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NURS 6512 Assignment 2: Ethical and Legal Implications of Prescribing Drugs

What type of drug should you prescribe based on your patient’s diagnosis? How much of
the drug should the patient receive? How often should the drug be administered? When
should the drug not be prescribed? Are there individual patient factors that could create
complications when taking the drug? Should you be prescribing drugs to this patient?
How might different state regulations affect the prescribing of this drug to this patient?
These are some of the questions you might consider when selecting a treatment plan for a
patient.

Photo Credit: Getty Images/Caiaimage

As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives
every day. Patients and their families will often place trust in you because of your position. With
this trust comes power and responsibility, as well as an ethical and legal obligation to “do no
harm.” It is important that you are aware of current professional, legal, and ethical standards for
advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that
the treatment plans and administration/prescribing of drugs is in accordance with the regulations
of the state in which you practice. Understanding how these regulations may affect the
prescribing of certain drugs in different states may have a significant impact on your patient’s
treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and
consider how to appropriately respond.
To Prepare
 Review the Resources for this module and consider the legal and ethical
implications of prescribing prescription drugs, disclosure, and nondisclosure.
 Review the scenario assigned by your Instructor for this Assignment.

 Search specific laws and standards for prescribing prescription drugs and for
addressing medication errors for your state or region, and reflect on these as you
review the scenario assigned by your Instructor.
 Consider the ethical and legal implications of the scenario for all stakeholders
involved, such as the prescriber, pharmacist, patient, and patient’s family.
 Think about two strategies that you, as an advanced practice nurse, would use to
guide your ethically and legally responsible decision-making in this scenario,
including whether you would disclose any medication errors.
By Day 7 of Week 1
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 https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-
20293632). All papers submitted must use this formatting.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
 Please save your Assignment using the naming convention “WK1Assgn2+last name+first
initial.(extension)” as the name.
 Click the Week 1 Assignment Rubric to review the Grading Criteria for the
Assignment.
 Click the Week 1 Assignment link. You will also be able to “View Rubric” for grading
criteria from this area.
 Next, from the Attach File area, click on the Browse My Computer button. Find the
document you saved as “WK1Assgn+last name+first initial.(extension)” and click Open.
 If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit
my paper(s) to the Global Reference Database.
 Click on the Submit button to complete your submission.
Grading Criteria

To access your rubric:
Week 1 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:
Submit your Week 1 Assignment draft and review the originality report.

Submit Your Assignment by Day 7 of Week 1

To participate in this Assignment:
Week 1 Assignment 2

What's Coming Up in Module 2?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images
In the next module, you will examine the impact of changes in pharmacokinetic and
pharmacodynamic processes on patient drug therapy for cardiovascular disorders and the
types of drugs prescribed to patients with respiratory disorders.
Looking Ahead: Week 2 Assignment
In Week 2, your Instructor will assign you a case study related to Assignment 1 by Day 1
of the week. Please make sure to review the “Course Announcements” area of the course
to verify your assigned case study. Please plan ahead to ensure you have time to review
your case study and Learning Resources in order to complete your Assignment on time.

Photo Credit: Getty Images/iStockphoto

Practicum – Upcoming Deadline
In the Nurse Practitioner programs of study (FNP, AGACNP, AGPCNP, and PMHNP) you are
required to take several practicum courses. If you plan on taking a practicum course within the
next two terms, you will need to submit your application via Meditrek .
For information on the practicum application process and deadlines, please visit the Field
Experience: College of Nursing: Application Process – Graduate web page.
Please take the time to review the Appropriate Preceptors and Field Sites for your courses.
Please take the time to review the practicum manuals, FAQs, Webinars and any required forms
on the Field Experience: College of Nursing: Student Resources and Manuals web page.
 Field Experience: College of Nursing Quick Answers
 Field Experience: MSN Nurse Practitioner Practicum Manual
 Student Practicum Resources: NP Student Orientation
Next Week

To go to the next week:
Module 2

Rubric Detail
Select Grid View or List View to change the rubric's layout.
Content
Name: NURS_6521_Week1_Assignment_Rubric
 Grid View
 List View

Excellent Good Fair Poor

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.

Points Range: 23
(23%) – 25 (25%)
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.

Points Range: 20
(20%) – 22 (22%)
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.

Points Range: 18
(18%) – 19 (19%)
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.

Points Range: 0
(0%) – 17 (17%)
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.

Describe strategies
to address
disclosure and
nondisclosure as
identified in the
scenario selected.
Be sure to
reference laws
specific to your
state.

Points Range: 18
(18%) – 20 (20%)
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

Points Range: 16
(16%) – 17 (17%)
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.

Points Range: 14
(14%) – 15 (15%)
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.

Points Range: 0
(0%) – 13 (13%)
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. scenario, or is
missing.

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.

Points Range: 18
(18%) – 20 (20%)
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.

Points Range: 16
(16%) – 17 (17%)
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.

Points Range: 14
(14%) – 15 (15%)
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.

Points Range: 0
(0%) – 13 (13%)
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.

Explain the process
of writing
prescriptions
including strategies
to minimize
medication errors.

Points Range: 18
(18%) – 20 (20%)
The response
provides an
accurate, detailed,
and thorough
explanation of the
process of writing
prescriptions,
including detailed
strategies to
minimize
medication errors.

Points Range: 16
(16%) – 17 (17%)
The response
provides an
accurate
explanation of the
process of writing
prescriptions,
including some
strategies to
minimize
medication errors.

Points Range: 14
(14%) – 15 (15%)
The response
provides an
inaccurate or vague
explanation of the
process of writing
prescriptions,
including inaccurate
or vague strategies
to minimize
medication errors.

Points Range: 0
(0%) – 13 (13%)
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.

Written 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.

Points Range: 5
(5%) – 5 (5%)
Paragraphs and
sentences follow
writing standards
for flow, continuity,
and clarity.

Points Range: 4
(4%) – 4 (4%)
Paragraphs and
sentences follow
writing standards
for flow, continuity,
and clarity 80% of
the time.

Points Range: 3.5
(3.5%) – 3.5 (3.5%)
Paragraphs and
sentences follow
writing standards
for flow, continuity,
and clarity
60%–79% of the
time.

Points Range: 0
(0%) – 3 (3%)
Paragraphs and
sentences follow
writing standards
for flow, continuity,
and clarity less than
60% of the time.

Written Expression
and Formatting –
English writing
standards:
Correct grammar,
mechanics, and
proper punctuation

Points Range: 5
(5%) – 5 (5%)
Uses correct
grammar, spelling,
and punctuation
with no errors

Points Range: 4
(4%) – 4 (4%)
Contains a few
(1–2) grammar,
spelling, and
punctuation errors

Points Range: 3.5
(3.5%) – 3.5 (3.5%)
Contains several
(3–4) grammar,
spelling, and
punctuation errors

Points Range: 0
(0%) – 3 (3%)
Contains many (≥ 5)
grammar, spelling,
and punctuation
errors that interfere
with the reader’s
understanding

Written 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.

Points Range: 5
(5%) – 5 (5%)
Uses correct APA
format with no
errors

Points Range: 4
(4%) – 4 (4%)
Contains a few
(1–2) APA format
errors

Points Range: 3.5
(3.5%) – 3.5 (3.5%)
Contains several
(3–4) APA format
errors

Points Range: 0
(0%) – 3 (3%)
Contains many (≥ 5)
APA format errors

Total Points: 100

Name: NURS_6521_Week1_Assignment_Rubric

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