A 16-year-old male was brought to the emergency department (ED) in police custody for psychiatric evaluation. His girlfriend called 911 because he was hearing voices and threatening to shoot her. He reportedly had a history of schizophrenia and had stopped taking his medications. On arrival, he was attempting to leave the ED: “Let me go! I know my rights!” While in the ED, he stated that he did not want his mother or his psychiatrist to know that he threatened to shoot his girlfriend and did not want this to be in his medical record.
Reflect on how you would approach this dilemma.
Discussion grading scale.
Criteria 1Level III Max Points6 points
Level II Max Points
4.8 points
Level I Max Points
3.6 points
Level 0
0 points
Criterion Score
Identification (20%)
● Thorough identification of the importance of the subject matter to the individual, clinical, and professional.
● Supports discussion concepts through personal experience and evidence-based information.
● Submits a minimum of three posts, one initial and two responses to either the course faculty or peers, with thorough reflection and content.
● Reflection of subject to self, clinical, and professional importance with minimal integration of evidence-based information.
● Submits two or more posts with some reflection and content.
● Minimal reflection without reference to personal, clinical, or profession.
● Submits one or more posts that have minimal reflection or content.
No Posts
Score of Identification (20%),
/ 6
Criteria 2Level III Max Points18 points
Level II Max Points
14.4 points
Level I Max Points
10.8 points
Level 0
0 points
Criterion Score
Reflection/Participation/Knowledge (60%)
● Provides a well-written reflection that is clearly connected to the outcomes and clinical insight.
● Responds to at least two other student postings with a response that advances the discussion.
● Clear critical thinking acknowledges application, analysis, synthesis, and evaluation.
● Replies move the conversation forward. Makes a reply to a question asked in response to their own posting.
● Builds a focused argument.
● Asks new or related questions.
● Makes an oppositional or congruent statement that is supported by experience or research.
● Provides a well-written reflection and there is a clear connection to outcomes, but lacks clinical insight.
● Replies partially move the conversation forward. Makes a reply to question asked in response to their own posting.
● Some clear critical thinking acknowledges application, analysis, synthesis, and evaluation.
● Affirms statements or references to relevant research.
● Asks similar or related questions within the context of the conversation.
● Provides short reflection and there is a slight connection to outcomes.
● Student does not move the conversation forward within their own post or in their response to peer/faculty.
● Minimal critical thinking that acknowledges application, analysis, synthesis, and evaluation.
● Does not affirm or oppose statements in conversation.
● Does not pose or ask related question in the context of DB conversation.
No Posts
Score of Reflection/Participation/Knowledge (60%),
/ 18Criteria 3Level III Max Points6 points
Level II Max Points
4.8 points
Level I Max Points
3.6 points
Level 0
0 points
Criterion Score
Format/Style/APA/ Citations (20%)
● No grammar, word usage, or punctuation errors. Overall style is consistent with professional work.
● Writing style facilitates communication.
● Provides three references that are relevant to the content and published within the last five years.
● Fewer than three grammatical errors.
● Provides less than three references that are relevant to the content and published within the last five years.
● Writing style facilitates some communication.
● More than three grammatical errors.
● Provides less than three references that are relevant to the content and published within the last five years.
● Writing style does not facilitate communication.
No Posts
Score of Format/Style/APA/ Citations (20%),
/ 6TotalScore of MSN 30 point Discussion Rubric,
/ 30
A 16-year-old male was brought to the emergency department (ED) in police custod
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