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Assessment Coding
Assessment for this unit of competency is based on competency based grading. All assessment tasks, except Practical Observations and Clinical Placements are weighted and graded. Overall final grades applied to this unit of competency are:
Competency Not Achieved (CNA)
0-49% Competency achieved – graded (CAG)
50-59% Competent with Credit (CC)
60-69% Competent with Distinction (CDI)
70-79% Competent with High Distinction (CHD)
80-100%
Re-assessment
Any re-assessment is conducted as soon as practicable after you have been informed of the requirement to be re-assessed and have been given the opportunity to be re-trained and assimilate the training. You are re-assessed only in the areas your assessor deems that you have not met the required standard. It is at the assessor/s discretion to re-assess the entire assessment should it be demonstrated an overall understanding of this unit has not been achieved.
Reasonable Adjustment for this unit College Based Workplace Based
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Modifications to physical environment, e.g. wheelchair access Choose an item.
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Changes to course design, e.g. instead of written assessment task – change to verbal questioning & assessor to write the answers Choose an item.
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Changes in lecture schedules and arrangements, e.g. relocating classes to an accessible venue Choose an item.
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I acknowledge the assessment process has been explained and agree to undertake assessment. I am aware of Careers Australia’s appeals process, should the need arise. I also understand that I must be assessed as ‘satisfactory’ in all parts of the assessment to gain a competent result for this unit of competency. I declare that the work contained in this assessment is my own, except where acknowledgement of sources is made. I understand that a person found responsible for academic misconduct will be subject to disciplinary action (refer to student handbook).
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Assignment instructions
Assessment: Take Home Assignment
Weight:100%
Please answer all the questions in Section 1, 2, & 3.
See marks allocated to question (also see marking guide for this assignment).
Please use BLACK or Blue pen only
Section 1 & 2
Please read the two (2) scenarios and answer all questions.
Use the Nursing Care plan template the Progress Note provided to make an entry and attach it to your assignment.
Answers are to be presented academically with appropriate referencing using the Harvard Style referencing system. Overall word count for this assignment is 1800-2000 words approximately.
Section 3
Please select circle the correct answers.
TOTAL MARKS
SECTION 1 /40
SECTION 2 /40
SECTION 3 /20
TOTAL /100
Students are required to complete and submit the assignment as per academic and referencing requirements for the course.
Consideration will also be given to the following to ensure quality of work submitted address academic standards for writing and appropriate referencing. Marks for variety of sources, references and writing are included in marks given for each answer where applicable.
Marks for Answers will be provided as per the marking guide below:
General description
• Correctly interprets question/task
• Comprehensive and thorough discussion of all requirements
• Demonstrates understanding of important requirements
Reading & research
Identify, analyse and evaluate information from a variety of sources
Referencing
• As per Referencing Guide (Harvard system)
Writing
Clearly conveys concepts. Spelling grammar, punctuation and logical structure.
PLEASE ANSWER ALL QUESTIONS
SECTION 1
Case Study 1. Rhonda Green
Mrs. Rhonda Green is a 50 year old female who had a total knee arthroplasty 3 days ago. She is on 6 hourly observations. The most recent recorded observations were: Temp 36.5 ?C, RR 22, HR 110, BP 170/86mmHg and SpO2 98% on room air. She is complaining of ‘awful pain’ in her knee and her elevated BP and pulse reflect that.
She has been unable to do her routine ROM exercises due to the pain in her knee. Mrs. Green received opioid analgesia for the first two days post operatively and has reported that she has not opened her bowels since the operation. She requires assistance to perform ADLs and has expressed embarrassment at being assisted in the shower.
She stated in confidence that she is menopausal, has gained weight over the past 2 years, suffers anxiety and has a very poor self-image, finding it difficult to adjust to her body now she is no longer fertile. She feels embarrassed at undressing in front of nursing staff and even in front of her own husband.
Socioeconomic status: Mrs. Green lives with a husband and has three grown up children.
1. Write a nursing care plan for Rhonda: Provide two (2) actual and two potential nursing diagnoses, include interventions and expected outcomes for each. Use the template provided. (4 marks)
Nursing diagnosis
(patient's need) Planning
(Nursing intervention Required) Expected Outcome

