DNR Case Scenario

DNR Case Scenario

Not Evident Approaching Competency Competent Score/Level
Articulation of Response Responses are unstructured or disjointed. Vocabulary and tone are unprofessional or distract from the topic. Responses contain pervasive errors in mechanics, usage, or grammar. Responses are poorly organized or difficult to follow. Terminology is misused or ineffective. Responses contain errors in mechanics, usage, or grammar that cause confusion. Responses are organized and focus on the main ideas presented in the assessment. Word choice is pertinent and clearly conveys the intended meaning to the audience. Responses reflect attention to detail. Mechanics, usage, and grammar promote understanding and readability.
A. Evidence-Based Practice A discussion is not provided. The discussion of evidenced-based practice is unclear or poorly reasoned. Or the discussion is irrelevant to advance directive DNR. The discussion of evidenced-based practice is clear and well-reasoned. The discussion is directly related to advance directive DNR.
B1. Moral Responsibility A description is not provided. The description of moral responsibility is accurate but generalized. Or the description is not specific to the role of the nurse in the scenario. The description of the nurse’s moral responsibility is accurate and specific to the role of the nurse in the scenario.
B1a. Moral Dilemma A discussion is not provided.
The discussion of a potential moral dilemma is missing resolution strategies, or the discussion is not specific to the scenario. The discussion of a potential moral dilemma includes a conflict involving patient, nurse, family, or agency and provides logical resolution strategies. The discussion is specific to the scenario.
B2. Stakeholder Impact A description is not provided.

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The description of the impact on stakeholders is not specific to advance directive DNR. Or the description does not address both patient and family. Or the description is general and not specific to the scenario. The description clearly addresses the impact of advance directive DNR on the patient and family in the scenario.
C. Discussion of Code of Ethics A discussion is not provided.
The discussion of the provision from the ANA code of ethics is generalized and not specific to the professional nursing practice. The discussion of the provision from the ANA code of ethics clearly addresses how the code should relate to the professional nursing practice.
C1. Analysis of Code of Ethics An analysis is not provided.

The analysis is unclear or illogical. Or the analysis does not directly address how the provision applies to the scenario. The analysis is clear and logical. The analysis directly addresses how the provision applies to the scenario.
C2. Importance of Patient Autonomy A description is not provided or the description lacks recognition of the patient’s right to make decisions.

The description is unclear. The description of the importance of patient autonomy is missing information about patient decisions or independence. The description of the importance of patient autonomy is clear. The description accurately depicts information about patient decisions and independence.
D1. Legal Conflicts

Potential legal conflicts are not identified. The identification of potential conflicts is missing information about patient, family, nurse, or organization. The identification of potential conflicts logically addresses patient, family, nurse, and organization.
D2. Legal Implications on Nursing Role

A discussion of legal conflicts is not provided, or the discussion is lacking critical information. The discussion is missing how the conflicts affect the nursing role. Or the discussion does not address potential disciplinary actions nor potential litigation from family members. The discussion of legal conflicts includes how potential legal conflicts will impact the nursing role. The discussion addresses potential disciplinary actions and potential litigation from family members.
D3. Actions to Prevent Conflicts
A discussion of potential nursing actions to prevent legal conflicts is not provided. The discussion is missing how potential nursing actions can prevent legals conflicts specific to part D1. Or the discussion is missing conflicts that address the organization, patient, or primary care physician. The discussion of potential nursing actions logically identifies methods to prevent legal conflicts from part D1. The discussion addresses conflicts among the organization, patient, and primary care physician.
E. Sources The submission does not provide both in-text citations and a reference list for sources that are quoted, paraphrased, or summarized. The submission includes in-text citations for sources that are quoted, paraphrased, or summarized, and a reference list; however, the citations and/or reference list is incomplete or inaccurate. The submission includes in-text citations for sources that are properly quoted, paraphrased, or summarized and a reference list that accurately identifies the author, date, title, and source location as available.