Ethical and Legal Implications of Prescribing Drugs What type of drug should you prescribe based on your patient’s diagnosis?

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Discussion: 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? These are some of the questions you might consider when selecting a treatment plan for a patient. As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives on a daily basis. 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 presсrіptive authority. In this Discussion, you explore ethical and legal implications of scenarios and consider how to appropriately respond. Scenario 1: As a nurse practitioner, you prescribe medications for your patients. You make an error when prescribing medication to a 5-year-old patient. Rather than dosing him appropriately, you prescribe a dose suitable for an adult. Scenario 2: A friend calls and asks you to prescribe a medication for her. You have this autonomy, but you don’t have your friend’s medical history. You write the presсrіption anyway. Scenario 3: You see another nurse practitioner writing a presсrіption for her husband who is not a patient of the nurse practitioner. The presсrіption is for a narcotic. You can’t decide whether or not to report the incident. Scenario 4: During your lunch break at the hospital, you read a journal article on pharmacoeconomics. You think of a couple of patients who have recently mentioned their financial difficulties. You wonder if some of the expensive drugs you have prescribed are sufficiently managing the patients’ health conditions and improving their quality of life. To prepare: • Review Chapter 1 of the Arcangelo and Peterson text, as well as articles from the American Nurses Association, Anderson and Townsend, the Drug Enforcement Administration, and Philipsend and Soeken. • Select one of the four scenarios listed above. • Consider the ethical and legal implications of the scenario for all stakeholders involved such as the prescriber, pharmacist, patient, and the 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. 

Anatomy and Physiology

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Exam: 084089RR Anatomy and Physiology

  1. Which one of the following is a strong, narrow cord of fibrous tissue that attaches muscle to bone?
  2. Tendon
  3. Ligament
  4. Phalanx
  5. Fascia
  1. The _______ is responsible for closing the airway to the lungs when one swallows.
  2. pharynx
  3. epiglottis
  4. larynx
  5. glottis
  1. Which one of the following statements about colds is false?
  2. Colds result from contact with other affected people.
  3. Colds are caused by bacteria.
  4. Chicken soup and antibiotics work equally well as treatment for colds.
  5. There’s no immunity to colds.
  1. The cardiovascular system consists of
  2. blood, blood vessels, and the heart.
  3. blood, blood vessels, the heart, lymph, lymph vessels, and lymphatic tissues.
  4. the heart, blood vessels, and lymph vessels.
  5. the heart and coronary arteries.
  1. The most complicated part of the brain is the
  2. brain stem.
  3. cerebellum.
  4. thalamus.
  5. cerebrum.
  1. The inner ear works with which brain structure to maintain equilibrium and balance?
  2. Medulla oblongata
  3. Hypothalamus
  4. Pons
  5. Cerebellum
  1. What is blood serum?
  2. Plasma with a clotting factor removed
  3. Fluid remaining after plasma is removed from whole blood
  4. Clear, yellowish fluid in which blood cells are suspended
  5. Whole blood
  1. The _______, which is situated beneath the pharynx, is responsible for producing vocal sounds.
  2. thalamus
  3. epiglottis
  4. larynx
  5. tongue
  1. In osteoporosis, the bones are soft and weak because
  2. there’s infection of the bone marrow.
  3. old tissue isn’t replaced quickly enough.
  4. the dead bone separates from the good bone.
  5. there’s too much calcium and phosphorus.
  1. What is bradycardia?
  2. Pain referred to the arm during a heart attack
  3. A blood vessel conveying blood to the arm
  4. Abnormally rapid heartbeat
  5. Abnormally slow heartbeat
  1. All of the following are factors in upper respiratory diseases except
  2. allergens.
  3. lowered body temperature.
  4. viruses.
  5. bacteria.
  1. The condition often called the “silent killer” is also known as
  2. hypertension.
  3. arteriosclerosis.
  4. coronary artery disease.
  5. anemia.
  1. Which of the following are degenerative illnesses?
  2. Chondrodynia and sternotomy
  3. Rheumatoid arthritis and muscular dystrophy
  4. Cardiac arrest and pulmonary thrombosis
  5. Dehydration and polydipsia
  1. Which of the following represents average blood pressure?
  2. 80/120
  3. 100/60
  4. Between 60 and 100
  5. 120/80
  1. What portion of the brain controls respiration?
  2. Medulla oblongata
  3. Pituitary gland
  4. Midbrain
  5. Cerebellum
  1. The period of relaxation in the cardiac cycle is
  2. depolarization.
  3. diastole.
  4. asystole.
  5. systole.
  1. Which of the following statements is not correct?
  2. Sensory nerves are efferent nerves.
  3. Nerves are made of sensory and/or motor fibers.
  4. The medulla oblongata connects the spinal cord to the rest of the brain.
  5. There are 12 pairs of cranial nerves.
  1. Which term indicates a “true” heart attack?
  2. Myocardial infarction
  3. Congestive heart failure
  4. Cardiac arrest
  5. Angina pectoris
  1. Bronchogenic carcinoma is cancer of the
  2. brain.
  3. lungs.
  4. throat.
  5. skin.
  1. Which of the following choices is a common symptom of anemia?
  2. Fatigue
  3. Fever
  4. Swollen lymph nodes
  5. Sore throat

