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.  

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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.

four references not more than 5years

zero plagiarism

Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.

• Chapter 1, “Prescriptive Authority” (pp. 1–3)
• Chapter 2, “Rational Drug Selection and Prescription Writing” (pp. 5–9)
• Chapter 3, “Promoting Positive Outcomes of Drug Therapy” (pp. 11–16)
• Chapter 4, “Pharmacokinetics, Pharmacodynamics, and Drug Interactions” (pp. 17–40)
• Chapter 5, “Adverse Drug Reactions and Medical Errors” (pp. 41–49)
• Chapter 6, “Individual Variation in Drug Response” (pp. 51–56)

 Application: Clinical Supervision Topic Paper
For this Assignment, you complete additional reading on a clinical supervision topic or area of interest and write a paper about the clinical supervision topic you selected.
To prepare
Select a specific topic or area of interest related to clinical supervision. When choosing a topic, avoid broad topic areas (e.g., multicultural issues in supervision, legal issues in supervision, models of supervision). Instead, select a narrow (specific) topic that will allow for in-depth study of a particular supervision issue. Examples of narrow topic areas include:
Rationale for a “competency-based approach” to clinical supervision
Dual relationship issues in clinical supervision
Malpractice issues in clinical supervision in school settings
Gender issues in clinical supervision
Effective methods and interventions for live supervision
The clinical supervisor’s role in dealing with issues of supervisee “impairment”
Clinical supervision using online medium
Seek out scholarly articles and complete additional reading on the topic you selected.
Write a position paper about the topic.
The paper will be evaluated on the extent to which it:
Defines the topic of interest
Explains associated problem(s) and/or issue(s)
Addresses the relevance to the field of clinical supervision
Summarizes previous research and/or contemporary thinking in the field
Identifies any gaps or contradictions in the literature
Recommends next steps for research, training, and/or policy
Follows APA format, with clarity and organization
Assignment (8–10 pages):
Submit a paper in which you analyze issues related to a specific clinical supervision topic or area of interest. The paper should be approximately 8–10 pages in length (typed and double spaced), in APA format, and should be of publishable quality. 

• First, discuss what is meant by the term “successful aging.” Define successful aging and use at least one (1) example to describe it.
• Next, how do factors such as temperament, genetics, age, gender, health, social relationships, race/ethnicity, health behaviors, and socioeconomic status influence successful aging? Discuss at least three (3) of these factors. What can people do (at the individual level) to maximize the likelihood that they will age well? 
• What is intergenerational conflict? What are some examples of how this plays out in society? Define intergenerational conflict using at least two (2) examples in your discussion.
• Lastly, how do gender and racial bias threaten the well-being and health of older adults? Provide at least two (2) specific examples from your readings.

  

Module 5 discussion Therapeutic interventions for client with severe Anxiety or Panic

In this discussion, we’ll discuss anxiety, effective and ineffective interventions, and stress management. Please include the following in your initial posting:

Describe a client from your clinical setting or work who experienced severe anxiety or panic. Include a brief history and three most pertinent medications.

Describe the assessment process for this patient.

Identify at least one effective and one non-effective nursing intervention. Why did they work? What didn’t work?

Name and describe two stress reduction techniques you have used and whether they were helpful or not in reducing stress.

CS/SB 614 authorizes  an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.

ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:

 Presigning blank prescription forms.

 Prescribing a Schedule II for office use.

 Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.

 Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.

 Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.

 Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.

 Prescribing, dispensing, or administering a controlled substance to himself or herself.

 Prescribing, dispensing, or administering laetrile.

 Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.

 Promoting or advertising controlled substances.

After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/

1-Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations? 

Posting should be a minimum of one short paragraph and a maximum of two paragraphs.  Word totals for each post should be in the 300 words range.  Whether you agree or disagree explain why with supporting evidence and concepts from the readings or a related experience.  Include a reference, link, or citation when appropriate. APA 6th edition format for references as well as in-text citations is expected.