Legal and Ethical Conduct 2025

Legal and Ethical Conduct Legal and Ethical Conduct As emphasized in this week’s media presentation, all nurses need to be familiar with the laws and regulations that govern their practice: their state’s Nurse Practice Act, ANA’s Nursing: Scope and Standards of Practice , specialty group standards of practice, etc. In addition, basic ethical principles guide nurses’ decision-making process every day. ANA’s Code of Ethics and ANA’s Social Policy Statement are two important documents that outline nurses’ ethical responsibilities to their patients, themselves, and their profession. This said, there is a dilemma: The laws are not always compatible with the ethical positions nurses sometimes take. This week’s Discussion focuses on such a dilemma. To prepare: Review this week’s Learning Resources, focusing on the information in the media presentation about the relationship between the law and ethics. Consider the ethical responsibility of nurses in ensuring patient autonomy, beneficence, non-malfeasance, and justice. Read the following scenario: Lena is a community health care nurse who works exclusively with HIV-positive and AIDS patients. As a part of her job, she evaluates new cases and reviews confidential information about these patients. In the course of one of these reviews, Lena learns that her sister’s boyfriend has tested HIV positive. Lena would like to protect her sister from harm and begins to consider how her sister can find out about her boyfriend’s health status. Consult at least two resources to help you establish Lena’s legal and ethical position. These resources might include your state’s Nurse Practice Act (I LIVE IN CALIFORNIA), the ANA’s Code of Ethics, ANA’s Nursing: Scope and Standards of Practice, and internal or external standards of care. Consider what action you would take if you were Lena and why. Determine whether the law and the ANA’s standards support or conflict with that action. Post by Day 3 a description of the actions you would take in this situation, and why. Justify these actions by referencing appropriate laws, ethical standards, and professional guidelines. Required Resources Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Readings Milstead, J. A. (2013). Health policy and politics: A nurse’s guide (Laureate Education, Inc., custom ed.). Sudbury, MA: Jones and Bartlett Publishers. Chapter 4, “Government Regulation: Parallel and Powerful” (pp. 73–109) This chapter explains the major concepts of the regulation of health professionals, with emphasis on advanced practice nurses (APN) and the process of licensure and credentialing. ANA’s Foundation of Nursing Package – (Access this resource from the Walden Library databases through your NURS 6050 Course Readings List) Guide to the Code of Ethics: Interpretation and Application This guide details the history, purpose and theory, application, and case studies of this must-have Code of Ethics. Nursing Social Policy Statement The Nursing Social Policy Statement provides an understanding of the social framework and obligations of the nursing profession. Nursing: Scope & Standards of Practice This book contains several national standards of practice that can be used to inform the decision-making process, development, implementation, and evaluation of several functions and aspects of advanced practice nursing. Gallagher, T. H. (2009). A 62-year-old woman with skin cancer who experienced wrong-site surgery: Review of medical error. JAMA: Journal of the American Medical Association, 302 (6), 669–677. Retrieved from the Walden Library databases. The article showcases the different sides of medical error, from a 62-year-old patient who suffered and the components of the medical error’s impact and aftermath. Reinhardt, U. E. (2010, Jan 30). Repercussions of simplicity. New York Times , p. A14. Retrieved from the Walden Library databases. This article determines that the government should take low-income families into account when determining mandatory health insurance because many Americans choose to go without insurance despite preexisting conditions presumably no longer being an issue. Board on Health Care Services. (2007). Preventing medication errors: Quality Chasm Series . Washington, DC: The National Academies Press. Retrieved from http://www.nap.edu/openbook.php?record_id=11623&page=43 Part 1, “Understanding the Causes and Costs of Medication Errors” (pp. 43–49) This article discusses the multilayered nature of medication error as a system of failures due to individual behaviors and conditions. NOTE: 1 1/2 TO 2 PAGES; Consult at least two resources to help you establish Lena’s legal and ethical position.

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MN568 Advanced Practice Nursing – Case Study – Hypertension 2025

No Plegarism please, assignment will be checked with Turnitin. Will need minimum of 3 full content pages, plus title, and reference page APA Style, double spaced, times new romans, font 12, and and 3 references with intext citations. References within 5 years (2014-2018). Hypertension Case Study C.D is a 55-year-old African American male who presents to his primary care provider with a 2-day history of a headache and chest pressure. PMH Allergic Rhinitis Depression Hypothyroidism Family History Father died at age 49 from AMI: had HTN Mother has DM and HTN Brother died at age 20 from complications of CF Two younger sisters are A&W Social History The patient has been married for 25 years and lives with his wife and two children. The patient is an air traffic controller at the local airport. He has smoked a pack of cigarettes a day for the past 15 years. He drinks several beers every evening after work to relax. He does not pay particular attention to sodium, fat, or carbohydrates in the foods he eats. He admits to “salting almost everything he eats, sometimes even before tasting it.” He denies ever having dieted or exercised. Medications Zyrtec 10 mg daily Allergies Penicillin ROS States that his overall health has been fair to good during the past year. Weight has increased by approximately 30 pounds in the last 12 months. States he has been having some occasional chest pressure and headaches for the past 2 days. Shortness of breath at rest, headaches, nocturia, nosebleeds, and hemoptysis. Reports some shortness of breath with activity, especially when climbing stairs and that breathing difficulties are getting worse. Denies any nausea, vomiting, diarrhea, or blood in stool. Self treats for occasional right knee pain with OTC Ibuprofen. Denies any genitourinary symptoms. Vital Signs B/P 190/120, HR 73, RR 18, T. 98.8 F., Ht 6’1”, Wt 240 lbs. HEENT TMs intact and clear throughout No nasal drainage No exudates or erythema in oropharynx PERRLA Funduscopy reveals mild arteriolar narrowing without nicking, hemorrhages, exudates, or papilledema Neck Supple without masses or bruits Thyroid normal No lymphadenopathy Lungs Mild basilar crackles bilaterally No wheezes Heart RRR No murmurs or rubs Abdomen Soft and non-distended No masses, bruits, or organomegaly Normal bowel sounds Ext Moves all extremities well Neuro No sensory or motor abnormalities CN’s II-XII intact DTR’s = 2+ Muscle tone=5/5 throughout What you should do: Develop an evidence-based management plan. Include any pertinent diagnostics. (Screening Chest Xray/EKG, LABS, referrals to cardiologist to eval cardiovascular disease, smoking cessation education, nutritional consult) Describe the patient education plan. (lifestyle changes, weight management, AHA/DASH diet) Include cultural and lifespan considerations. ( Common in African American ) Provide information on health promotion or health care maintenance needs. Describe the follow-up and referral for this patient. Prepare a 3 page paper (not including the title page or reference page).

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