Conditions for Assessment

CRS170
Revision 101
July 2017
Page 1 of 7
Assessment Task 2: DKA, HHA & Education in the Primary Health Care Setting
Student Version: Knowledge
Student information
Student name: Student
ID:
Section A – Program/Course details
Qualification code: HLT54115 Qualification title: Diploma of Nursing
Unit code: HLTENN025 Unit title: Implement and monitor
care for a person with
diabetes
Section B – Assessment task details
Assessment
number:
2 Semester/Year: Enter Semester/Year
Due date: Week 8 Date of submission:
Assessment task
results:
This assessment task will be marked as:
☒ Graded result: 40 marks. To be deemed satisfactory, a minimum score of 20/40
must be achieved.
☐ Other
Section D – Instructions to Students:
Task Instructions:
 Students are to answer all questions using their own words.
 Plagiarism will not be accepted.
 Answers must be typed directly onto template provided.
 Answers must be typed in Arial font size 12 and double spaced
 Due date for this assessment tsk is week 8.
 Students are allowed two attempts at this assessment task.
 Any late submissions will be deemed as a second attempt.
FOR OFFICIAL USE ONLY Holmesglen: CS NURS 8-Mar-2019 D:\HLTENN025 Implement and monitor care for a person with Diabetes\HLTENN025_Assessment Task 3 GDM Worksheet_Student.docx
Section C – Conditions for Assessment
Conditions:
 Students to enter their details on coversheet and answer questions on template provided.
 Cover sheet and answers to be submitted together in word doc format. No jpegs, images,
screenshots or pdf formatted work will be accepted.
 All pages must have the student’s name, ID number and signature on it, where stipulated
 Due date for this assessment task is Week 8.
 Any questions are to be addressed to the teacher.
 This is an individual assessment task (No group answers will be allowed).
 Answers to be typed using Arial font size 12 and double-spaced
 Referencing in APA 6th Style (include Reference List and in-text referencing)
 Plagiarism will not be accepted.
 A minimum score of 20/40 to be deemed satisfactory for this assessment.
 Students will be allowed two attempts to achieve a satisfactory result.
 If a second attempt is required, this is to be completed one week after the first attempt to allow for
revision.
 Students requiring a second attempt will be awarded a maximum score of 20/40 if they achieve a
satisfactory result.
 Please let the teaching staff know if special consideration or adjustment will be required before the
assessment task begins. Approval must be confirmed prior to commencement.
Equipment/resources students must supply: Equipment/resources to be provided by the
RTO:
Pen/laptop, copy of Assessment Task Coversheet
and
worksheet
Assessment Task Cover sheet/worksheet to be
downloaded by the student, from Brightspace

CRS170
Revision 101
July 2017
Page 2 of 7
Section E – Marking Guide Student Answer Sheet
Assessment
number:
2 Assessment
title:
DKA, HHA and Education in the Primary
Health Care Setting
Student ID: Student name:
Unit code: HLTENN025 Unit title: Implement and monitor care for a person with
diabetes
Date submitted:
Questions: Provide your responses in the boxes below each question.
Question 1 Pancreatic islet cells produce glucagon, insulin and
somatostatin.
Which islet cells produce each hormone and how does each
hormone work to regulate blood glucose levels?
(0.5 marks per correct islet cell identification)
(0.5 marks per description of hormone action)
(3 marks in total)
Satisfactory response
Yes ☐ No ☐
Answer:
The pancreatic islet is a small group of cells located in the pancreas that plays
vital role in regulation of the blood sugar level.
The alpha cells in the pancreatic islet produces glucagon and these cells
contribute to 15 to 20% of the total islet cells. The alpha cells release glucagon
when the blood sugar levels are low. Glucagon aids in instructing the liver to
release the stored glucose and hence raises the level of the blood sugar.
The beta cells comprises 65 to 80% of the total pancreatic cells and these cells
produce insulin. Insulin aids in absorbing the glucose by the cells hence
making it available for the cells to get energy and reduces the blood sugar.
Insulin is secreted when blood sugar level is high.
The delta cells in the pancreatic islet produces somatostatin and delta cells
contributes to 3 to 10% of the total pancreatic islet cells. This is a hormone that
prevents the secretion of various other hormones like growth hormone, thyroid
stimulating hormone, cholecystokinin, glucagon and insulin. It exhibits a local
paracrine inhibitory influence on the release of hormones by the alpha and the
beta cells thus it coordinates the carbohydrate metabolism (Pedersen,
Gudmundsdottir & Brunak, 2017).
Answer:
Click here to enter text.
Question 2 What is the difference between Gluconeogenesis and
Glyconeolysis?
(1 mark per definition)
Satisfactory response
Yes ☐ No ☐
FOR OFFICIAL USE ONLY Holmesglen: CS NURS 8-Mar-2019 D:\HLTENN025 Implement and monitor care for a person with Diabetes\HLTENN025_Assessment Task 3 GDM Worksheet_Student.docx

CRS170
Revision 101
July 2017
Page 3 of 7
(2 marks in total)
Answer:
Gluconeogenesis is defined as the metabolic pathway that results in the
formation of glucose from various non-carbohydrate carbon substrates. This is
an important process that ensures storage of the required energy for the brain
in the form of glucose. It majorly takes place in the liver and to a lesser extent
in the cortex of the kidneys.
Glyconeolysis is defined as the biochemical process that ensures break down
of glycogen to glucose. This reaction takes place in the muscles and liver
tissues when signalled by neural signals or hormones. It is regulated by the
blood sugar level and by epinephrine (Zhang, 2017).
Comment:
Click here to enter text.
Question 3 Describe, step by step, what you would need to educate a
newly diagnosed diabetic client, regarding the management
of a blood sugar level of 2.8 mmol/L.
(1 mark per step)
(4 marks in total)
Satisfactory response
Yes ☐ No ☐
Answer:
The blood sugar level of 2.8mmol/L is a health compromised condition of
hypoglycaemia. This is a common symptom observed in patients that are
being administered with diabetes medication.
The steps to manage the health priority is:
 They should always have a fast acting sugar with them. The health care
giver should instruct the individual to have a snack prior to exercise or at
bedtime to prevent overnight low blood sugar or during exercise.
 The individual should not resort to drinking alcohol in empty stomach.
And he should limit himself to 2 drinks a day.
 If the level of glucose falls frequently ensure to inject glucagon under
the guidance of your clinician.
 In case of emergency call your doctor immediately.
Comment:
Click here to enter text.
Question 4 Explain, in detail, the pathophysiology of Diabetic
Ketoacidosis. Include clinical presentation, blood glucose
and blood ketone levels confirming diagnosis.
(1 mark per detail – 10 details required)
(10 marks in total)
Satisfactory response
Yes ☐ No ☐
Answer:
Diabetic ketoacidosis is an acute metabolic syndrome that is characterized by
hyperglycaemia, hyperketonemia and metabolic acidosis. Hyperglycemia leads
to osmotic diuresis and significant loss of body fluid and electrolyte. The major
symptoms include nausea, vomiting as well as abdominal pain. It can lead to
cerebral edema, coma and progress to death. It is the condition when the
Comment:
Click here to enter text.
FOR OFFICIAL USE ONLY Holmesglen: CS NURS 8-Mar-2019 D:\HLTENN025 Implement and monitor care for a person with Diabetes\HLTENN025_Assessment Task 3 GDM Worksheet_Student.docx