What is Ethical Legal Dilemma and how can it affect Advanced

Consider the Ethical Legal Dilemma Case below :
A 49 years old female married pregnant patient was admitted into the Labor and Delivery (L & D) unit. Patient is 28 weeks pregnant, with gravida 7, para 0, term is 0, preterm is 0, spontaneous abortion is 6, and living is 0. Patient has chronic hypertension and uncontrolled insulin dependent diabetic mellitus (IDDM). Current presentation and complaint at the triage consists of complaint of lower abdominal pain and contraction, spotting or mild bleeding, fever and high blood pressure. The L & D Nurse Practitioner after close examination, discovered that the patient had placenta pancreta, oligohydramnios, and fetal monitoring shows non-reassuring fetal heart rate consistent with Tetralogy of Fallot. The patient, husband and other family members who accompanied her to the hospital, all strongly believe that the pregnancy would follow a full course and be successful. They already have a name for the baby and a nursery also well-furnished and prepared and ready. The patient continued to tell the nurse that her baby is alright and that she would do anything to carry her baby to term. Meanwhile, the delivery team have already been notified about a potential ceasarian section that should occur within 72 hours inorder to save the life of the woman and the baby if possible. The Advanced Practice Nurse did not know how to break the news to this hopeful patient.
The scenario above poses a common ethical dilemma to the Advanced Nurse Practitioner. Note the following:

Apply theoretical frameworks and concepts to ethical dilemmas in the advanced nurse’s practice role.
Demonstrate integrity through the application of relevant codes of conduct and social responsibility within one’s profession.

Instructions: Please, answer the questions below.

Create an ethical legal decision-making dilemma involving an advanced practice nurse in the field of education, informatics, administration, or a nurse practitioner. ( Please, use the scenario given above). 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.

Submit the paper using the most recent version of APA format. Use the template provided below for the paper. The paper should have a minimum of seven citations and some of these should be case law or applicable statutes. The APA Manual and the textbook have instructions on legal formatting.
Template Begins here
Title of Paper

Write a short introductory paragraph or two here.No heading.Remember, the title of the paper is not a heading.

Level 1 Heading Here

Write content here.

Next Level 1 Heading Here

Continue this way throughout paper.

Level 2 Heading Here

If you need Level 2 headings, place those where needed.Always have two for each level heading that you use.

Next Level 2 Heading Here

Write content here.

Bring the paper to an end with a conclusion.A conclusion is not a summary.The conclusion brings us home by tying it all together.


Able, E. F., Cain, J. K., & Daniels, L. M. (year). Title of webpage/article, if article. Retrieved from URL [Note, no period at end of this kind of entry]

Author, A. B., & Author, C. D. (year). Title of reference. Where located. This is the basic formula for all reference entries. The following are some examples.

Boyer, R. M. (year). Title of journal article. Title of Journal, volume , (issue ) [Do not include the word volume or issue; only include numbers], pages numbers of article [include numbers only; if a range of numbers, separate with a hyphen, i.e. XX-YY).

Elephant, N. O. (year). Title of chapter. In P. Q. Frank & R. S. Grant (Eds. [if listed as editor(s) on book; leave off if not]), Title of book here (3rd ed. [if edition number present], pp.XX-YY). City, STATE ABBREVIATION: Jones and Bartlett [Note, no “Publisher” or other words used].

Higgs, T. U. (year). Title of book (edition number, if one, as: xth ed.). City, STATE ABBREVIATION: Publisher.

Johnson, X. Y. [user name] (Producer). [If only the user name is provided, use thatname in place of the author name.] (year, month day). Title of video [Video file].Available from URL
Template ends here

Textbook Readings
Essentials of Nursing Law and Ethics

Chapter 5: “Defenses to Negligence or Malpractice”
Chapter 6: “Prevention of Malpractice”
Chapter 7: “Nurses as Witnesses”
Chapter 8: “Professional Liability Insurance”
Chapter 9: “Accepting or Refusing an Assignment/Patient Abandonment”
Chapter 10: “Delegation to Unlicensed Assisted Personnel”
Chapter 37: “Staffing Issues and Floating”

Journal Readings
Please retrieve and read the following journal articles. Articles can be located through a search in the CINAHL database, OVID databases in the library.
American Nurses Association Nursing World. (2016). Patient safety: Rights of registered nurses when considering a patient assignment. Retrieved from
American Nurses Association Nursing World. (2009). Patient safety: Rights of registered nurses when considering a patient assignment. Retrieved fromhttp://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/Positions-and-Resolutions/ANAPositionStatements/Position -Statements-Alphabetically/Patient-Safety-Rights-of-Registered-Nurses-When-Considering-a-Patient-Assignment.html
Anselmi, K. K. (2012). Nurses’ personal liability vs. employers’ vicarious liability. MEDSURG Nursing, 21(1), 45–48.
Web Resources