Practice Nursing within the Australian Health Care System - HLTENN001 Workbook

This workbook assesses the level of knowledge of nursing students in relation to various aspects of nursing within the Australian health care system. It covers 25 short answer questions related to regulation, benefits of joining ANMF, health care funding, health care settings, social determinants of health, and more. The workbook is designed for students undertaking HLT54115 Diploma of Nursing and the unit of competency HLTENN001.

HLTENN001 - WORKBOOK
1 QUESTIONING – 25 Short answer questions
STUDENT INSTRUCTIONS
You will be provided 25 short answer questions related to the unit of competency undertaken in
your course. The questions are used to assess your level of knowledge in relation to various aspects
of the unit.
It is important that you read each question carefully prior to starting the assessment and seek
clarification if any question is unclear. Please note your assessor can only provide more information
to clarify the intent of the question, not provide details of the required answer.
 This is an individual assessment.
 If you feel that you may be entitled to access reasonable adjustment strategies to
assist you in completing the assessment, you should discuss the issue with your
assessor before the assessment is due.
 If an extension is required, please request it in writing at least three (3) days prior
to the assessment taking place.
 You have two (2) attempts to achieve a satisfactory result on each part of the
assessment alternatively your assessor may negotiate a further assessment with you.
 This assessment must be completed out of class in your own time
For this assessment, you are required to answer all questions to the standard required to achieve a
result of satisfactory. All assessments must be assessed as satisfactory for you to be deemed
competent in this unit.
Submission of Assessment
Please Note: Students are to complete questions on Moodle, or use a format that can be uploaded
to Moodle.
Assessment Guide -
HLT54115
Diploma of Nursing
HLTENN001
Practice nursing within the Australian health care system

Please Note: You can access further information regarding assessment, including Recognition of
Prior Learning, Reasonable Adjustment and Assessment Appeals in your Learner and assessment
guide.
Assessment 1 - Questioning – 25 short answer questions
UNIT OF COMPETENCY – Code HLTENN001 Title Practice nursing within the Australian
health care system
Student Name Student Number
Student Signature Assessment Date
Assessment
Location
Assessment Time/
Duration
Unlimited
Q1: In 2010, the nursing and midwifery profession was regulated nationally, along
with all allied health professionals and doctors, through which organisation?
MR FER
Nursing and midwifery profession was regulated nationally along with all allied health
professionals and doctors through the organization World Health Organization which helps in
addressing the roles and responsibilities which are being addressed at large scale.
Q2: List the five (5) functions of the Nursing and Midwifery Board of Australia. MR FER
There is major five functions which helps in addressing the aspects of Nursing and Midwifery
Board of Australia. These are answered as follows –
 Overseeing registration of practitioner.
 Development of codes, standards, guidelines by professionally creating the aspects within
the Nursing and Midwifery Board of Australia.
 Handling the complaints and notification which are related to the profession within
Nursing and Midwifery Board of Australia.
 Assessing the practitioners which are trained and wish to work in Australia.
 Approving the accreditation courses of study and standards.
Q3: Use the URL provided to read about the benefits of joining the Victorian branch
of the ANMF and then list four of them.
MR FER
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http://www.anmfvic.asn.au/
Benefits of joining the Victorian branch of the ANMF are described as follows –
 Inquires relating to work.
 There are workplace visits, member representation, orientations are being conducted
online.
 Inquires to other ANMF staff.
 There are education center courses and job rep, training courses and occupational health.
These are the benefits of joining the Victorian branch of the ANMF.
Q4: Briefly discuss how you would explain the health care benefits to a client whilst
in hospital according to the following health care funding: (30-80 words on each of
the three benefits)
a) Medicare scheme
b) Private health insurance-highest coverage
c) Veterans’ Affairs-Gold card
MR FER
Medicare scheme helps in addressing list of all the health services that the government subsidizes.
A team of medical experts keeps the list safe, up to date and best practice. This scheme helps in
addressing the aspects as to how effectively and significantly the services are being provided in
the healthcare sector.
b) There are two kinds of cover which are being addresses as – hospital cover for some of the cost
of hospital treatment as a private patient, general treatment cover for some non – medical health
services not covered by Medicare.
c) Veterans’ Affairs-Gold card helps in providing the healthcare benefits and services to the clients
with the help of medical treatment which helps in addressing the aspects as to how effectively
care is being taken of the patient. There are certain cervices and support which are granted
through counselling in veteran home care, aid, equipment and modification, travel and care
services.
