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35806/01 Perform Clinical Assessment And Contribute To Planning Nursing Care

Questions/Task

Complete the 35 questions outlined in this assessment.

Performance criteria		Record of results
Q1	Discuss and describe common myths and stereotypes about older clients	S	NYS

Q2	Normal physiological changes are expected in older adults. Nursing care of older clients poses special challenges because of great variation in their psychological, cognitive and physiological health status. Older adults also vary widely in their levels of functional ability. Complete the following table to demonstrate the physiological changes of ageing per body systems. List 2 findings for each system	S	NYS

Q3	Throughput history people have been trying to understand the process of ageing Theories of aging include: v Biological theories v Psychosocial theory v Disengagement theory v Social exchange theory v Wear and tear theory v Activity theory Provide a comparison summary of your understanding for each of the 6 theories listed above.	S	NYS

Q4	Describe 4 differences between end of life care and palliative care.	S	NYS

Q5	Discuss the care you are required to provide to the deceased client.	S	NYS

Q6	Identify two services a relative or carer could be referred to for support following a bereavement.	S	NYS

Q7	Identify the main legislative act/s involving the care of the older person and briefly outline the primary purpose of that act.	S	NYS

Q8	Complete the following table:	S	NYS

Q9	Identify 4 assessment tools relevant to the older person in identifying care needs and resource allocation used in the health by nurses to plan and provide care:	S	NYS

Q10	List 5 nursing strategies that you would consider/implement when caring for an elderly patient with incontinence	S	NYS

Q11	Discuss the limitations and legal complications of: a. Physical restraint b. Chemical restraint c. Psychological restraint	S	NYS

Q12	In your own words, briefly outline your understanding of the following strategies used to respond to challenging behaviours. 1. Distraction 2. Behaviour modification	S	NYS

Q13	List 5 chronic aged related health problems you could encounter in working with the elderly and list 1 potential impact for each problem for the patient.	S	NYS

Q14	The Enrolled nurse standard of practice in specific standard 2. “Practices nursing in a way that ensures the rights, confidentiality, dignity and respect of people are upheld.” Reflect how this standard impact on the care you provide to the elderly as an enrolled nurse.	S	NYS

Q15	Briefly outline how dual or multiple diagnosis in an elderly patient can impact on the prioritisation of their care needs.	S	NYS

Q16	For each of the systems listed below, list 2 chronic, aged related conditions.	S	NYS

Q17	Briefly, in your own words, define “Primary Health Care”	S	NYS

Q18	List 3 primary health care service providers that may be accessed by the elderly.	S	NYS

Q19	Briefly outline, in your own words, the importance for the elderly, and those with dementia, to have a safe physical, social and emotional environment.	S	NYS

Q20	Challenging behaviours can often be displayed for reasons the nurse may not be immediately aware of. List below, 5 physical triggers that may cause challenging behaviours.	S	NYS

Q21	Dementia is known to be a “progressive neurological condition”. In your own words, explain what this means.	S	NYS

Q22	During providing care for your patient, you find they have become hypertensive and tachycardic over the course of your shift. Briefly outline what your response would be in this situation.	S	NYS

Q23	On the table below, list 5 gender specific health issues for each gender.	S	NYS

Q24	Briefly explain, in your own words, how a person’s genetic history and environment can influence their development	S	NYS

Q25	Using the headings provided, briefly describe the developmental changes seen as a person grows from being a toddler to a school-aged child.	S	NYS

Q26	Briefly explain how infertility can impact a person, and how this may change their family’s health care needs.	S	NYS

Q27	Briefly outline the signs you may see in someone if they are developing, or already have, an oral health problem	S	NYS

Q28	Briefly outline how you would identify signs of distress, or behaviours of concern in a person who is unable to verbally communicate their symptoms or concerns.	S	NYS

Q29	Briefly explain how you would respond to the person discussed in question 28.	S	NYS

Q30	In your own words, briefly discuss the legal and ethical issues that you may see in aged care practice, include other areas of concern if relevant.	S	NYS

Q31	List 5 signs that may indicate elder abuse.	S	NYS

Q32	Briefly outline, in your own words, appropriate responses to signs of physical, mental and emotional stress in an elderly person.	S	NYS

Q33	Briefly outline, in your own words, how you, as an enrolled nurse, can advocate for an elderly resident, their family or their carer, while remaining within your own scope of practice, and organisational policy and procedures.	S	NYS

Q34	Many medications are prescribed with differing doses in elderly patients. List 3 possible age-related effects that drugs can have on an elderly patient if the dosage isn’t adjusted.	S	NYS

Q35	What adjustments to medications could be made, in consultation with the RN and doctor, to reduce the risk of age-related side effects of medications?	S	NYS

Written assessment evidence Checklist
The written assessment evidence checklist is a record of your assessment activity outcome. Your educator will record your progress, provide feedback and comments in this checklist once you have submitted your assessment in Openspace. Once your submission has been marked, your educator will provide a copy (in Open Space)

You have two attempts to complete the assessment. If you need to re-attempt the assessment task your educator will give you clear and direct feedback with revised submission dates if required.