Care Review & Stress Management Strategies

This assignment focuses on evaluating care plans regularly for effectiveness and discussing potential issues with a team. It involves identifying physical, behavioral, or emotional responses to stress and outlining four self-care strategies if stress impacts personal well-being. The assessment aligns with the unit CHCAGE005: Provide support to people living with dementia.

32471/02 Knowledge Test – Short Answer Questions
1. Background/Overview
In order to work in the aged care sector as a care support worker,
you will need knowledge the effects dementia has on clients, and
how you deal with these effects in the course of working with them
and their families.
2. Brief
This assessment consists of six (6) parts.
This assessment will give you the opportunity to demonstrate your
knowledge in the following areas:
 Verbal and non verbal strategies to ensure effective
communication with people living with dementia
 Providing a person centred approach in care
And supporting activities that reflect the individual’s
background, likes and dislikes.
 Providing activities to support maintenance of dignity, skills
and health
 Identification of and responses to changes in client behaviours
associated with dementia.
 Evaluating strategies employed to minimise the effects of
behaviours
 Self care when working with clients and their families
Deliverables
Please submit this assessment
in Word doc format.
To do list:
1. Write your
name and student ID
at the top of this page.
2. Read the Background/
Overview and Brief sections
of this document.
3. For each question, read
the scenario or client profile
before attempting to
answer the question(s)
relating to it.
4. Complete the 6 parts by
answering in the spaces
provided.
5. Make sure you follow
the instructions regarding
the required number of
words (where indicated)
6. Save the Word
document using the naming
convention: your student
number_assessment
number.doc. For example:
“12345678_31135_01.doc.”
7. Upload your document
in Open Space using the
relevant Assessment
Upload link in this Module.
3. Questions/Task
Effective Communication
Part 1

A: Imagine you are working as an aged care support worker for Kostas who receives support in his home. You
notice that Kostas does not always reply to you when you speak with him, sometimes he seems lost or confused
about what he is doing, and he does not always seem to know what day or time it is when you go to the house.
Complete the table below. For each Communication Strategy, add your answers for both columns:
Communication
Strategy
Outline how you could use this
strategy?
(50 words)
Describe why is this strategy important,
how does it assist?
(50 words)
Eye Contact I will use direct eye contact. To show interest in the communication so
that Kostas can learn to focus.
Reminders about what
is occurring
To be asserted. To increase the memory.
To Direct Statements I will give health instruction by this. It will emphasise more on the importance
of health and wellness.
Touch Touching his back. This will help him in feeling support to him.
Simple Questions Asking close ended questions To encourage a single word answer to
reduce the confusion.
Reality Orientation
(reminders about day,
time, relationships,
events-visual or
verbal)
Reminding him about important dates. This will increase his ability to learn the
dates and events.
Tone of voice and
reassurance
Soft voice To enhance peace.
Talking to Kostas
about familiar people,
hobbies or past
occupations.
By having a detailed discussion. This discussion is important in gathering
the knowledge about his interest.
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B: Anna is confused as to why Kostas gets cross at her when she is trying to help him. He says she nags him when
she is only trying to remind him of what they are doing or assist him with tasks when he gets confused. What
strategies could you assist Anna with to help her communication with Kostas? Complete the table:
Area to support Identify a communication strategy
you could suggest to Anna to assist.
(50-100 words)
Why may these strategies assist?
(50-100 words)
Getting showered and
dressed in the
morning
Tone of voice and reassurance Using soft tone, Anna can influence Kostas.
Remembering events
such as family visits
and going to the shops
Reminders about what is occurring It will help in generating interest in him to
visit his family and other places.
Remembering what
day, date and time it is
Reality Orientation This will make him remember the day, date
and time.
Eating and drinking
(eg mealtimes)
Simple Questions In asking that either he is hungry or not.