Q5: Identify four (4) benefits of private health insurance for the individual or the
public health system.
MR FER
Benefits of having private health insurance for individual or public health care system are –
 Choosing your own doctor.
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 Improvement in facilities which are provided to the patients.
 There are unrestricted visiting hours with the patients.
 Private rooms are made available for delivering the best services to the patients in private
health insurance system.
Q6: Identify a service that is currently provided by Government funding.
There are some Victorian ones listed here https://www.vichealth.vic.gov.au/media-
and-resources/policy-intervention-and-action and federal ones here
http://www.australia.gov.au/information-and-services/health
If this funding was cut or reduced, list three immediate impacts to health care
delivery in Australia
MR FER
Services there are currently provided by government funding are described as follows –
Public dental services, hospitals, ambulance, mental health programs are diversified at large scale
within the federal ones. If the funding is cut or reduced there are immediate impacts to health
care delivery in Australia which are –
 The patients face the problems in getting to the services at large scale.
 They face problems in funding as how effectively the changes must be taken into
consideration at large scale.
 The health care and delivery of services are not provided to the patients properly.
Q7: With a focus on your local area:
a) List four (4) health care settings available within the region
b) What are four (4) strengths and four (4) weakness associated with the
overall local health care system?
MR FER
a) Four healthcare setting which are for the state, territory and local government responsibilities
are -
 Administering and managing public hospitals.
 Services provided to the patient like emergency and ambulance services.
 Food safety and handling regulations.
 Licencing, monitoring, inspecting and regulating the health premises.
b) Four strengths and four weaknesses with the local health care system are described as follows –
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Main strengths of local health care system are described as follows –
 It consists of Medicare Benefits Schedule.
 There are Pharmaceutical Benefits Scheme.
 There are certain government responsibilities which are to eb fulfilled at large scale.
 It helps in supporting primary care including continuing education.
Weaknesses of local health care system are described as follows -
 It suffers from system inadequacies.
 There are poor communication systems which are identified at large scale within the
health care setting.
 There are workforce shortages which are identified within the local healthcare system of
Australia.
 There is high cost of medical research and innovation.
Q8: Provide an example of a current health care issue within your local area.
a) Explain why is it a current health care issue?
b) Has there been any policy/legislation development regarding this issue?
c) Do you consider it is effective?
MR FER
a) Mental health and Covid are the current issues as recently there are the situation of pandemic
which is being identified among the people suffering from the disease. It is the current health care
issue as people are suffering from the mental pressure. There are three major questions which Dr
Ruth Vine has asked which is described as follows –
 How do I assist friend or family member to get through isolation when sick?
 When feeling tired, frustrated and angry, how 2022 is being faced?
 What advice is being given to the children if they are feeling anxious about returning to
school and worried about getting Covid – 19.
b) There has been a policies and legislation development regarding the mental health issue and
Covid which are described as – National Mental Health Policy which helps in improving the
Australia’s Mental Health System. Along with this, Covid 19 National Health Plan supports the
Australia people through the impact of Covid and to get over it.
c) Yes, I consider it is effective as these policies and legislations help in addressing the issues and
problems which the people are facing at large scale during this pandemic.
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Q9: What is the definition of health according to the World Health Organisation
(WHO)?
MR FER
According to WHO, health is the state of compete mental, social well – being, physical and not
merely the absence of disease or infirmity.
Q10: The values and philosophical underpinnings of primary health care emphasize
the social determinants of health and guide and inform policy, planning, governance
and service provision.
In your own words, outline the seven principles of primary health care. (One
sentence for each principle)
MR FER
Seven principles of primary health care are –
 Social equity
 Self – reliance
 People’s involvement
 Nation-wide coverage
 Coordination which is intersectoral.
 Equitable distribution
 Community participation.
Q11: Healthcare services are classified into three (3) levels. List the three (3) levels
and define the purpose of each level.
MR FER
There are three major healthcare services which are being identified and these are described as –
Primary, Secondary, Tertiary and Quaternary care. The purpose of each level is being described as
follows –
Purpose of primary healthcare services is top improve the health of public by providing easy and
accessible medical care.
