University	Manukau Institute Of Technology (MIT)
Subject	22.536: Introduction to Pharmacology

Learning Outcomes Assessed: 1, 2, 3

Word limit: 2000

Due: 28/09/25 at 2359

Assessment Purpose: The student will be able to discuss the importance of understanding the NZ Registered Nurse’s role and responsibilities in administering medication

Assessment keywords and concepts:

Legal issues
Ethical issues
Medication administration
Registered nurse role and responsibilities (scope of practice)

SCENARIO

Mrs K is an 89-year-old resident of an aged care facility. She has several co-morbidities and is quite frail, but is cognitively alert and able. She is prescribed seven regular medications. Registered Nurse (RN) CJ is on the morning shift and is doing the medication round with Anna, a Student Enrolled Nurse. Mrs K says she doesn’t want to take her medications today, and tells the nurses to take them away. She states that she is constipated but doesn’t want to take any medication for this either. She says, “I take too many pills, and they only make me feel worse, I want to use a traditional therapy made from natural ingredients which I have with me.” When they leave the room, RN CJ states to Anna that she thinks Mrs K. should have an aperient for the constipation. She proceeds to crush all her medications and mix them with Mrs K’s yoghurt. She states that, “Sometimes we have to do this with residents. This way, Mrs K. won’t know that she is getting them, and she must take them.” RN CJ asks Anna to go and give Mrs K. the yoghurt mixture while she moves on to the next resident, as she is running late. Anna has some doubts, but follows the RN’s instructions. Later, on the evening shift, Mrs K. complains of dizziness and appears confused. Her heart rate is increased and a little irregular. Her blood pressure is lower than normal. In the morning Mike, the Nurse Manager, does an investigation. When asked, Anna mentions that she gave Mrs K crushed medication in yoghurt at the request of RN CJ. After further investigation, Mike finds that Mrs K has no prescription for the aperient on her medication chart. The administration of, or reason for, this medication has not been documented anywhere in the nursing notes of her patient file.

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Assessment Task/Activities:

Discuss and analyse the legal and ethical issues in relation to medication administration in the following scenario: Analyse the legal issues in the scenario in relation to the following documents:

Guidelines for Nurses on the Administration of Medicines (NZ Nurses Organization (NZNO), 2019)
Competencies for Registered Nurses and Scope of Practice (Nursing Council of NZ (NCNZ), 2016)
Health Practitioners Competence Assurance Act 2003
Medicines Care Guides for Residential Aged Care (Ministry of Health, 2011)

Analyse the ethical issues in the scenario in relation to the:

Code of Conduct (NCNZ, 2012)
Code of Ethics (NZNO, 2019)
Fact Sheet: Duty of Care (NZNO, 2016)

Use relevant and current evidence to support your discussion of the legal and ethical issues in the scenario.

Academic writing, citations and referencing:

Appropriate levels of academic writing style are expected including grammar, spelling and syntax. Other references may be used to support your discussion. APA 7th referencing and citing style, refer to MIT Library Guide.

Structure:

Introduction:

DO NOT include the whole scenario. Summarise/introduce it and outline what will be covered in the essay. Use the rubric to guide the content of the essay. Write it in the order as outlined in the rubric.

Note the marks given to each section and allocate number of words accordingly.

Conclusion:

Summarise main points with no new material included.

Reference List Format and Presentation:

Calibri or Arial Font size 12
1.5 line spacing
Justified text alignment
Normal page margins
Pages numbered (numbers only) in the FOOTER
Student ID number in a HEADER (no names)
WORD COUNT in the FOOTER

By submitting the assignment through CANVAS/Turnitin I am using my digital footprint to identify myself and therefore do not need a coversheet. Your work should have an overall similarity below 50% with no more than 5% from any one source. See Student Regulations about Misconduct in Assessment if unsure. Please contact the lecturer/s for this course if there are any questions or concerns, including requesting an extension if necessary. Note essays are not accepted by email. Submit to Canvas by the due date. Essay will be marked online according to the rubric.

Criteria Ratings

NZNO Legal issues are discussed in relation to NZNO Guidelines for Nurses on the Administration of Medicines (2019)
(20 marks)

EXEMPLARY Topic systematically, succinctly and comprehensively explored. Analytical approach to topic. Critical thinking is evident. Important ideas are referenced and developed. Some debate and reflection evident. Information given and analysis is safe, accurate, legal and ethical. 15.6 to 20 pts.

ACCOMPLISHED The document is defined briefly. Essay purpose and activity (analysis) is clear. The document is discussed in relation to the scenario. Ideas supported by references. Information given and analysis is safe, accurate, legal and ethical. 10.1 to 15.5 pts.

DEVELOPING Overuse of quotations from the document. Not integrated into writer’s own understanding of the scenario. Some of the document is discussed in relation to the scenario. Unsafe, illegal, unethical or inadequate information or analysis. 5.6 to 10 pts.

BEGINNING Omitted or essay task misinterpreted. Essay purpose or activity not included or unrelated to essay purpose or task. Document not defined. Not related to scenario. Unsubstantiated or personal comments or unrelated information given. 0 to 5.5 pts.

NCNZ view

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HPCA view

Medicines Care Guides for Residential Aged Care view

Code of Conduct view

Code of Ethics view

Duty of Care view

Presentation and Structure, Referencing

EXEMPLARY All assignment writing and presentation guidelines and requirements followed to a high standard. Submitted on time or with approved extension. APA 7th citing and referencing used correctly. 15.6 to 20 pts.

ACCOMPLISHED Most School of Nursing assignment writing and presentation guidelines and requirements followed. Submitted on time or with approved extension. APA 7th used correctly with minor errors. 10.1 to 15.5 pts.

DEVELOPING Not all School of Nursing assignment writing and presentation guidelines and requirements followed. Late with no approved extension. APA 7th used incorrectly or with errors. 5.6 to 10 pts.

BEGINNING Few School of Nursing assignment writing and presentation guidelines and requirements followed. Late with no approved extension. APA 7th used incorrectly, with errors or with too few references. 0 to 5.5 pts.

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