· Dw4: Clinical Challenges for the NP. Each state has laws that differ in regard to the role of the advanced practice nure.. They also may significantly impact the NP’s practice. Legislative changes may occur annually, bi-annually, or during an emergency legislative meeting at the state or federal level. These legislative sessions and any subsequent changes may significantly impact your scope of practice as a Nurse Practitioner. Remaining current with the laws in your state is essential. For example, the recent change at the federal level changing hydrocodone-containing drugs from a Schedule III drug to a Schedule II drug has impacted NPs in some states. For states that allow for Nurse Practitioners to write Schedule III-V drugs, these NPs are now to write for hydrocodone- containing medications, which significantly impacts their ability to provide care for their patients. As a future NP, you should become familiar with and stay abreast of state and federal legislation. For this Discussion,: 1. you will . 2, The key components of a malpractice policy in regar
d to a case study. 3. Additionally you will explain the collaborative agreements and rules for in regard to your NP practice and the case study you select. · v Review the following case studies and select one to research in depth: Ø Preventive care, why is it so important to document? John, a 62 year old attorney, who has been a long-term patient of yours, comes to you to discuss his erectile dysfunction. You note that he has refused lab work for the past two years. He is a 30 pack/year smoker, and has not had a chest x-ray or ECG in three years. He does take his HCTZ 25 mg po daily. s BMI is 29 and all vital signs are within normal limits. He does agree to his Prevnar Vaccine today. v Use These Reference or Use a scholarly article v Review the following articles found in this week’s Learning Resources: Ø Miller, K. P. (2013). The National Practitioner Data Bank: An Annual Update. 576-580. Ø Stelmach, E. I. (2015). 723-725. v Review endocrine disorders and erectile dysfunction in your text (Gorrol, Ah. & Mulley, A.G., 2009). v v · · · : · · you · ·