Assignment Question
MA is an 85-year-old female living in a long-term care facility. She has significant cognitive decline, and her physician has even said that death is near with her other health issues including renal failure and CHF. She has been on blood thinners for years due to a valve replacement 20 years ago. She cries in agony with each fingerpick and can barely tolerate the lab draws if needed to check her INR. Is continual monitoring of the INR needed given her terminal status? Write a 2- to 3-page paper that addresses the following: Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family. Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state. Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation. Explain the process of writing prescriptions, including strategies to minimize medication errors. Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The College of Nursing Writing Template with Instructions provided at the Walden Writing Center offers an example of those required elements (available at to an external site.). All papers submitted must use this formatting. Explain the ethical and legal implications of the scenario you selected on all stakeholders involved such as the prescriber, pharmacist, patient, and the patient’s family. 25 to >22.25 pts Excellent The response accurately and thoroughly explains in detail the ethical and legal implications of the scenario selected on all stakeholders involved. … The response includes accurate, clear, and detailed explanations as to how these implications affect the prescriber, pharmacist, patient, and the patient’s family. 22.25 to >19.75 pts Good The response explains the ethical and legal implications of the scenario selected on all stakeholders involved. … The response includes accurate explanations as to how these implications affect the prescriber, pharmacist, patient, and the patient’s family. 19.75 to >17.25 pts Fair The response inaccurately or vaguely explains the ethical and legal implications of the scenario selected for all stakeholders involved. …
The response includes vague explanations as to how these implications affect the prescriber, pharmacist, patient, and the patient’s family. 17.25 to >0 pts Poor The response vaguely and inaccurately explains the ethical and legal implications of the scenario selected for all stakeholders involved, or the response is missing. … The response vaguely and inaccurately explains how these implications affect the prescriber, pharmacist, patient, and the patient’s family, or is missing. 25 pts This criterion is linked to a Learning Outcome Describe strategies to address disclosure and nondisclosure as identified in the scenario selected. Be sure to reference laws specific to your state. 20 to >17.8 pts Excellent An accurate, detailed, and clear description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided. … The response includes specific, detailed, and accurate reference to state laws related to the scenario. 17.8 to >15.8 pts Good An accurate description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided. … The response includes accurate reference to state laws related to the scenario. 15.8 to >13.8 pts Fair A vague or inaccurate description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided. … The response includes inaccurate or vague reference to state laws related to the scenario. 13.8 to >0 pts Poor A vague and inaccurate description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided, or is missing. … The response includes vague and inaccurate reference to state laws related to the scenario, or is missing. 20 pts This criterion is linked to a Learning OutcomeExplain two strategies that you, as an advanced practice nurse would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation. 20 to >17.8 pts Excellent The response accurately and thoroughly explains in detail at least two strategies that an advanced practice nurse would use to guide decision making in the scenario. … The response accurately and completely explains whether they would disclose the error, including an accurate, detailed, and clear justification for the explanation provided. 17.8 to >15.8 pts Good The response accurately explains at least two strategies that an advanced practice nurse would use to guide decision making in the scenario. …
The response accurately explains whether they would disclose the error, including an accurate justification for the explanation provided. 15.8 to >13.8 pts Fair The response inaccurately or vaguely explains at least two strategies that an advanced practice nurse would use to guide decision making in the scenario, or only explains one strategy. … The response inaccurately or vaguely explains whether they would disclose the error, including a justification that is vague, inaccurate, or misaligned to the explanation provided. 13.8 to >0 pts Poor The response inaccurately and vaguely explains only one strategy that an advanced practice nurse would use to guide decision making in the scenario, or is missing. … The response inaccurately and vaguely explains whether they would disclose the error, with no justification provided, or is missing. 20 pts This criterion is linked to a Learning OutcomeExplain the process of writing prescriptions including strategies to minimize medication errors. 20 to >17.8 pts Excellent The response provides an accurate, detailed, and thorough explanation of the process of writing prescriptions, including detailed strategies to minimize medication errors. 17.8 to >15.8 pts Good The response provides an accurate explanation of the process of writing prescriptions, including some strategies to minimize medication errors. 15.8 to >13.8 pts Fair The response provides an inaccurate or vague explanation of the process of writing prescriptions, including inaccurate or vague strategies to minimize medication errors. 13.8 to >0 pts Poor The response provides an inaccurate and vague explanation of the process of writing prescriptions, including inaccurate and vague strategies to minimize medication errors, or is missing. 20 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. 5 to >4.45 pts Excellent Paragraphs and sentences follow writing standards for flow, continuity, and clarity. 4.45 to >3.95 pts Good Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. 3.95 to >3.45 pts Fair Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. 3.45 to >0 pts Poor Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time. 5 pts This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 5 to >4.45 pts Excellent Uses correct grammar, spelling, and punctuation with no errors 4.45 to >3.95 pts Good Contains a few (1–2) grammar, spelling, and punctuation errors 3.95 to >3.45 pts Fair Contains several (3–4) grammar, spelling, and punctuation errors 3.45 to >0 pts Poor Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding 5 pts This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. 5 to >4.45 pts Excellent Uses correct APA format with no errors 4.45 to >3.95 pts Good Contains a few (1–2) APA format errors 3.95 to >3.45 pts Fair Contains several (3–4) APA format errors 3.45 to >0 pts Poor Contains many (≥ 5) APA format errors 5 pts
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