Person Centred Approach
Part 2
As a care support worker in aged care and home and community, you will also be working with people from
diverse cultures and ethnicities, and you will undoubtedly come across some beliefs or behaviours that are
different to yours.
Read the scenario and then answer the questions:
A: You want to find out what type of things Mrs Si likes doing around the house, her hobbies and pastimes, and
what she liked to do for leisure time, so you can assist her to engage in meaningful activities.
Identify and briefly describe two ways in which you could discover this information, who might you ask, and what
might you ask them? What other information might you draw upon? (100 words)
 Observation: I will observe her and will notice the tasks she performed. Also, I will ask her daughter,
husband and health supervisors that what thing makes her the most happy.
 Communication: Communication is the most effective tool in understanding what a person loves the
most. I will ask her open ended questions about her hobbies,interests, etc. so that she can share her
knowledge and feelings with me in detail. I will also enquire the most special moment of her life. These
questions will encourage her to give long answers.
B: How would you use this information to engage Mrs Si, so you can assist her to engage in meaningful activities
and address social devaluation? (100 words)
 Information gathered through observation: I will discuss her positive and negative points so that she
can use them wisely in a productive manner. Also, I will also state the activity in which she got
perfection by observing her work. I will encourage her to prepare tea and food for her daughter and
husband.
 Information gathered by communication: The open ended questions will help her in knowing herself a
little more. By having good understanding of plus and minuses she can develop a sense to engage her in
the activities that are good for her and society. I will encourage her to plant new flower seeds so that
she can feel good.
C: What could you do to assist Mr Si to understand his role as a carer, and where could you refer him to for
assistance and support? (100 words)
I will suggest Mrs Si to identify all her strengths so that she can put her best in doing productive activities for
herself and for society. I will also emphasise her to accept all the coming opportunities to her. Determining all
the threats is also necessary so that they can be prevented by using effective tools.
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Providing activities to support maintenance of dignity, skills and health
Part 3
As a care support worker in aged care and home and community, you may be called upon to provide care support
for younger people with dementia.
Read the scenario and then answer the questions:

A: You are scheduled to visit Joanne twice a week, once to assist with washing and once to assist
with shopping.
In your own words, complete the table below with strategies you would employ to assist Joanne
maintaining independence and dignity.
Task Outline one strategy for each you could use
to assist Joanne.
(50-100 words)
How would you maximise
Joanne’s independence and
ensure Joanne’s dignity is
maintained in relation to this
task? (20-50 words)
Sorting her washing and
putting on the washing
machine
I will first allow her then politely ask her for
support
Under this if she require help
the she may mention or can
continue with work
Remembering the day
and time and scheduled
tasks
To be asserted. This will allow her to maintain
her dignity and independence.
Preparing for the
shopping trip
Prepare a plan for myself and list for her so
she can never forget her things
this way she can remember the
activities she wanted to do while
shopping
Choosing items I will allow her to chose as her perspective
and provide assistance if required
this way she can independently
chose her things
Paying for items I will be there while she makes payment it will reduce the dependency, if
some mistake will be there I
could assist her
Travelling to the shops I will drive the car and allow her to chose the
place she wanted to visit
her choices will be covered so
her dignity and independence
will be maintained
Dealing with becoming
distressed when near
larger crowds
I will not make her feel annoyed so that she
does not get distressed.
I will ensure her dignity by not
annoying her.
Becoming lost or
confused at the shopping
centre
I will help her in choosing things. Her choices will be covered so
her dignity and independence
will be maintained
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Needing to shop by
herself (going to the local
store for bread and milk)
I will allow her to shop alone. It will bring self-reliance in her.
Accessing craft supplies I will influence her to make some crafts. Craft making will make her feel
independent.
Asking her sister to assist
with picking up things
Joanne cannot access.
I will motivate her sister to do it at her own
without her command.
Getting her work done without
any command will make her feel
independent.

B: Joanne tells you on one of your trips to the shops that she is worried about her finances. She says that her
brother John comes around and takes money from her purse and she thinks that he knows her account PIN
number. She says that the rental agency wrote her a letter saying she is behind in her rent but she is confused
about this as it gets taken from her account automatically. Outline the steps you would take after Joanne tells you
this information. Explain why you would take these steps. (50-100 words)
I will suggest Joanne to change her PIN number and to not share it with anyone so that her brother can not
access her account. Besides this, I will say her to refuse the next time, John comes for money. In addition to
this, I will advice her to observe the activities of her brother so that she can identify where the money he is
spending at.
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Identification of and responses to changes in client behaviours associated with
dementia.
Part 4:
A: Managing the changed behaviour of people with dementia is a vital part of your work in aged care. Support
workers need to understand the causes of changed behaviour, the effect changed behaviour can have on the
person with dementia and others, and strategies that can be used to manage or minimize the impacts of the
changed behaviour.
Complete the table regarding changed behaviours:
Changed
Behaviour
Outline a situation illustrating
this behaviour.
(50-100 words)
Outline what may
be triggering this
behaviour?
(20-50 words)
Describe what could you do to
manage or minimise the
impacts of each behaviour?
(50 words)
Social withdrawal Disengagement from social
gatherings.
The irritation
caused by disease.
By involving them in social
activities.
Verbal disruption Hesitation while speaking. Lack of confidence. I will present some clips of good
presentations.
Repetitive
actions or
questions
By observing the speech and
actions.
Dissatisfied with
the answers.
I will answer them in detail in
the first time only.
Resistance to
personal care
By observing the physical
condition.
Unaware of the
advantages.
I will explain them the
importance of personal care.
Sexually dis-
inhibited or
inappropriate
behaviour
Getting annoyed and observing
mood swings.
Not satisfied with
sexual life.
I will learn them to manage their
mood swings. Also, I will assist
them to hear soft music.
Wandering or
intrusiveness
Short-tempered Instability of mind. I will advice them to do
meditation.

