Ethical Case Studies for Advanced Practice Nurses: Solving Dilemmas in Everyday Practice

Healthcare delivery can present ethical conflicts and dilemmas for advanced practice registered nurses (APRNs)―nurses who already have a myriad of responsibilities in caring for patients.

Ethical Case Studies for Advanced Practice Nurses improves APRNs’ agility to resolve ethical quandaries encountered in primary care, hospital-based, higher education, and administration beyond community settings. Through case studies examining various types of ethical conflicts, the authors empower APRNs and students with the critical knowledge and skills they need to handle even the most complex dilemmas in their practice. By applying a set of criteria and framework, this book guides APRNs to use critical thinking to make ethically sound decisions.

TABLE OF CONTENTS
Case Study #1: Defensive Medicine
Case Study #2: STI Confidentiality
Case Study #3: Substance Use in Pregnancy
Case Study #4: HPV Vaccine Refusal
Case Study #5: Abortion
Case Study #6: Prostate Cancer Screening with Prostate-Specific Antigen
Case Study #7: Administration of Long-Acting Injectable Antipsychotics
Case Study #8: Depression Screening in Adolescents
Case Study #9: Treatment of Resistant Anxiety
Case Study #10: COVID-19 Vaccine in Adolescence
Case Study #11: Medical Emancipation Versus Confidentiality in Transgender and Gender-Nonconforming People
Case Study #12: Childhood Obesity
Case Study #13: Dementia and Stopping Driving
Case Study #14: When to Transition to Palliative Care
Case Study #15: Prescription Refill Dilemma for Patient and Spouse in Financial Straits
Case Study #16: CRNA Labor and Delivery Epidural Pain Management With a Language Barrier
Case Study #17: Violence, Suicide, and Family Dynamics With Medical Complexity
Case Study #18: Psychiatric Acute Concerns and Fall Risks
Case Study #19: Telehealth
Case Study #20: Guiding a School of Nursing Through COVID-19 Focusing on Clinical Placements
Case Study #21: Emergency Department Closure Decision-Making: Health System and Community Impact
Case Study #22: Ethical Dilemmas in School of Nursing Leadership Pre-COVID-19

Amber L. Vermeesch, PhD, MSN, RN, FNP-C, FACSM, FNAP, ANEF, is the Department Chair for Family and Community Nursing at the University of North Carolina at Greensboro.

Patricia H. Cox, DNP, MPH, MN, BSN, RN, is the former Director of Doctoral Nursing Education & Practice at the School of Nursing at the University of Portland.

Inga M. Giske, DNP, MSN, RN, PMHNP-BC, PMH-BC, NE-BC, serves as a psychiatric nurse practitioner on the Psychiatric Consult-Liaison service at Providence St. Vincent Medical Center.

Katherine M. Roberts, DNP, BSN, RN, FNP-C, is a recent DNP graduate from the University of Portland.