NURS 6512 Week 11 DQ Ethical Concerns
What’s Happening In This Module?
Module 4: Ethics in Assessments is a 1-week module, Week 11 of the course and the last module in which you examine evidence-based practice guidelines and ethical considerations factor into health assessments.
|What do I have to do?
|When do I have to do it?
|Review your Learning Resources
|Days 1–7, Week 11
|Lab Assignment: Ethical Concerns
|Submit by Day 6 of Week 11.
|Complete and Submit By Day 7 of Week 11.
Go to the Module’s Content
Week 11: The Ethics Behind Assessment
Consider the following scenarios:
■ You are a nurse at a large county hospital. One of your patients is leaning toward selecting a certain radical treatment for cancer, to which the family is in opposition. The family is concerned about making the correct decision and asks for your advice.
■ The state of Oregon has passed a “Death with Dignity” act that allows for euthanasia in certain situations. One of your patients suffering from terminal cancer is thinking of moving there to take advantage of this law and asks your opinion.
Throughout this course, you have explored a wide range of health assessments and abnormal examination ﬁndings. Although you have predominantly focused on the procedural aspects of health assessment, this week, you will focus on ethical considerations that should be taken into account when advising patients or their families.
This week, you will consider how evidence-based practice guidelines and ethical considerations factor into health assessments. You will also evaluate health assessment concepts related to sports physicals and well-child and well-woman examinations.
Learning Objectives Students will:
■ Apply evidence-based practice guidelines to make an informed healthcare decision
■ Apply ethical considerations to a health assessment response
■ Apply concepts, theories, and principles relating to sports physicals and well-child and well-woman examinations
■ Identify concepts, theories, and principles related to advanced health assessment
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
■ Chapter 24, “Sports Participation Evaluation”
In this chapter, the authors describe the process of a sports participation evaluation. The chapter also states the most common conditions encountered in a sports participation evaluation.
■ Chapter 25, “Putting It All Together”
In this chapter, the authors tie together the concepts introduced in previous chapters. In particular, the chapter has a strong emphasis on the
Furman , C. D., Earnshaw, L. A., Farrer, L. A. (2014). A case of inappropriate apolipoprotein E testing in Alzheimer’s disease due to lack of an informed consent discussion. American Journal of Alzheimer’s Disease & Other Dementias, 29(7),
Maron , B. J., Friedman, R. A., & Caplan, A. (2015). Ethics of preparticipation cardiovascular screening for athletes. Nature Reviews Cardiology, 12(6), 375–378. doi:10.1038/nrcardio.2015.21
This resource provides recommendations for preventive pediatric health care from infancy through adolescence. The periodicity schedule covers a variety of areas, from health history to measurements, developmental/behavioral screenings, physical exams, procedural screenings, and oral health.
Module 4 Introduction
Dr. Tara Harris reviews the overall expectations for Module 4. Consider how you will manage your time as you review your media and Learning Resources for your Case Study Lab Assignment and your Final exam (3m).
Sports Participation Evaluation – Week 11 (12m)
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.
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.
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.
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.
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 days.
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. 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
When interviewing a disabled patient, it is best to speak to:
Which of the following is most likely to enhance examiner reliability?
Throughout the history and physical examination, the clinician should:
At your ﬁrst meeting with a patient, it is usually best to say:
Which of the following is true regarding the relationship between the examiner and the patient?
When conducting a geriatric assessment, basic activities of daily living (ADLs) include:
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:
The reliability of health-related ﬁndings and observations is the responsibility of the:
The cranial nerves are usually assessed while the patient is in which position?
The best way to ease the apprehension of a 3-year-old child before a physical examination is to:
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:
Palpation of epitrochlear nodes is part of the:.
Which medical condition would exclude one from sports participation?
The greatest risk for potential health problems occurs in which age group?
Functional assessment is most important during the examination of a(n):
When conveying bad or distasteful news to the patient and family, it is best to:
The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:
To promote your examination time with a cooperative child, your approach to the examination should be to:
Which of the following data are not part of your general inspection?
Part of the screening orthopedic component of the examination includes evaluating the person while NURS 6512 Week 11 DQ Ethical Concerns