B: Read the scenario and then answer the questions:
Complete the table regarding a team approach to managing the impact of John’s changed behaviours.
Behaviour Describe what might
be the triggers for this
behaviour?
(50 words)
Explain what strategies the team
could put in place to manage the
impacts of this behaviour?
(50-100 words)
What would indicate
that the strategies are
successful?
(50 words)
Dressing in many
layers and checking
his belongings.
John may feel under-
worthy and unsafe.
Also, he may not feel
free to express
himself.
Team should describe the positive
points of him
It will make him feel
confident.
Johns behaviours at
mealtimes
He makes noises while
eating and spills a lot.
It is because he may
not like the food.
By preparing meal of his choice. He will like his
favourite food.
John going to use
other resident’s toilets
The cleanliness of his
toilet is not
maintained.
By maintaining hygiene of his
toilet.
When he will start
going to his own.
John becoming
agitated and at times
aggressive with
others.
Instability of mind due
to side-effects of
disease.
Team can use soft music to alter his
mood.
When he will not have
mood swings too
often.
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C: You answer a call bell and the resident tells you that John is in her bathroom trying to use the toilet, and he is
swearing and becoming angry as he can’t get undressed. When you approach him, John is visibly distressed and
does not understand why his bathroom looks different. He says that there are women’s clothes hanging in here
and he doesn’t recognise the decorations. You tell John that this is not his bathroom but he continues to say that
it is.
Outline the steps you would take to accept John’s reality, address John’s needs driven behaviour and to de-
escalate the situation. Explain why you would take these steps.
(100 words)
I will use very soft voice while trying to explain that it is not his bathroom. I will show the women's clothes
present there. Also, I will try to make him recognise his own by describing the colour of it, the location of taps,
etc. I will further try to apply no pressure on him. In case if I will use hard voice or any pressure then he will feel
more agitated and annoyed. Also, If I will make him recognised his own by providing him the interior details
then he will accept easily that it is not his bathroom.
D: Explain what you would document, where you would document and where this would be stored after you
have dealt with the above situation, and who and when you would report to about this incident. (100 words).
I will document that soft voice is the most effective tool that helps in dealing with such situations. I will use this
information in influencing more people to deal softly with such patients so that such situations can be
prevented. I will further provide this information to different health care homes so that they can sue this
method while treating the patients effected with dementia so that they do not feel agitated and annoyed. Also,
this will help staff in influencing patients to take their medicines.

E: There are a number of specific strategies that workers can use to assist with minimising the likelihood of, and
managing the effects of changed behaviours associated with dementia. These strategies assist to optimise the plan for
care for the person and the care team should evaluate the implemented strategy to ensure effectiveness in minimising
changed behaviours.
In your own words, outline how the strategies listed in the table might be used with clients with changed behaviours and
outline how the team might evaluate the effectiveness of each strategy.
Strategy Describe one example of how
the strategy might be used
(50 words)?
How might the team evaluate the strategy?
(50 words)
Distraction This will help in removing
their focus from the thing
which make them feel
distressed.
By observing mood.
Discussing current events This will impact them to join
social gatherings.
By seeing their attitude in social events.
Reminiscing It will increase the memory. By asking simple questions related to date.
Walking (purposeful) Will draw their attention on
personal care.
By observing the fitness of John.
Addressing physical triggers
for behaviour
To have better control on
changed behaviour.
By evaluating the control of John on his moods.
Alternative therapies By relieving them from the
effects of mental illness.
By doing assessment of the effect of therapies.
Reassurance In making them feel safe. By making them feel wanted and generating self-
confidence.
Orientation to time and task In stating the importance of
time and task assigning.
By observing the time they take in completion of
tasks.
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Evaluating strategies employed to minimise the effects of behaviours
Part 5
Contributing to team evaluation of a plan for care is an important part of your role. Please read the scenario and
answer the questions below.
A. The care team is meeting with their RN supervisor to review Millicent’s plan for care.
In your own words, describe three issues and suggested strategies to minimise the effects of the issues that you
could discuss to contribute at this care review. (100-150 words)
She is not able to take care of herself. Further, she is not getting adequate nutrients as well as food. Due to
aging she is not feeling well and was not able to take care of herself. She require proper care and nutritious
food so that she can get well. Further, her clothes and place requires cleanliness so that better and clean
environment can be provided to her. As she is forgetting the food, her medicine so she requires fresh air and
environment so that some positive strength can be added to her. Yoga and meditation are the best to get
recovery and to regain the health. She definitely requires a assistance so that her health can be improved.
B: Why is it important to review and evaluate the care plan regularly (50-100 words).
It is necessary to review the care plan so that the nutrients and food taken by her can be monitored. Further, if
she will wear dirty clothes then it will lead her to get infections. In addition to this, the care plan is required to
notice monitor her medicines and foods.

