Apply theoretical frameworks and concepts to ethical dilemmas in the advanced practice role.

Course outcomes addressed in this Assignment:

MN506-1: Apply theoretical frameworks and concepts to ethical dilemmas in the advanced practice role.

PC 2.3: Demonstrate integrity through the application of relevant codes of conduct and social responsibility within one’s profession.

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 will choose an ethical-legal dilemma that would cause the advanced practice nurse moral distress. You will write the introductory paragraphs for the Unit 4 Assignment in the Unit 2 topic 1 Discussion Board and post it for your peers to comment on.

You will continue working on the topic you have chosen and submit the paper using the most recent version of APA format. A template is provided in the left navigation of the course room for the paper. The paper should have a minimum of seven citations and some of these should be case law or applicable statutes. The Kaplan 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.

the ethical dilemma it was chosen was:
Ethical-legal Dilemma
Administration of Unprescribed Analgesics
A dilemma is a choice between two unpleasant alternatives and that pose ethical problems. Nursing professionals who provide nursing Clinical dilemmas face almost every day: so many, in fact, that it would be impossible to expose them here completely. But many dilemmas that are experienced frequently involve confidentiality, patient rights and aspects of death and death. Nursing Professional must use ethical and legal guidelines to make decisions about the moral actions when it assists in these situations and others. An example of a ethical dilemma in nursing that we often face is as follows:
Four days after a devastating traffic accident, Penny Dawson complains of severe pain. The 33-years old is a physician, and is hospitalized in the same facility she works, and being nursed by the same nurses that provide care for her patients. Dr. Penny Dawson ruptured two disks in her neck in the accident and suffered two fractures in her legs. The physician handling Dr. Penny’s case has prescribed a compound analgesic which is largely an NSAID with a little concentration of codeine. However, Dr. Penny has been complaining that the analgesic does not relief her of pain. After failing to convince her doctor to prescribe her an opiod, and being unable to self-prescribe, the patient has been requesting her nurse to surreptitiously administer her some morphine. The nurse understands the pain that Dr. Penny is going through, she pities her, but she is in a dilemma on whether it would be morally right to administer a potentially addictive analgesic to the patient. The nurse knows that administering an unprescribed drug is legally wrong, but Dr. Penny has been begging her to do it and reassuring her that it will be all right.
This is an ethical dilemma that can cause any advanced practice nurse moral distress. In this case, the patient, who happens to be a doctor who is knowledgeable about analgesic prescriptions, requests for a stronger analgesic which is not prescribed, and addictive. According to the ethical principle of beneficence, the nurse ought to do what is good for the patient. In this case, the patient believes that morphine would be the best for her (Yeo, Moorhouse, Khan, & Rodney, 2010). If she could guarantee that she would not be addicted to the opiod, she would be right. But is it morally right for the nurse to make the gamble? The principle of non-maleficence requires medical practitioners to do no harm to patients (Christen, Ineichen, & Tanner, 2014). If the nurse in this case administered morphine and got the patient addicted to it, she would have violated this ethical principle. Legally, it would be wrong to administer morphine to the patient when it is unprescribed, even if it is at the doctor’s request. The nurse is however at a loss whether it is morally right or wrong. This dilemma is a great example of the many distressing ethical challenges that advanced practice nurses face in patient care.