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Week 9 Assignment: Legal Case Study

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Completion requirements

To do: Make a submission

Due: Sunday, 29 October 2023, 11:55 PM

Value: 100 points—This assignment is worth 8% of the total grade.

Due: Day 7

Grading Category: Assignments

Instructions

In this assignment, you are required to complete only one case study from the following six case studies based on your Nurse Practitioner specialty track.

Purpose: The purpose of this paper is to foster your synthesis of course content relevant to medical liability concepts. You should complete the learning materials before completing the case because important background information is included in these resources.

Process: A rubric is provided to assist in communicating the expectations for this assignment. The questions in each case study are designed to direct the focus of your paper. Reference the case study where appropriate, especially in the discussion about the standard of care.

Case Navigation: Begin by clicking the About the Patient tab on the main page. Read the information on that page, then click the Next link in the bottom-right corner of the page. Click each tab on the left side of the screen and read the revealed information. When you have finished reading the patient’s situation, select the Review the Case tab, which provides you with the questions you must respond to for this assignment. Please answer the questions listed, because they relate to the case and the learning material related to malpractice and standard of care.

Remember to use APA format, including a cover sheet and a reference list.

The paper should be about 3 to 5 pages in length.

Please refer to the Grading Rubric for details on how this activity will be graded.

For this assignment to be considered complete, you must address all the prompts and follow the grading rubric for your population-specific legal case study by Day 7.

To Submit Your Assignment:

  1. Select the Add Submissions button.
  2. Drag or upload your file to the File Picker.
  3. Select Save Changes.   

 

PMHNP legal case study

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PMHNP Legal Case Study

Nu 668

A fifteen-year old female went to her primary care clinic in January 2012. The patient had been seen in an emergency room two days earlier for nausea, abdominal pain and vomiting. The patient was seen at the outpatient mental health clinic by the psychiatric nurse practitioner, who worked under the supervision of the off site psychiatrist. The clinic received federal funding.

The psychiatric nurse practitioner was informed of the recent emergency room visit via intake paperwork completed by the fifteen-year old’s mother. The psychiatric nurse practitioner wrote prescriptions for Zofran 4mg po q4 hours prn nausea and Prozac 40mg po QAM on a prescription pad which had been pre-signed by the supervising psychiatrist. The psychiatric nurse practitioner’s notes indicated that the Prozac was prescribed for depression, but in depth screening and safety risk assessment was not documented.

The patient was told to return in one month. Three weeks later the patient hung herself in her bedroom closet with a belt. She was found by her mother and brother and was transported to a nearby hospital. The patient suffered a catastrophic brain injury and died three years later. She required around-the-clock care during those three years.

The family claimed that Prozac should not have been prescribed due to a lack of signs of clinical depression and claimed that the FDA had issued a warning regarding the use of Prozac in adolescents, specifically that Prozac use in adolescents increased the risk of suicidal thinking and behavior.

 The psychiatric nurse practitioner claimed that the clinical evaluation for depression supported the diagnosis. The psychiatric nurse practitioner also claimed that the suicide attempt followed a breakup with her boyfriend and a fight with her father and that the medication played no part in the incident.

(1)   Identify the defendants AND areas of negligence in this case.

(2)   Identify and describe appropriate screening measures and safety risk assessment procedures in adolescents with depression.

(3)   Reflect on this case and identify what you would have done differently as a psychiatric mental health nurse practitioner.

(4)   What do you think the verdict was and why?

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