Exam: 084088RR – Medical Terminology

  1. The meaning of analysis is
  2. absence of whole.
  3. to dissect.
  4. a cutting apart.
  5. a separating into parts.
  1. Which one of the following choices is a combining form, not a prefix or suffix?
  2. PATHO
  3. OPSY
  4. CENTESIS
  5. RETRO
  1. Which one of the following prefixes means “through”?
  2. “Pro”
  3. “Peri”
  4. “Pre”
  5. “Per”
  1. Which one of the following choices would be the ending of a term indicating the surgical removal of a

body part?

  1. “Ectomy”
  2. “Cision”
  3. “Itis”
  4. “Osis”
  1. Individuals with high blood pressure are often prescribed _______ by their physicians.
  2. hypoglycemics
  3. hypolipidemics
  4. antihyperlipidemics
  5. antihypertensives
  1. The organs of the abdominal cavity are called
  2. viscera.
  3. mediastinal.
  4. pleural.
  5. fascia.
  1. _______ are often used to prevent nausea and vomiting.
  2. Keratolytics
  3. Antitussives
  4. Antihistamines
  5. Antiemetics
  1. _______ are typically used to block pain.
  2. Anesthetics
  3. Antipruritics
  4. Anticoagulants
  5. Analgesics
  1. A patient lying horizontally on his or her belly is in the _______ position.
  2. prone
  3. laterally recumbent
  4. recumbent
  5. supine
  1. Your little toe is _______ to your torso.
  2. proximal
  3. lateral
  4. superior
  5. medial
  1. Which one of the following choices best describes a cell?
  2. A specialized body part composed of tissues
  3. Any complex living being, plant or animal
  4. The smallest “living” structure in the body
  5. A structure in the cytoplasm
  1. The pelvic cavity houses the
  2. brain and pituitary gland.
  3. urinary and reproductive organs.
  4. heart and lungs.
  5. major organs of digestion.
  1. In medical terminology, a _______ generally turns a word into a diagnosis or medical procedure.
  2. root
  3. suffix
  4. prefix
  5. combining form
  1. Which one of the following words is related to the axial skeleton?
  2. Brachial
  3. Metacarpal
  4. Patella
  5. Cranium
  1. A physician whose specialty is to diagnose and treat diseases and disorders involving the bones, joints,

and muscles is called a/an

  1. gerontologist.
  2. oncologist.
  3. orthopedist.
  4. chiropractor.
  1. The word parts -ac, -al, -ary, and -ic are all
  2. prefixes that function as prepositions.
  3. adjective suffixes meaning “pertaining to.”
  4. noun suffixes indicating procedures.
  5. pseudosuffixes formed from roots.
  1. The correct order for analyzing the parts of medical terms is
  2. prefix, root, suffix.
  3. root, suffix, prefix.
  4. suffix, root, prefix.
  5. suffix, prefix, root.
  1. The _______ is an axial body part.
  2. phalanx
  3. neck
  4. carpus
  5. tarsus
  1. What is the prefix meaning “excessive, above”?
  2. HYPOB.

