Take Test: HLTEN503B Assessment Section 1

Test Information
Description Case Study 1: Mrs Rhonda Green
Mrs Rhonda Green is a 50 year old female, who had a total knee arthroplasty 3 days ago. Rhonda is on 6 hourly observations. The most recent recorded observations were: Temperature =36.5 °C, Respirations =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.
Mrs Green 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. She is finding it difficult to adjust to her body now that she is no longer fertile. Mrs Green feels embarrassed at undressing in front of nursing staff and even in front of her own husband. Mrs Green admits to having a strict Catholic upbringing and finds it difficult to identify with her own sexuality.
Socially: Mrs. Green lives with her husband and has three grown up children.
Case Study 2: Mr George Grandin
On 12/6/14 at 1000hrs, you are assigned to admit a new client to your ward.
Mr George Grandin is an 87 year old male of Spanish descent, who was admitted to your ward this morning, following a fall at home. On admission, his wife (Mary) and his daughter (Celeste) are in attendance. 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 a physiotherapy review. George’s daughter (Celeste) has requested an interview with the doctor, to determine if her father needs any extra care at home.
On assessment, George 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. George tolerates a small, but nutritious diet at home that includes all aspects of nutrition. He has no reported history of urinary issues and takes Metamucil daily to prevent chronic constipation. George can shower and dress independently and 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 other than Metamucil daily, he takes multivitamins and fish oil supplements, but no other medications.
Socially, he lives with his 82 year old wife in an attached flat in their daughter’s home. George attends bowling and church weekly and states that his strong faith and his wife help him cope with his ageing process. George was born in Spain and immigrated to Australia in his late teens and identifies with strong Spanish ties in Australia. George and his wife are practising Catholics, having a strong support network at home and at church.
George’s observations on admission are Temp 36.1, BP 105/68, Respirations 18, Pulse 64, Height: 181cm and Weight: 65kg. George is very thin, with a BMI of 18.
Instructions Please answer all questions
Multiple Attempts This Test allows 2 attempts. This is attempt number 1.
Force Completion This Test can be saved and resumed later.
Question Completion Status:

QUESTION 1
1. Case Study 1
In collaboration with the RN, following State/territory Nursing and Midwifery Regulatory Authority Enrolled nurse standards for practice and acting within the Scope of Nursing Practice Framework, develop a nursing care plan for Mrs Green. Incorporating cultural and religious beliefs, provide two (2) actual and two (2) potential nursing diagnoses, including correct terminology, interventions and expected outcomes for each. Copying the column titles as below, into your answering space, complete the table. (4 marks)
NURSING DIAGNOSIS: (Patient's Need) PLANNING: (Nursing intervention Required) EXPECTED OUTCOMES:
Actual diagnosis 1:
Actual diagnosis 2:
Potential diagnosis 1:
Potential diagnosis 2:

Path: p » strong
Words:23
10 points
QUESTION 2
1. Case Study 1
Mrs Green has confided that she has had trouble adjusting to her body image in middle age now that she is no longer fertile. How does her case relate to the sexual development stage experienced in middle age?
Path: p » span » span.a
Words:51
4 points
QUESTION 3
1. Case Study 1
What could you do to contribute to Mrs Green’s health teaching, to reduce her embarrassment about performing ADL’s with a nurse assisting her?
Path: p
Words:0
2 points
QUESTION 4
1. Case Study 1
Describe two (2) priority needs to be considered in planning for Mrs. Green’s discharge.

Path: p
Words:0
2 points
QUESTION 5
1. Case Study 1
Identify one (1) community resource/support service that Mrs Green may need, when discharged.

Path: p
Words:0
1 points
QUESTION 6
1. Case Study 1
Briefly explain the developmental stage, specifically as it relates to Mrs Green.
Path: p
Words:0
6 points
QUESTION 7
1. Case Study 2
Referring to the information provided in George Grandin’s case study, write the nursing admission notes, using appropriate terminology and a holistic approach. Please complete the Admission Notes template provided. Follow the process of documentation, to maintain legal compliance. Students may use a variety of documentation styles. Report any abnormalities and extraordinary findings to the RN.
Please download the following admission notes template, complete it and reupload it to the Blackboard.
Admission notes template
1. Attach File
8 points
QUESTION 8
1. Case Study 2
In collaboration with the client/family member or carer, RN, following State/territory Nursing and Midwifery Regulatory Authority, Enrolled nurse standards for practice and acting within the Scope of Nursing Practice Framework, develop a nursing care plan for Mr Grandin. Incorporating age specific health needs, cultural and religious beliefs provide two (2) actual and two (2) potential nursing diagnoses, including correct terminology, interventions and expected outcomes for each. Use the template provided.
Please download the following template, complete it and reupload it to the Blackboard. (Click here to download the file)
1. Attach File
4 points
QUESTION 9
1. Case Study 2
Following principles of best practice and risk assessment, identify one (1) stress management technique that you would recommend for Mr Grandin’s Nursing Care Plan.

Case Study 1: Mrs Rhonda Green

Case Study 1: Mrs Rhonda Green

Path: p
Words:0
1 points
QUESTION 10
1. Case Study 2
Identify one (1) appropriate method used to collect health related data, as a part of the admission process for Mr Grandin.
Path: p
Words:0
1 points
QUESTION 11
1. Case Study 2
Considering Mr Grandin’s injuries and his low BMI, what regular nursing assessments/charts will George need?

Path: p
Words:0
1 points
QUESTION 12
1. Case Study 2
Chronic illness, coupled with the changes associated with ageing, must be considered when planning nursing care for an older client. Provide two (2) risk factors for older people in hospital.

Path: p
Words:0
1 points
QUESTION 13
1. Case Study 2
Identify two (2) community resources or support services that George may need when discharged.

Path: p
Words:0
1 points
QUESTION 14
1. Access the relevant websites, to apply one (1) standard from each of the following code/guideline and relevant Act, that would be relevant to the case study.
• ANMC Code of Conduct
Path: p
Words:0
1 points
QUESTION 15
1. Access the relevant websites, to apply one (1) standard from each of the following code/guideline and relevant Act, that would be relevant to the case study.
• ANMC Code of Ethics
•
Path: p
Words:0
1 points
QUESTION 16
1. Access the relevant websites, to apply one (1) standard from each of the following codes/guidelines and relevant Act, that would be relevant to the case study.
• NMBA Enrolled nurse standards for practice
•
Path: p
Words:0
1 points
QUESTION 17
1. Access the relevant websites, to apply one (1) standard from each of the following codes/guidelines and relevant Act, that would be relevant to the case study.
• State your local, relevant State/territory Nurse Regulatory Nurses Act

Path: p
Words:0
1 points
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You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

 

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.