Purpose of secondary healthcare services is when the primary healthcare services does not serve
the perspective of services then comes the secondary healthcare services.
Purpose of tertiary healthcare services is that it focuses on highly specialized treatment such as
transplants, secure mental health services, neurosurgery.
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Purpose of quaternary healthcare services main purpose is that it focuses on medicine which is
highly specialized.
Q12: There are numerous health and illness issues facing people from other
countries and cultures other than Australia.
a) Identify three health issues or challenges that refugees or migrants face
when trying to access the Australian health care system.
b) List two services that could be provided to address these challenges.
MR FER
a) Three health issues and challenges that refugees or migrants face when trying to access
Australian healthcare system is described as - language difficulties, legal barriers, cultural
differences.
b) Two services that could be provided to address these challenges are described as – language
translators, fairness in cultures.
Q13: Aboriginal and Torres Strait Islander people have significantly more health
issues than other Australians. They typically die at a much younger age and are
more likely to experience disability and reduced quality of life due to ill health.
List four (4) known identified leading causes of death for Aboriginal and Torres
Strait Islander people according to the Australian Institute of Health and Welfare
(AIHW).
MR FER
There are certain leading causes of death in Australia which are being addressed as – due to
cardiovascular diseases Aboriginal and Torres Strait Islander people according to the Australian
Institute of Health and Welfare (AIHW) are facing this problem at large scale. Among this one
major factor the three factors are mentioned as – coronary heart disease, lung cancer, chronic
obstructive coronary disease.
Q14: Endocrine disorders including diabetes, is regarded as one of the leading
causes of death amongst Aboriginal and Torres Strait Islander people.
a) List two (2) community or allied health services that could be utilised for
endocrine disorders including diabetes.
b) What practices or resources could community and allied health services
utilise to make health care more accessible to the Aboriginal and Torres Strait
MR FER
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Islander community? List four (4)
Aboriginal Community Controlled Health Service (ACCHS) and Allied health services include the
aspects as to how effectively and in efficient manner the changes are being taken place.
b) Primary care services are to be provided to the patients suffering from the Aboriginal and
Torres Strait Islander. Along with this, Indigenous Australian’s health program, Integrated Team
Care Program, Australian Nurse Family Partnership Program are some of the major communities
and programs which bare to be taken into consideration for Aboriginal and Torres Strait Islander
disease.
Q15: Social determinants of health act to strengthen or undermine the health of an
individual or community.
Identify three (3) leading key social determinants of health and for each briefly
describe how they can have a direct impact on an individual's health.
MR FER
The three key social determinants of health are described as follows and creates direct impact on
the individual’s health which is being described as –
Socioeconomic position – The indicators such as educational attainment, occupation which helps
in addressing the data which helps in knowing the socioeconomic position at large scale.
Employment and Work – Young people are influenced and impacted form the physical and
mental health issues which they are facing at large scale. People living in the low – income housing
or who are underemployed are impacted form such problems and issues at large scale.
Build Environment – The environment is the major aspect which is concerned with the health of
the individual therefore it should be taken into the aspect as to how effectively and in appropriate
manner the environment is being built for them.
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Q16: What is the leading underlying cause of death in Australia according to the
Australian Institute of Health and Welfare report (2020)?
MR FER
Coronary heart disease is the only leading cause of death in Australia. There are different
types of aspects due to which there are causes of deaths and this helps in knowing that there are
different age group people who have suffered the death. Chronic diseases are the most common
cause of death among for the people who are aged 45 and above. There are accidents and
suicides which are also the major cause of deaths to the individuals and this has led to
development and providence of big data at large scale. There are road accidents which are the
major causes of death of individuals. Suicides among people of age 15 – 44 are facing such tragic
accidents at large scale. Lung cancer is also one of the major health problems which has caused
death of many people who are in the age of 45 – 74. Therefore, this has come drastic for the
individuals for the aspect as to how the deaths have been taking place at large scale.
Q17: According to the Australian Institute of Health and Welfare (2020), list two (2)
behavioural risk factors and two (2) biomedical risk factors that could impact the
health of an individual.
MR FER
Behavioural factors and biomedical risk factors are two essential parameters which impacts
health of individual, as both are essential for analysing overall health aspects.
