Applying Nursing Practice Case Study with Short Answer Questions

Student Name
Date
Course
Subject Code and Title APN105: Applying nursing practice (A)
Unit(s) of Competency HLTENN010 Apply a palliative approach in nursing practice
HLTENN013 Implement and monitor care of the older person
Performance criteria,
Knowledge evidence and
Performance assessed
PC: Adjusted according to PC mapping
HLTENN013 – 1.8, 1.9, 2.1, 3.3, 4.3, 4.4, 4.5, 4.6.
HLTENN010 – 1.1, 1.2, 1.3, 1.4, 1.5, 1.6, 2.1, 2.2, 2.3, 2.4, 3.1, 3.2,
3.3, 3.4, 3.5,3.6, 4.1, 4.2, 4.3, 4.4, 4.5, 5.1, 5.2
PE: Adjusted according to module mapping
HLTENN013 – 1, 2,
HLTENN010 – 3, 4 , 5
KE: Adjusted according to question mapping
HLTENN013 – 2, 4, 5, 10, 13, 15, 17
HLTENN010 – 1, 2, 3, 4, , 10, 11, 12, 14, 15, 16, 17
Title of Assessment Task Case Study
Type of Assessment Task Case study with short answer questions
Length 19 questions

Task Instructions
To complete the assessment, you must respond to a number of questions, which are based on the case study.
These questions must be answered in full. When responding to the questions, please pay attention to the
entire question being asked, as well as the prescribed word count, if provided. Use the correct medical
terminology when answering all questions.
References are required in every answer box where indicated. In-text referencing can
also be used.
Reference bibliography is not required.
Case Scenario:
You are an Enrolled Nurse working in a residential facility. Mrs Hong has been a resident at your facility for
10 months. After the initial settling in period, which Mrs Hong found difficult due to her limited English and
early dementia, she is now settled and has a good routine that she and her daughter are happy with. Mrs
Hong’s daughter, Yu Yang, visits her mother daily and assists with bringing in Asian food for Mrs Hong. At
times however, Mrs Hong still finds it challenging to interact with other residents and staff and can become
quite upset and distressed, especially if her daughter is late with her food.
Five months ago, it was noted that Mrs Hong had a deformity in her right breast. On examination it was
determined that Mrs Hong had stage 3C breast cancer. Mrs Hong and her daughter, Yu Yang, were provided
with information relating to the condition and the options available. They have decided to opt for palliative
care. Mrs Hong does not want any active treatment and an advanced care directive has been completed with
her instructions. In the last 2 days, Mrs Hong has shown signs of deterioration with her condition, is unable
to eat or drink, and is confined to bed. She remains conscious at present and her daughter, Yu Yang, is with
her for most of the day.
As part of your role, you are working with a Registered nurse to provide care for Mrs Hong considering her
choices for palliative care.
Character Briefs reviewed:
Mrs Fei Hong:
Mrs Hong is a 70 year old lady of Chinese origin.
Mrs Hong’s background includes: -
Comes from one child family, Chinese background
Speaks little English
Has no extended family

Came to Australia to help her daughter, Yu Yang, raise her son 19 years ago.
Is beginning to demonstrate signs of dementia
Interferes in parenting of twins
Dictates cooking must be Asian
Has hearing and sight impairment
Mrs Yu Yang McFarlane:
Mrs McFarlane is Mrs Hong’s daughter. She is 38 years old and married to George McFarlane. She has a
son, Jason, and 3 year old twins.
Mrs McFarlane’s background includes: -
Came to Australian as a University student
Fell pregnant at the age of 19 – did not marry
Married George 5 years ago
Has 3 year old twins at home
One twin has developmental disorder
English language is good
Was/Is isolated with no extended family
Her issues will be those of isolated immigrant
Prefers to cook Asian food
Needed help with raising child and invited Chinese mother to Australia to help out
Mr George McFarlane:
Mr McFarlane has been married to Yu Yang for 5 years. He is 53 years old. Mr McFarlane is reliant on Yu
Yang to complete all domestic duties as he is not self-sufficient. He is a long- haul truck driver and is often
away for work. He earns good money.

TASK Assessment Criteria
Question 1 Define the term ‘holistic care’
Provide examples of how you would provide holistic palliative care to Mrs Hong and her
family in each of the following 10 aspects. (word limit – 100 Words)