2a. Rhonda Green has confided that she has trouble adjusting to her body image in middle age, now she is no longer fertile. How does Rhonda’s case relate to the sexual development stage experienced in middle age? (4 marks)
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2b What could you do to reduce Rhonda’s embarrassment about attending ADL’s with a nurse assisting her? (3 marks)
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3.Describe two (2) priority needs to be considered in planning for Mrs. Green’s discharge. (2 marks)
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4. Which stage of human developmental is Mrs Green in? (1 mark)
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5. Briefly explain the developmental stage specifically as it relates to Mrs Green. (6 marks)
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TOTAL /20
SECTION 1 Case Study 2 George Grandin
Read the case study below and answer the following questions
On 12/6/14 at 1000 you are assigned to admit a new client to your ward.
George Grandin is an 87 year old man admitted to your ward this morning following a fall at home. He sustained significant bruising and swelling to his right hip and shoulder with a large skin tear to his right forearm. He did not sustain any fractures. He is admitted for pain relief and dressings to his forearm as well as physiotherapy review. George is very thin with a BMI of 18, he has bony prominences on his hips and pelvis and is at risk of developing pressure areas on these bony prominences. Cognitively George is alert and orientated, he had been ambulating independently prior to the fall but is to be assessed by a physiotherapist for balance and gait and the need for a walking stick or frame. Medically George is healthy for his age and takes multivitamin and fish oil supplements but no other medications. Socially he lives with his 82 year old wife in an attached flat in their daughters home and is well supported.
George’s observations on admission are Temp 36.1,BP 105/68,Resp 18, Pulse 64.
1. Write a nursing care plan for George: Provide two (2) actual and two potential nursing diagnoses include interventions and expected outcomes for each. Use the template provided. (8 marks)
Nursing diagnosis
(patient's need) Planning
(Nursing intervention Required) Expected Outcome

2. Write nursing admission notes for George. Use the Progress Notes template provided. (4 marks)
PROGRESS NOTES

3. Describe the appropriate method to collect health related data as a part of the admission process for George. (2 marks)
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4. Considering George’s injuries and his low BMI, what regular nursing assessments/charts will George need? (2 marks)
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5. Provide four (4) risk factors for older people in hospital. (4 marks)
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TOTAL /20
SECTION 2
Short answer questions (4 marks each answer)
1. Describe two (2) physical changes that occur in older adults.
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2. Identify two (2) specific health needs for older adults due to the physical changes identified in Question 1.
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3. Describe two (2) socioeconomic activities usually associated with early and middle adulthood.
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4. Describe two (2) growth and development changes seen in adolescence.
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5. Discuss two (2) common issues associated with adolescents during growth and development.
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6. Hospitalisation of children impacts on the child and family significantly. Discuss two (2) possible impacts of hospitalisation on the child and family.
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7. Describe two (2) methods or techniques that nurses can specifically use when working with families to increase the family’s involvement in their child’s care during hospitalisation.
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8. Describe two (2) factors that influence human growth and development.
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9. What are two (2) religious or cultural dietary needs to be considered for a Muslim client in the healthcare environment?
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10. Provide an example of how nurses must protect the patient’s confidentiality and privacy in the health care environment.
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TOTAL /40
SECTION 3
Multiple choice questions (2 mark each /20 marks)
Please select the correct response
1. Choose the correct statement about physical growth of the infant.
a) The infant is capable of exhibiting coordinated movement with well developed spinal cord and lower brain centre
b) The infant can increase in length by more than one-third, and mass almost triples
c) Pituitary glands will only start growing after 12 months from the birth
d) Poor infant growth is due to decreased antidiuretic hormone production from pituitary glands
2. Choose the correct statement about cognitive development of the infant.
a) Cognitive ability of infants will develop by repetitive acts to imitate activity
b) Learning only starts after 6 months from the birth due to the size of lower brain centre
c) In the infant, only the information from vision and hearing can be stored as memory
d) The nfant do not have capability to recall information until about 18 months
3. Locomotion is:
a) Positioning of the head in space
b) Crawling on hands and knees
c) Moving about while sitting up right
d) All of the above
4. Choose the correct statement about growth of the toddler.
a) The internal structure of the ear and throat will be relatively mature
b) The toddler has more slender body appearance
c) The toddler grows mainly due to elongation of the legs rather than the trunk
d) Depth perception will stop developing in early childhood
5. Choose the correct statement about psychosocial development during childhood.
a) Family members are the only influences on the growing children
b) Interaction with others will make children aware that there are views other than their own
c) Children should not require any control and restrictions by late childhood
d) Development of self-confidence and independence will start in adolescence
6. Choose the correct statement about cognitive development during childhood.
a) The major achievement is the acquisition of language
b) In children, only the information from vision and hearing can be stored as memory
c) On average, by the age of 3, children can represent the things they perceive with symbols and words
d) Preschool children progress from repetitive acts to reflective behaviour to imitate activity
7. Choose the correct statement about motor development during childhood.
a) By 18 months toddlers can run without falling over
b) Motor development will complete and stabilise during late adolescence
c) Motor development involves muscular skills and skeletal growth
d) Fine motor skills development will allow a child to increase manual dexterity
8. The role of play during childhood is to promote:
a) dexterity and imagination
b) physical and cognitive development
c) emotional strength
d) All of the above
9. Searching for a sense of meaning as a part of spiritual development is typically seen during:
a) late childhood
b) adolescence
c) Young adult hood
d) late adulthood (middle-aged adults)
10. A patient refused an insulin injection because of his cultural belief towards medicine. Your immediate response should be:
a) Document the refusal of treatment
b) Discuss the patient’s cultural beliefs and ask questions
c) Re-explain the purpose of the injection
d) Assess the patient’s cognitive status
SECTION 3 TOTAL /20