 The behavioural factors which impacts health of an individual are excessive
smoking and alcohol addiction.
 The biomedical risk factors are blood pressure and glucose levels which could have
impacted in health of individual.
Q18: Choose one (1) behavioural and one (1) biomedical risk factor and describe
what health issues may arise?
MR FER
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The behavioural risk factors are excessive smoking, where it may lead to risk factors such
as overweight or obesity, physical inactivity and risky alcohol assumptions. The health
issues which may be arisen are obesity, asthma, cancer etc.
Q19: The health care system classifies non-western models of health care as
complementary or alternative methods of health care. Choose three and describe
the benefits of using each.
MR FER
The non-western models of healthcare are segregated into acupuncture, chiropractic and
therapeutic massage which are some of the best alternative in methods of health care.
 Acupuncture benefits are believed to stimulate nervous system, which releases
chemical into muscles and spinal cord.
 Chiropractic Benefits are that it is effective in treating low back pain and enables to
develop optimum care standards.
 Therapeutic massage refers to response after treatment of any kind, where it is
result of which are favourable as per patient condition.
Q20: Mr. Wong has been admitted to hospital. You are working through your
general admission questions and he has informed you that he is currently taking
multiple traditional Chinese medicines that he takes on a regular basis. What is your
role as an EN if you come across this situation?
MR FER
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As enrolled nurse, role is to provide nursing care under directions and supervision as part
of interdisciplinary medical team. The side effects of traditional Chinese medicines are
infections, punctured organs, collapsed lungs and injuries to central nervous system. Mr.
Wong has been found to be impacted based on specific facts, where enrolled nurse should
specifically focus on medical history.
Q21: List the seven (7) components (principles) of wellness. MR FER
The seven components of wellness are physical, emotional, intellectual, social, spiritual,
environmental and occupational which signifies that components of wellness are highly
essential. Principles of wellness, plays crucial role in improvising working engagement
diversely and engaging rapid improvement for all patients.
Q22: How can you ensure that during your nursing career you ensure your
professional practice meets the audit and / or accreditation requirements of the
organisation?
The nursing career can be ensured within professional practices for meeting audit, and
accreditation requirements of organisation by strengthening rapid improvement and
delivering monitoring aspects within longer time frame. Nurses career has to be worked on,
for meeting professional practices informatively in meeting essential requirements.
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Q23: Identify the basis of Nursing theorists and how they could be incorporated into
nursing practice.
MR FER
The nursing theorists are Florence Nightingale which is based on environment theory, and
Hildegard Peplau which is based on interpersonal theory. Application and incorporation
into nursing practices will enable nursing to be further expanded on, where environment
theory helps in understanding nature of environment needs. The degree of cleanliness,
quietness and good ventilation further enables to improvise patient healthcare scenarios.
The interpersonal theory signifies that nursing purpose helps to identify patient difficulties,
where nurses application of human relations arises levels of experience.
In order to answer the following question, you are required to access the
following link:
https://www.slideshare.net/ParveenKumarChadha1/historical-perspectives-of-
nursing-and-concepts-of-nursing
MR FER
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Q24: Provide a brief history of historical perspectives and concepts of nursing. MR FER
The concept of nursing, started within International Council of nurses in 1973 where
performance of activities contributes to health and recovery, preventing diseases. It can be
analysed that historical perspectives and concepts of nursing are highly essential, where
international council of nurses further was created to provide optimum care standards.
In order to answer the following question, you are required to access the following link:
https://health-medical-economics.imedpub.com/australias-health-system-some-issuesand-
challenges.php?aid=8344
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Q25: According to the article from the above link, what are six (6) challenges facing
Australian health care policy development?
MR FER
Demographic changes, technology costs, private and public funding of health care, issues
in the research medical sector, equity issues and health inequality along with rapid
urbanization health issues are some of the challenges faced within health care policy
development. This plays crucial role in developing best healthcare standards.
Assessor Feedback
Assessor note: Please ensure all above criteria have been met to a satisfactory standard. Where not, additional evidence
must be obtained and recorded to meet assessment criteria. All additional evidence must be clearly documented.
Assessor Name
Assessor Signature Date
Assessment Task Result (Please tick appropriate Assessment Result) MR ☐ FER ☐
Marking Scheme Competency based ☐
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