Self care when working with clients and their families
Part 6:
A: Working with people with dementia can be very stressful. Workers can be faced with clients who are
distressed, agitated, restless, aggressive or withdrawn. The people they support may not remember them from
one day to the next and may show little gratitude for the support they provide. It can be difficult at times to see
whether the support you provide or the strategies you implement are having significant success. It is easy to
become stressed, frustrated and disillusioned if you do not also care for yourself as a worker.
A ‘stressor’ is the event, activity or situation that is causing stress. In your work supporting people with dementia,
you will encounter many different potential stressors.
Complete the table below.
Potential Stressor Describe this type of potential stressor (50-100 words)
Time Stress Not completing tasks in setted deadlines.
Stress from Behaviours If clients uses bad language or actions while rendering treatment.
Frustration The patients does not follow the guidelines provided to them.
Distress The behaviour of patients really makes the situations of distress.
B: It is important that you are able to monitor your own stress levels relating to working with people with
dementia, and if the stressors are impacting on your life and work.
Outline six (6) physical, behavioural or emotional responses to stress in the table below (20-50 words each).
1 I easily get annoyed if I have to repeat anything to any one and they do not follow then.
2
I do not feel like talking much now. Also, I have converted to an introverted person.
3
I have lost my weight by 5 kg and feel weakness when I work longer than 2-3 hours.
4 I observed that I get tired very easily now.
5
Now, I do not like meeting to much people and I avoid taking parts in social gatherings.
6 I have lost so many friends of mine due to my work and the stress.
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C: It is important that you are able to monitor your own stress levels relating to working with people with
dementia, and if the stressors are impacting on your life and work.
Outline four (4) self-care strategies you could employ if stress is impacting on your life or work. (20-50 words
each).
1
I will take assistance of meditation and yoga to feel fresh and stress free. Also, they aids in managing
health and fitness.
2
I will try to take a short naps between work of 2-3 hours so that I can relieve the tension.
3
I will also task part in religious activities as they brings positive vibes. This participation will assist me
becoming a calm person.
4
I will involve myself in more social gathering and activities so that I can feel positive.

