Ethical Nursing APA Assignment
Three moves, and the last two are different questions. What a nurse should ethically do and what a nurse is legally exposed to are separate analyses, and merging them loses one of them.
Editorial process
Last reviewed · August 22, 2026
Ethical action and legal exposure are different questions
Choose the article for the issue rather than for the story, because a news piece about a dramatic case often contains no bioethical question at all. A usable article raises something with genuinely competing answers: consent in a population that cannot easily give it, resource allocation, genetic information and who else it concerns, end-of-life decisions, research in low-income settings, or the use of algorithms in clinical decisions. Summarise it briefly and then name the issue as a conflict between two things worth having, because an issue stated as a wrong to be corrected leaves nothing for the rest of the assignment to analyse. Test the article before committing: if you can state the issue in a sentence and someone could reasonably disagree with the obvious answer, it will carry the assignment; if the answer is plainly right, choose another article and save yourself the difficulty later.
Then keep the two questions apart, because they are asked separately and answering one twice is the commonest failure. The ethical actions question is about what a nurse ought to do: advocate, escalate through the chain, request an ethics consultation, document, ensure the patient understands, raise a conscientious objection through the proper route, or refuse to participate. Be specific about the mechanism rather than saying the nurse should advocate for the patient, since most institutions have an ethics committee and a defined route to it, and knowing that route is part of the competence being tested. The legal issues question is about exposure and obligation: scope of practice, mandatory reporting, documentation as evidence, informed consent as a legal requirement distinct from an ethical one, confidentiality and its statutory exceptions, and the protections that do or do not exist for a nurse who refuses or reports. Note where the two diverge, because the gap is where nurses actually get into difficulty.
Likely learning objectives
- Select an article containing a genuine bioethical conflict.
- State the issue as competing goods rather than as a wrong.
- Specify ethical actions with the institutional mechanism attached.
- Distinguish legal exposure from ethical obligation.
Assignment instructions
Read the full question
Review every instruction before using the planning guidance that follows.
Assignment: 1. Locate an article that discusses a bioethics issue. First, provide a summary of the article and the bioethics issue being presented. Next, discuss what ethical actions the nurse should take in relation to the issue being presented. Also, discuss possible legal issues that the nurse should be aware of. This section should include at least 1 outside reference and your textbook and should be at least 1 ½ pages long. 2. Analyze the following case study and then answer the following questions: You are working on the Operating Room and the trauma alert goes off. You respond to the ER to provide support. Once in the ER, you receive report that an 89 year old male is coming in with a self-inflicted GSW (Gun Shot Wound) to the head. You listen to the radio traffic between the ER and ambulance to get an idea what kind of surgery you need to set up for and what will be needed as far as lines and fluid. Here is the report: HR: 121 B/P: 60/45 Saturation: 93% Patient is intubated and non-responsive. Right pupil is fixed and dilated. Paramedic also states there is a large extended family headed to the ER. The patient lost his wife of 60 years 1 week ago and left a note stating that he is too heartbroken to go on. The patient and family arrive. The neurosurgeon discusses that their father’s potential outcome, even with surgery, is not good. The family still insists that the neurosurgeon complete the surgery. 1. What are the ethical and legal issues in this case study. Be specific and support your response with references Once you have the patient in the room and you are prepped and ready for surgery, the phone rings. You receive word that the patient signed DNR orders two days ago. 1. As the OR nurse what are your legal and ethical issues now? Was the patient of sound mind when he signed this order? Do you honor the DNR or the family’s wishes? Explain and support your response. Your response to this case study should be at least 2 pages and include 2 outside references and your textbook. Please submit one paper which includes both assignments.
Turn the brief into deliverables
- 01A summary of the chosen article.
- 02The bioethics issue stated as a conflict.
- 03Ethical actions the nurse should take, with mechanisms.
- 04A named route such as an ethics consultation.
- 05Legal issues the nurse should be aware of.
- 06A point where the legal and ethical answers diverge.
The article, the issue, the action, then the legal exposure
The article and its issue
Summarise the article and state the bioethical conflict it raises.
What the assessor is likely looking for
An issue with two defensible sides.
What the nurse should do
Give ethical actions with the institutional mechanism for each.
What the assessor is likely looking for
A named route such as an ethics consultation or chain of escalation.
Where the obligation comes from
Tie the actions to the professional code rather than to personal judgement.
What the assessor is likely looking for
A code provision cited rather than a general duty.
Legal exposure
Cover scope, reporting, documentation, consent and confidentiality exceptions.
What the assessor is likely looking for
An exposure that exists independently of the ethical analysis.
Where the two diverge
Identify a point where what is lawful and what is right come apart.
What the assessor is likely looking for
A divergence with a practical consequence for the nurse.
Where bioethics and nursing legal standards are documented
Recommended databases
- NCBI Bookshelf
- PubMed Central
- State board of nursing
- University Library
Search sequence
- 1.Choose the article for the conflict it raises, not for its news value.
- 2.Find your institution's or a typical ethics consultation process.
- 3.Check your state's mandatory reporting and confidentiality exceptions.
- 4.Look up the protections for a nurse who refuses to participate or reports.
Reference shortlist
These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.
Medical Ethics
StatPearls, NCBI Bookshelf · 2026
Medical ethics, for framing the issue and the principles engaged.
Informed Consent
StatPearls, NCBI Bookshelf · 2023
Informed consent, as an obligation that is both ethical and legal.
2025 Code of Ethics for Nurses
American Nurses Association · 2025
The professional code, for the source of the nurse's ethical obligations.
Health Insurance Portability and Accountability Act (HIPAA) Compliance
StatPearls, NCBI Bookshelf · 2023
Privacy obligations, for the confidentiality exposure and its exceptions.
Nursing Scope and Standards of Practice
American Nurses Association · 2021
Scope and standards, for the legal boundary of what the nurse may do.
Before you submit this assignment
Common mistakes
- Choosing an article that reports a case but raises no ethical conflict.
- Answering the ethical and legal questions with the same content.
- Saying the nurse should advocate without naming a mechanism.
- Treating informed consent as purely ethical when it is also a legal requirement.
- Omitting whistleblower or refusal protections, which are the practical legal question.
Submission checklist
- Does your article contain a real conflict?
- Is the issue framed as competing goods?
- Do the ethical actions name an institutional route?
- Is the legal section about exposure rather than ethics?
- Have you identified where the two answers differ?
Use this guide to plan and review your own work. Follow your institution's rules and read Brinevia's academic-integrity policy.
Written by
Maren Caldwell
MSN, RN, CNE
Medical-surgical nursing, pharmacology and NCLEX preparation
Maren is a registered nurse with over 15 years of clinical and educational experience in medical-surgical nursing. She writes on NCLEX preparation, patient care fundamentals, pharmacology and evidence-based practice.

Reviewed by
Dr. Tessa Redmond
DNP, RN, CNE
Evidence-based practice and clinical education
Tessa is a doctorally-prepared nurse educator. She reviews Brinevia content for clinical accuracy and alignment with current evidence-based guidelines.