Consent and Elder Abuse in Nursing Scenario

ASSESSMENT TASK 2 – SCENARIO
Instructions
for
completion
 You are required to go through the scenarios mentioned below
and answer the questions that follow
 all questions must be answered correctly
 Assessment requirements may be hand written or typed
 Answers should be on average 100 words per question unless
otherwise indicated
 If hand written, the writing must be legible
 Use of APA referencing must be used where original sources other
than your own have been used – to avoid plagiarism
 Write your name, student ID, the assessment task and the name
of the unit of competency on each piece of paper you attach to
this assessment document
 Submit to your trainer/assessor by the due date.
Due Date  The trainer/assessor inform you of the due date
The due date for this task is _____________________________
HLT54115 Diploma of Nursing
HLTENN008 – Version 3.2 January 2019
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Your shift handover from AM nurse Mark, a fellow EN, was rushed – he was
finishing early so he could get home in time to watch an AFL game, and seemed
distracted. One of the patients he’s handing over is Mrs. Lee, a frail 75-year-old
woman who recently emigrated to Australia with her family from China. Neither
she nor her accompanying daughter speak English.
Mark tells you that she has verbally agreed to a renal biopsy. As directed by the
nephrologist, she has been fasting for the procedure, and would be called down
to radiology soon. Because it’s a weekend, you’ll have to accompany Mrs Lee,
and stay throughout the procedure.
As soon as Mark leaves, you get a phone call from the Ultrasonography room.
The nephrologist and the radiologist are ready for you to bring Mrs Lee down for
an ultrasound-guided biopsy; as you hang up the phone, an orderly appears to
take her down on the bed. You pick up her files, and accompany Mrs Lee and her
daughter, Ji-yeon, to ultrasound.
You demonstrate to Mrs Lee that she needs to lie prone, and undo her gown so
the nephrologist and radiographer can access her kidney. Before you cover her
exposed buttocks, you notice several longitudinal bruise-like marks on her
buttocks, as if she was hit with a belt. Mrs Lee winces when you gently touch
them. The Nephrologist exclaims,” It looks like elderly abuse to me. Please ask
the intern to make note of this in the patient history.”
The nephrologist then asks you if there’s a consent, and you absent-mindedly
reply yes because you’re thinking about the marks, and because Mark said Mrs
Lee had finally agreed to the procedure.
The nephrologist shows the biopsy needle to Mrs Lee, who starts shouting and
banging her fists to the bed. It takes you and Ji-yeon half an hour to calm her
down, after which the biopsy is successfully performed.
Q1. Identify a key concern regarding consent in the above scenario?
The validity of the consent for the procedure.
Q2. You know that elder abuse is wrong. You took a picture of Mrs Lee’s buttocks
on your phone after the procedure. You want to report this to the highest
authority and think posting it on twitter will raise awareness regarding abuse. By
doing this, you will be:
Statement A: Breaching the patient’s privacy and confidentiality. This
statement is true according to Palacios-González, (2015).
Statement B: Breaching the legislative requirements and the organisational
policies and procedures
Pick the correct answer:
a.Statement A is correct and Statement B is incorrect.
HLT54115 Diploma of Nursing
HLTENN008 – Version 3.2 January 2019

b.Statement B is correct and Statement A is incorrect.
c.Both Statements are correct.
d. Both statements are incorrect.
HLT54115 Diploma of Nursing
HLTENN008 – Version 3.2 January 2019
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