Sample Answer for NURS 6052 Assignment 1 Lab Assignment Ethical Concerns 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.
A Sample Answer For the Assignment: NURS 6052 Assignment 1 Lab Assignment Ethical Concerns
Title: NURS 6052 Assignment 1 Lab Assignment Ethical Concerns
Case Study 5
Ethical dilemmas are common in healthcare delivery and this means that nurses must demonstrate good faith and guide the patients into the most beneficial decision. In most cases, patient’s cultural values and beliefs may influence their decisions on health intervention; though, some may contradict the healthcare providers’ decision (Haahr et al., 2019). The current study focuses on the Case Study 5 where a 17 years old boy came for a check-up after having a head injury during the football game and indicates that he would like to be able to play in the next game which is in 3 days.
The boy’s decision is guided by his ambition and passion for the game. However, the nurses have the responsibility to assess the health risks involved in the decision and guide the boy accordingly. Therefore, a thorough assessment should be done to determine the extent of the injuries and the presented health risks. In this case, a head CT scan may be done to determine the tissues affected by the injury. In addition, the patient’s pain level will be assessed using the universal pain assessment tool (Dugashvili et al., 2016).
In responding to the case, the patient will be advised to prioritize his health and reduce the risk of incurring further injuries that could jeopardize his current state. The patient will be advised to stay away from the games until he is fully recovered. The decision is meant to promote the most beneficial outcomes for the patients (Aitamaa et al., 2019). Therefore, the nurse will have to explain the risks involved in participating in the sporting activity with the traumatic brain injury.
Finally, the case scenario represents the typical experiences encountered by the nurses. However, the nurses must demonstrate their competencies by educating the patients and helping them overcome the negative beliefs. In this case, advising the boy to stay away from the game will be appropriate.
References
Aitamaa, E., Suhonen, R., Puukka, P., & Leino-Kilpi, H. (2019). Ethical problems in nursing management – a cross-sectional survey about solving problems. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-4245-4
Dugashvili, G., Van den Berghe, L., Menabde, G., Janelidze, M., & Marks, L. (2016). Use of the universal pain assessment tool for evaluating pain associated with TMD in youngsters with an intellectual disability. Medicina Oral Patología Oral y Cirugia Bucal, 0-0. https://doi.org/10.4317/medoral.21584
Haahr, A., Norlyk, A., Martinsen, B., & Dreyer, P. (2019). Nurses’ experiences of ethical dilemmas: A review. Nursing Ethics, 27(1), 258-272. https://doi.org/10.1177/0969733019832941
A Sample Answer 2 For the Assignment: NURS 6052 Assignment 1 Lab Assignment Ethical Concerns
Title: NURS 6052 Assignment 1 Lab Assignment Ethical Concerns
BC is a 49-year-old woman who has been admitted to the emergency room with cardiac arrest. BC has advanced-stage cancer. She is with her husband and one of her children. Adequate health assessment data should be obtained from BC and her family members to develop an accurate diagnosis and treatment plan. The nurse should obtain subjective data. This includes information about her symptoms, onset, severity, and alleviating, exacerbating, and relieving factors. The nurse should also obtain information about BC’s medical and surgical history. This includes information about any other chronic conditions apart from advanced cancer, hospitalizations, and surgeries (Giger & Haddad, 2020; Greer et al., 2020). Information about her current use of medications, allergies, and reproductive history should be obtained.
Objective data should also be obtained from BC. This includes vital signs and a comprehensive review of all the body systems to rule out any abnormalities. The nurse will use the objective data to validate BC’s complaints. laboratory and diagnostic investigations should also be ordered. They include a complete blood count, renal and liver function tests, electrolyte levels test, a chest x-ray, and an electrocardiogram (Giger & Haddad, 2020). The diagnostic and laboratory investigations will help confirm the diagnosis and rule out differential diagnoses.
I will respond to the case scenario by focusing on the provision of patient-centered care to BC. I will demonstrate professional behaviors such as active listening, empathy, and respecting BC’s values and preferences. I will seek her and her family’s input in the treatment decisions. I will also provide her with accurate and adequate information to aid informed decision-making. I will also ensure data privacy and confidentiality. BC’s information will only be shared after informed consent has been obtained from her (Chua et al., 2020; Gennari et al., 2021; Molina-Mula & Gallo-Estrada, 2020). I will also be a proactive member of the interprofessional teams involved in her care to ensure the delivery of high-quality, safe, and efficient care.
References
Chua, G. P., Pang, G. S. Y., Yee, A. C. P., Neo, P. S. H., Zhou, S., Lim, C., Wong, Y. Y., Qu, D. L., Pan, F. T., & Yang, G. M. (2020). Supporting the patients with advanced cancer and their family caregivers: What are their palliative care needs? BMC Cancer, 20(1), 768. https://doi.org/10.1186/s12885-020-07239-9
Gennari, A., André, F., Barrios, C. H., Cortés, J., Azambuja, E. de, DeMichele, A., Dent, R., Fenlon, D., Gligorov, J., Hurvitz, S. A., Im, S.-A., Krug, D., Kunz, W. G., Loi, S., Penault-Llorca, F., Ricke, J., Robson, M., Rugo, H. S., Saura, C., … Harbeck, N. (2021). ESMO Clinical Practice Guideline for the diagnosis, staging and treatment of patients with metastatic breast cancer☆. Annals of Oncology, 32(12), 1475–1495. https://doi.org/10.1016/j.annonc.2021.09.019
Giger, J. N., & Haddad, L. (2020). Transcultural Nursing – E-Book: Assessment and Intervention. Elsevier Health Sciences.
Greer, J. A., Applebaum, A. J., Jacobsen, J. C., Temel, J. S., & Jackson, V. A. (2020). Understanding and Addressing the Role of Coping in Palliative Care for Patients With Advanced Cancer. Journal of Clinical Oncology, 38(9), 915–925. https://doi.org/10.1200/JCO.19.00013
Molina-Mula, J., & Gallo-Estrada, J. (2020). Impact of Nurse-Patient Relationship on Quality of Care and Patient Autonomy in Decision-Making. International Journal of Environmental Research and Public Health, 17(3), Article 3. https://doi.org/10.3390/ijerph17030835