., & Mayaka, J. (2018). Ethical principles and guidelines of global health nursing practice. Nursing Outlook, 66(5), 473-481. https://doi.org/10.1016/j.outlook.2018.06.013
Weihl, C. C. (2019). Sporadic inclusion body myositis and other rimmed vacuolar myopathies. CONTINUUM: Lifelong Learning in Neurology, 25(6), 1586-1598. Doi: 10.1212/CON.0000000000000790
A Sample Answer 2 For the Assignment: LAB ASSIGNMENT: ETHICAL CONCERNS NURS 6512
Title: LAB ASSIGNMENT: ETHICAL CONCERNS NURS 6512
Ethics inform the care that nurses provide in their practice. The aim is to ensure safety and quality in addressing the patients’ care needs. Therefore, this paper explores the ethical concerns involved in caring for a 47-year-old man with ulcerative colitis who has no insurance. The patient has been admitted to the emergency room with extreme abdominal pain. He has not taken his medications for last few months and does not have any medical or prescription insurance.
Necessary Information
The additional information that should be obtained from the patient include symptom onset, duration, severity, precipitating, and relieving factors. Information on patient’s lifestyle such as alcohol use should also be obtained, as it can precipitate the disease. Physical assessment should identify if the patient is dehydrated or not, with diagnostic investigations such as complete blood count requested since the patient is at a risk of developing anemia.
Nursing Actions
Nurses and other healthcare providers act as advocates of their patients. They ensure the protection of their right to access high-quality, safe, and efficient care (Daly & Jackson, 2020; Molterer et al., 2020). Based on this, I would ensure the patient receives the care he needs despite lacking any medical or prescription insurance. Patients should not be discriminated in the care process based on factors such as ethnicity, race, or socioeconomic background.
Nurses should also demonstrate ethics in their practice. This includes ensuring the protection of principles such as informed consent,
justice, beneficence, and non-maleficence. Therefore, an appropriate intervention in the case study would be protecting patient’s right to justice by providing the care that he needs. In addition, the nurse should alleviate any pain and suffering the patient has, hence, the principles of beneficence and non-maleficence (Mathibe-Neke, 2020; Moreau & Rudge, 2018).
Besides providing care the nurse should also collaborate with the social worker and link the patient with the existing insurance plans such as those in the Affordable Care Act plan. Such insurances will help the patient access the care he needs whenever he needs for ulcerative colitis. The nurse should also empower the patient about the effective management of his condition. This includes educating him about the causes, precipitating factors, and prevention (Butts & Rich, 2022; Grace & Uveges, 2022). The health education will help him take responsibility for his health. therefore, the consideration of the above interventions will promote ethics in the patient care process.
In summary, additional information and investigations should be performed on the client. Ethical principles should guide nursing actions. Patient empowerment should be considered. The aim should be relapse prevention for the patient’s optimum health and wellbeing.
References
Butts, J. B., & Rich, K. L. (2022). Nursing Ethics: Across the Curriculum and Into Practice. Jones & Bartlett Learning.
Daly, J., & Jackson, D. (2020). Contexts of Nursing: An Introduction. Elsevier Health Sciences.
Grace, P. J., & Uveges, M. K. (2022). Nursing Ethics and Professional Responsibility in Advanced Practice. Jones & Bartlett Learning.
Mathibe-Neke, J. M. (2020). Ethical practice in the nursing profession: A normative analysis. South African Journal of Bioethics and Law, 13(1), Article 1. https://doi.org/10.7196/SAJBL.2020.v13i1.00690
Molterer, K., Hoyer, P., & Steyaert, C. (2020). A Practical Ethics of Care: Tinkering with Different ‘Goods’ in Residential Nursing Homes. Journal of Business Ethics, 165(1), 95–111. https://doi.org/10.1007/s10551-018-04099-z
Moreau, J. T., & Rudge, T. (2018). How “care values” as discursive practices effect the ethics of a care-setting. Journal of Organizational Ethnography, 8(3), 298–311. https://doi.org/10.1108/JOE-04-2018-0024
Grading Rubric
Performance Category | 100% or highest level of performance
100% 16 points |
Very good or high level of performance
88% 14 points |
Acceptable level of performance
81% 13 points |
Inadequate demonstration of expectations
68% 11 points |
Deficient level of performance
56% 9 points
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Failing level
of performance 55% or less 0 points |
Total Points Possible= 50 | 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points |
Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic topics. |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in all of the following elements:
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Presentation of information is unsatisfactory in one of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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Presentation of information is unsatisfactory in three or more of the following elements
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16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points | |
Application of Course Knowledge
Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in the all of the following elements:
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Presentation of information is unsatisfactory in one of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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Presentation of information is unsatisfactory in three of the following elements
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10 Points | 9 Points | 6 Points | 0 Points | |||
Interactive Dialogue
Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic. |
Demonstrated all of the following:
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Demonstrated 3 of the following:
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Demonstrated 2 of the following:
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Demonstrated 1 or less of the following:
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8 Points | 7 Points | 6 Points | 5 Points | 4 Points | 0 Points | |
Grammar, Syntax, APA
Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error. |
The following was present:
AND
AND
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The following was present:
AND/OR
AND/OR
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The following was present:
AND/OR
AND/OR
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The following was present:
AND/OR
AND/OR
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The following was present:
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The following was present:
AND/OR
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0 Points Deducted | 5 Points Lost | |||||
Participation
Requirements |
Demonstrated the following:
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Failed to demonstrate the following:
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0 Points Lost | 5 Points Lost | |||||
Due Date Requirements | Demonstrated all of the following:
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |
Demonstrates one or less of the following.
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |