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NURS FPX 4000 Assessment 1

Applying Ethical Principles

Healthcare professionals are often faced with ethical dilemmas in their daily work that force them make decisions based on moral convictions and value. Health care professionals use autonomy, beneficence and non-maleficence to make decisions. The phrase “prima facie” was coined by W. D. Ross to describe the idea that a principle of morality is valid unless they contradict another principle. In this case, one has to make a choice (Othman & Hamid, 2018).

Case Study Overview

E.L Straight, a newly-appointed head of medical practitioners, has implemented many new policies which seem to improve patient care. Prior to his arrival, the hospital lacked many policies that affected quality. Since he took over, the results have been satisfactory. The clinical expertise of the famous Hopewell staff surgeons, who have probably been there for years, has not impressed. He was disliked by almost everyone for his mistakes. E.L Straight realized that he was ineligible and decided to take action in order to lose his privilege. However, he then stopped because Dr Cutrite had a stronger political mind than his own. Straight decided to put the issues aside and defend his position. NURS FPX4000: Assessment 1 – Applying Ethical principles

The Dr Cutrite made the same mistake as before, putting a needle protecter in the stomach of the patient. He didn’t realize it at the time. A nurse supervisor brought him to his attention when she found a missing needle protector in the surgical leftover. By then, the patient had been discharged and the case presented to E.L Straight. Straight was surprised as he had not expected this of a senior surgeon. He ordered the nurse immediately to bring the patient back, asking for an important surgical checkup. He also checked to see if Dr Cutrite had been informed. The nurse supervisor replied quickly, saying that Cutrite didn’t care at all about this and had ordered us not to discuss this anymore. He believes that the only thing the plastic cover can do is cause a little discomfort. The attempt to re-engage the patient and bring up this issue is vague. E.L. was even more shocked because he thought it was unethical.

Straight called a Meeting with the Hospital Chief and received no wholesome suggestions. Although the chief was aware that it was not appropriate, he couldn’t risk hospital’s reputation. Straight was accustomed to being confused, but it appears that he is now going to be in a more anxious state. Straight faces an ethical dilemma. Should he correct the mistake, which can cause discomfort to a patient (Darr and al. 2017).


In this case, E.L Straight faces an ethical dilemma because the hospital is not in agreement with the new surgery of the patient. E.L Straight cares about the health of the patient and is inclined to remove the plastic cap on the patient’s stomach. The other medical staff who are involved do not approve of the dos o. E.L Straight is now in a state of apprehension. E.L Straight has given suggestions that are in line with the main concern of the hospital about its reputation.

Primary outcomes were determined by the International Patient Decision Aid Standards, or IPDAS. These were the characteristics of the decision and the process. Secondary outcomes included effects on behaviour, health and the healthcare system. Researchers combined results using a random effects model by using mean differences (MDs), and risk ratios. Researchers conducted a subgroup study of trials that used patient decision support as both a tool for pre-consultation and during consultation (Stacey, et. al., 2018).

This study is aimed at finding research that focuses on ethical and legal questions in medicine care. This study provides nurses and healthcare professionals an overview of complaints and possible solutions for care of elderly patients. The Aveyard method was used to search the PubMed CINAHL and Ethic Share databases for publications on the ethical and legal issues in geriatrics care.

NURS FPX 4000 Assessment 1

The three elements of the decision-making model used in medical practice are:

  1. Moral Awareness
  2. Moral Judgement
  3. Ethical Behaviour

The moral awareness approach focuses on the balance between a professional’s positive and negative impacts. All activities are assessed based on the effects they have, and not on the basis of moral principles or laws underlying them.

The moral judgement includes five steps: (1) frame the problem, (2) describe the possibilities, (3) find a solution to the problem, (4) implement the solution and (5) reflect on and assess the entire procedure. The moral judgment includes five steps: (1) frame the issue, (2) describe possible solutions, (3) implement the solution, (4) reflect and evaluate the entire procedure.

Applying Ethical principles

According to Price et. al.’s (2019) Ethical Behaviour Approach in Health Care, a situation must be considered in terms of its compatibility with legislation, patient responsibilities and fairness and balance when determining whether or not it is ethical.

According to the case scenario, E.L Straight’s ethical dilemma shows that he places great importance on moral awareness in his treatment of patients. He also used the ethical behavior approach to protect the patients from discomfort due to the hospital negligence. He also used the moral judgement method to ensure that the patient would not suffer pain for the rest of her life because she had a plastic covering in her stomach. He is paranoid because of the ethical dilemma.

Effectiveness of communication approaches in a Case Study

Communication between healthcare professionals, and their patients is key to achieving persuasive communication with the public. Research shows that a healthcare professional’s communication skills are strongly correlated with a patient’s ability to follow medical advice, manage a chronic condition themselves, and adopt healthy habits.

The case study shows that the nurse supervisor has a better understanding of how to communicate the problem, as she notices it immediately and brings it to the attention of the director. E.L Straight also considered communication a powerful tool and made his suggestion known to the committee and chief. He was disappointed that his suggestion was ignored and not implemented. We can infer that E.L Straight may have lacked the proper communication skills to persuade Chief. The Dr Cutrite, who is the root of the problem, does not appear to have the proper communication skills as he didn’t want the nurse supervisor highlighting the issue. Communication is crucial to making ethical decisions and staying with them. Communication tool allows medical staff to make decisions and take action with confidence (Doherty, 2020).

Applying Ethical Principles to Resolve the Ethical Dilemma

The four moral concepts are used to overcome moral dilemmas in health care. This includes autonomy, beneficence and nonmaleficence. They are often used in medical practice. All of these terms, including autonomy, beneficence and nonmaleficence all refer to treating patients without bias and equitably. Beneficience is defined by the act of acting in the best interest of patients. The ethical dilemma that E.L Straight faces in this situation involves three of the four principles of medical ethic.

NURS FPX4000 Assessment 1

Straight faces an ethical dilemma in the present case study due to the conflict between justice and the principle of nonmaleficence. He believed that it was the moral right of every patient to be treated with respect by the hospital. He also knows that a patient has the right to be discharged if there are no health problems that could cause him or her trouble in the future. You can contact local health bodies or NGOs such as UNICEF and WHO to resolve this dilemma. Hospital personnel cannot take such an unethical action and risk the patient’s life. ACA Act states that it is unmoral to not put the patient’s needs first. By highlighting this issue, the hospital can work towards improving its ethical standards. (Morley et al 2020).

FAQS (Frequently Asked Questions)

What is NURS FPX 4000 Assessment 1?

NURS FPX 4000 Assessment 1 is a class assignment that focuses on enhancing communication skills in nursing practice through various exercises and scenarios.

What are the objectives of this assessment?

The main objectives are to improve verbal and non-verbal communication, patient interaction, and interdisciplinary collaboration in nursing care.

How is the assessment conducted?

The assessment may include role-playing, case studies, and simulations where students demonstrate effective communication with patients and healthcare teams.

What topics are covered in this assessment?

Topics covered include therapeutic communication, active listening, empathy, cultural competence, and conflict resolution.

How does this assessment benefit nursing students?

This assessment helps nursing students develop vital communication skills essential for providing high-quality patient care and fostering professional relationships.

Are there any resources provided to prepare for the assessment?

Yes, instructors may provide study materials, guidelines, and resources on effective communication to help students prepare for the assessment.

Is feedback provided after the assessment?

Yes, feedback is given to students, highlighting their strengths and areas for improvement in communication skills.

How does this assessment align with nursing practice?

Effective communication is a fundamental aspect of nursing practice, and this assessment helps students apply these skills in real-life scenarios.

Can students work in groups for this assessment?

The format may vary, but some assessments may involve group activities to promote teamwork and collaborative communication.

How does this assessment impact future nursing practice?

By mastering communication skills, students can deliver safe, patient-centered care and contribute to positive healthcare outcomes in their careers.


The four principles of ethics in health care can be used by healthcare workers to resolve moral dilemmas. E.L. Straight, in the case study must decide whether to protect the patient’s right to undergo a new surgery or preserve the reputation of hospital by obscuring these errors. As a director of health care, he can feel proud by helping patients find medical care. To address E.L. Straight’s ethical dilemma, it is suggested to uphold the norms autonomy, beneficence and nonmaleficence.