-HYPO

  1. -HYPER
  2. HYPER
  3. Which one of the following suffixes means “inflammation”?
  4. -ITIS
  5. -DYNIA
  6. -OSIS
  7. -EMIA

Describe how these differ from the education requirements, job functions, and salary in the United States.

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Weekly tasks or assignments (Individual or Group Projects) will be due by Monday and late submissions will be assigned a late penalty in accordance with the late penalty policy found in the syllabus. NOTE: All submission posting times are based on midnight Central Time.

Library Research Project

You have decided you would like to work in a foreign country as a health care financial professional. Choose the country and the type of position within health care finance or health care management. You would like to know how medical education, job duties, and pay in the country of your choice compares to the training and experience received in the United States.

Using the library, Internet, and other resources, address the following:

  • Provide the education requirements, job functions, and salary for your chosen medical profession in the chosen country.
  • Describe how these differ from the education requirements, job functions, and salary in the United States.

Formulate a policy for making both the hiring and promotional decisions related to the job opportunity. Specify the major challenges and potential adverse impact of using subjective criteria for assessing soft skills.

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Imagine that you are the HR Director at your current organization or an organization with which you are familiar. As the HR Director, you must use different employment law requirements to create methods and policies that support the promotion of a diverse workforce. Select one (1) job opportunity that you have held or with which you are familiar within the same organization for this scenario.

(Note: You may create and / or make all necessary assumptions needed for the completion of these assignments. In your original work, you may use aspects of existing processes from either your current or a former place of employment. However, you must remove any and all identifying information that would enable someone to discern the organization[s] that you have used.)

Write a ten to twelve (10-12) page paper in which you:

  1. Develop three (3) recruitment methods for the job opportunity in question, and suggest two (2) ways that each method helps one to avoid discriminatory practices. Justify your response.
  2. Outline an application process that details the organization’s method of accepting all applications, as well as its method of validating applicants’ attainment of the required credentials (e.g., reviewing resumes, collecting transcripts, verifying certifications, etc.) for the job opportunity.
  3. Develop a five- (5) step procedure for the HR Department to use in order to maintain all applicants’ records in case a discriminatory charge occurs.
  4. Decide on three (3) background checks that the HR Department must utilize, and justify the relevance of each background check for the job opportunity.
  5. Choose three (3) employment tests (e.g., drug tests, medical examinations, HIV tests, generic tests, polygraphs, honesty tests, psychological tests, intelligence and skills tests, and physical fitness, etc.) that the HR Department should use. Justify the relevance of each selected employment test to the job requirements.
  6. Formulate a policy for making both the hiring and promotional decisions related to the job opportunity. Specify the major challenges and potential adverse impact of using subjective criteria for assessing soft skills. Next, suggest one (1) plan to mitigate the adverse impact. Justify your suggestion.
  7. Recommend two (2) types of reasonable accommodations for both disabled applicants and applicants needing special religious considerations. Argue two (2) legal reasons for not being able to sufficiently provide such reasonable accommodation for each group.
  8. Select one (1) case in which a court charged an organization with an affirmative action violation and one (1) case in which a court charged the organization with not managing harassment issues more expeditiously. Recommend an action plan geared toward preventing the issues addressed in both cases within your selected organization. Justify your recommendation.
  9. Choose three (3) work-life conflicts that the HR Director should consider within the selected organization. Then, outline a policy geared toward resolving each conflict through the use of related employment laws. Justify your response.
  10. Use at least four (4) quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.