4. Assessment Rubric
Below is a rubric that determines whether your answers and knowledge are satisfactory or unsatisfactory.
To be deemed satisfactory, and to pass the assessment, you must complete the requirements for the column that
is titled ‘Satisfactory’.
It is advisable to read the rubric for the question you are answering to determine if you have fully answered the
question to the correct standard.
Criteria Satisfactory Not yet satisfactory
Part 1:
Question A
The student is able to adequately:
- identify how to use each
communication strategy,
and
- describe why the strategy is important
in communication and how it assists
communication with the person with
dementia,
The student fails to or does not
adequately:
identify how to use each communication
strategy,
and/or
- describe why the strategy is important
in communication and how it assists
communication with the person with
dementia,
Part 1:
Question B
The student is able to:
- identify a communication strategy they
could suggest to Anna for each situation
and
- identify why these strategies may assist
Anna,
The student fails to:
- - identify a communication strategy they
could suggest to Anna for each situation
and/or
- identify why these strategies may assist
Anna,
Part 2:
Question A
The student is able to identify and briefly
describe two methods of identify what
Mrs Si’s finds enjoyable in the given
scenario.
The student fails to identify and/or briefly
describe two methods of identify what
Mrs Si’s finds enjoyable in the given
scenario.
Part 2:
Question B
The student is able to adequately:
- describe how they would use the
information to engage Mrs Si, assist her
to engage in meaningful activities and
address social devaluation.
The student fails to adequately:
- describe how they would use the
information to engage Mrs Si, assist her
to engage in meaningful activities and
address social devaluation.
Part 2:
Question C
The student is able to:
- describe what they could do to assist
Mr Si to understand his role as a carer
and
- where they could refer him to for
assistance and support.
The student fails to:
- describe what they could do to assist Mr
Si to understand his role as a carer
and/or
- where they could refer him to for
assistance and support.
Part 3:
Question A
The student is able to
-outline one strategy for each element
they could use to assist Joanne
and
-Describe how they would ensure that
they maximise Joanne’s independence
and ensure Joanne’s dignity is
maintained in relation to this task .
The student fails to
-outline one strategy for each element
they could use to assist Joanne
and/or
-Describe how they would ensure that
they maximise Joanne’s independence
and ensure Joanne’s dignity is maintained
in relation to this task .
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Part 3:
Question B
The student is able to:
- outline the steps they would take in
response to the scenario,
and
- explain why they would take those
steps.
The student fails to:
- outline the steps they would take in
response to the scenario,
and/or
- explain why they would take those
steps.
Part 4:
Question A
The student is able to:
- outline a situation illustrating each
behaviour,
and
- outline what may be triggering the
behaviour,
and
- Describe what they could do to manage
or minimise the impacts of each
behaviour.
The student fails to:
- outline a situation illustrating each
behaviour,
and/or
- outline what may be triggering the
behaviour,
and/or
- Describe what they could do to manage
or minimise the impacts of each
behaviour.
Part 4:
Question B
The student is able to:
- Describe what might be the triggers for
each behaviour,
and
- Explain what strategies the team could
put in place to manage the impacts of
this behaviour,
and
- Describe what would indicate that the
strategies are successful
The student fails to
- Describe what might be the triggers for
each behaviour,
and/or
- Explain what strategies the team could
put in place to manage the impacts of
this behaviour,
and/or
- Describe what would indicate that the
strategies are successful
Part 4:
Question C
The student is able to:
- outline the steps they would take to
accept John’s reality, address John’s
needs driven behaviour and to de-
escalate the situation
and
- explain why they would take these
steps
The student fails to:
- outline the steps they would take to
accept John’s reality, address John’s
needs driven behaviour and to de-
escalate the situation
and/or
- explain why they would take these steps
Part 4:
Question D
The student is able to:
- explain what they would document in
the relevant notes or charts in relation to
the described situation
and
where you would document the
information
and
who and when you would report to
about this incident
The student fails to:
- explain what they would document in
the relevant notes or charts in relation to
the described situation
and/or
where you would document the
information
and/or
who and when you would report to about
this incident
Part 4:
Question E
The student is able to:
- explain in their own words how the
listed strategies might be used with
clients with changed behaviours
and
how might the team evaluate the
strategy
The student fails to:
- explain in their own words how the
listed strategies might be used with
clients with changed behaviours
and/or
how might the team evaluate the
strategy

Part 5:
Question A
The student is able to:
- describe three issues that you could
discuss to contribute at this care review
and
suggested strategies to minimise the
effects of the issues to contribute at this
care review
The student fails to:
- describe three issues that you could
discuss to contribute at this care review
and/or
and suggested strategies to minimise the
effects of the issues to contribute at this
care review
Part 5
Question B
The student is able to:
- describe why it is important to review
and evaluate a careplan regularly
The student fails to:
- describe why it is important to review
and evaluate a careplan regularly
Part 6:
Question A
The student is able to:
- describe each type of potential stressor
listed
The student fails to
- describe each type of potential stressor
listed
Part 6:
Question B
The student is able to
-outline six physical, behavioural or
emotional responses to stress.
The student fails to
-outline six physical, behavioural or
emotional responses to stress.
Part 6:
Question C
The student is able to
-outline four self care strategies they
could employ if stress is impacting on
them.
The student fails to
-outline four self care strategies they
could employ if stress is impacting on
them.
Overall assessment requirements
Word count As per tasks.
Plagiarism All or most of the work is original and sourced
material (if any) is properly cited.
Referencing Appropriate referencing conventions are used.
5. Units of Competency
This assessment meets the following units of competency:
CHCAGE005 Provide support to people living with dementia
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