case study ethical legal dilemma advanced practice nursing 3

Case Study Ethical Legal Dilemma Advanced Practice Nursing

Demonstrate integrity through the application of relevant codes of conduct and social responsibility within one’s profession.

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Please take a moment to watch this Assignment Introduction, or read the presentation transcript.


  • Create an ethical legal decision-making dilemma involving an advanced practice nurse in the field of education, informatics, administration, or a nurse practitioner. Apply relevant codes of conduct that apply to the practice of nursing and your chosen field.
  • Include one ethical principle and one law that could be violated and whether the violation would constitute a civil or criminal act based on facts.
  • Construct a decision that demonstrates integrity and that would prevent violation of the ethical principle and prevent the law from being violated.
  • Describe the legal principles and laws that apply to the ethical dilemma.
  • Support the legal issues with prior legal cases or state or federal statutes.
  • Analyze the differences between ethical and legal reasoning and apply an ethical-legal reasoning model in the case study to create a basis for a solution to the ethical-legal dilemma.
  • List three recommendations that will resolve advanced practice nurses’ moral distress in the dilemma you have presented.
  • Based on the issue you presented and the rules of the law, apply the laws to your case and come up with a conclusion.


  • This is a fact-based Assignment that will not include your opinion.
  • This will require research and support for what is written.
  • The Assignment should be in your words after reading the scholarly and fact-based publications and have proper citations. There should be no quotations. The professor wants to hear your voice as a masters trained nurse.


In the Unit 2 topic 1 Discussion, you chose an ethical-legal dilemma that would cause the advanced practice nurse moral distress. You will write the introductory paragraphs for the Unit 4 Assignment.

You will continue working on the topic you have chosen and submit the paper using the most recent version of APA format. The paper should have a minimum of seven citations and some of these should be case law or applicable statutes. The Library has Westlaw Campus Research database where you can find case laws that relate to your topic. The APA Manual and the textbook have instructions on legal formatting.

4 pages not including tittle page or references.

Ethical Dilemma Discussed in Unit 2

As an advanced practice nurse in a clinical setting, there will be many instances in which contact with ethical-legal dilemmas will occur potentially causing a great deal of stress on personal morals (Pattison, 20015). As a practicing RN in the ICU, I have faced many obstacles pertaining to ethical-legal dilemmas. For instance, a 43 year old patient presented to the ICU with a case of T-cell lymphoma has been treated with multiple rounds of chemotherapy. Unfortunately, these rounds of chemotherapy led to her neutropenic count to drop and subsequently developed septic shock. As a result, her organs went into failure, necessitating total care including intubation. Following neurological assessments, tests, and overall presentation of the case, the prognosis was poor, and physicians agreed to diagnose the patient with cerebral death. In this case, the family was unwavering in their attempts to keep the patient ventilated and alive with total care as they were suffering from the first stage of grieving (Newman, 2014). As a result, this conjured a large degree of frustration to the staff nurses and clinicians working on the case. In this particular case, there are many variables that can be discussed regarding the legal implications of brain death and the process in physicians derive to the conclusion of brain death. Additionally, according to the hospital policy on ethical decision making every patient or the surrogate has the right of refusal of treatment/testing. As a future practicing clinician, this paper serves to embody the role of the advanced practice nurse to discuss the implications of brain death covering the legal aspects regarding the challenge of patient family refusal and what is beneficent for the patient and ethical-moral consideration (Joynt et al., 2015).


Joynt, G. M., Lipman, J., Hartog, C., Guidet, B., Paruk, F., Feldman, C., & … Sprung, C. L.

(2015). Communication: The Durban World Congress Ethics Round Table IV: Health care

professional end-of-life decision making. Journal of Critical Care, 30(1), 224-230.


Newman, L. (2014). Strategies for handling ethical problems in end of life care: obstacles and

possibilities. Nursing Ethics, 22(7), 778-789. doi:10.1177/0969733014547972

Pattison, N., O’Gara, G., & Wigmore, T. (2015). Negotiating transitions: involvement of critical

care outreach teams in end-of-life decision making. American Journal of Critical Care,

24(3), 232-240. doi:10.4037/ajcc2015715

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