HLTENN004: Knowledge Assessment of Nursing Care Plans, Diploma

This document presents a completed knowledge assessment task for the HLTENN004 unit, focusing on the implementation, monitoring, and evaluation of nursing care plans. The assessment includes multiple-choice questions and case studies involving patients like Mrs. White, Molly Green, and Anthony Marino, covering topics such as patient assessment, care plan development, nutritional needs, fluid balance, oxygen therapy, and managing symptoms like vomiting, diarrhea, and confusion. The assessment requires students to identify nursing interventions, rationales, and strategies for ensuring patient well-being and addressing specific medical conditions. The document also features a completed fluid balance chart and asks for the evaluation of the results. This assessment is designed to evaluate the student's ability to apply theoretical knowledge to practical scenarios in a healthcare setting.

Knowledge Assessment Task
U N I T
C O D E HLTENN004 U N I T T I T L E Implement, monitor and evaluate nursing care plans
Qualification
Code HLT54115 Qualification
Title Diploma of Nursing
Task Number 1 of 3 Task Name Written Knowledge Assessment
Description of assessment task to be completed ☐ Additional content attached
• This is one (1) of three (3) assessment tasks the student is required to successfully complete to be deemed competent for this unit.
• In this written assessment the student must answer all questions satisfactorily which relate to implementing, monitoring and evaluating
nursing care plans for clients in a range of circumstances or situations.
• The questions in this assessment are a combination of multiple choice and case study short answer questions.
• This assessment is completed in the students own time.
• The student must answer all questions to the required level to be deemed satisfactory in this task.
Conditions of assessment
• This is a written knowledge assessment which must be completed individually.
• Students are not to collaborate with other students when working on this assessment.
• Class notes, Moodle resources and the prescribed text books will assist the student to complete this assessment.
• Every question must be answered correctly to achieve a satisfactory (S) result in this assessment
• A student that receives a Not Satisfactory (NS) result will be granted a second attempt at the assessment following teacher feedback.
• The coversheet must be attached to the student assessment task containing the student’s full name, student ID number, and
signature. The declaration must be signed indicating that responses provided are the product of the student’s own work.
• Students can seek clarification of the task in class or upon making an appointment with the unit teacher (Via email or phone).
• Failure to submit the assessment task by the due date without providing a valid reason to the unit teacher, (e.g. medical certificate,
statutory declaration) will be deemed as a first attempt and given a grade of Not Satisfactory (NS).
• Work should be well presented with appropriate grammar, punctuation and spelling.
• Students can provide verbal answers for the second attempt/resubmission of the assessment if requested.
• Students must complete and sign the attached coversheet and submit it with their work.
• No marks or grades are allocated for this assessment task. It will be assessed as Satisfactory or Not Satisfactory.
• VET students are entitled to two assessment attempts for each assessment task within a unit enrolment period in accordance with
Federation University Australia Statute 5.3.
Duration of assessment
To be completed in the students own time, in their chosen location, and submitted on or before the due date.
Material and resource requirements
Student to provide:
• Stationery / Class notes
• Internet access for Moodle and research
• Prescribed texts
- Kozier & Erb – Fundamentals of Nursing
(NB – These can be accessed at the Federation University
Library if student does not have these resources at home)
Federation University to provide:
• Assessment task
• Teacher assistance by appointment
• Access to computers, internet and printer/s during opening
hours
• Access to MOODLE with student notes/resources
Warning: Uncontrolled when printed! The current version of this document is available from our website.
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Knowledge Assessment Task
U N I T
C O D E HLTENN004 U N I T T I T L E Implement, monitor and evaluate nursing care plans
Qualification
Code HLT54115 Qualification
Title Diploma of Nursing
Task Number 1 of 3 Task Name Written Knowledge Assessment
Questions ☐ Additional question sheet attached
Eg. With diagrams, photographs etc.
1a Scenario:
Mrs. White is an 86-year-old lady admitted for 2 weeks respite care.
Background: Mrs. White is a widow and lives in her own home with support from Home and Community Care for assistance with
personal hygiene and other activities of daily living; Mrs White wears reading glasses, and a hearing aid in her left ear. Meals on
Wheels are delivered daily. Mrs. White mobilizes independently with a walking frame; she has arthritis in both hands, her hips and
both knees that limit function; additionally Mrs. White has urinary incontinence; and a past history of anxiety.
Question:
a. Assessment is the first step in the nursing process, followed by development of the nursing care plan.
Briefly explain each of the continuing steps in the nursing process.
Assessment:
In nursing process assessment means to assess the vital signs of the patient that includes verbal
statesmen from the patient and objective data which is measurable
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Planning:
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__ The goals and outcomes are formulated in the planning stage of nursing. Care plan gets an
appropriate direction in this stage.
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Implementation:
Implementation involves carrying out the nursing interventions as per the care plan.
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Evaluation:
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Knowledge Assessment Task
U N I T
C O D E HLTENN004 U N I T T I T L E Implement, monitor and evaluate nursing care plans
Qualification
Code HLT54115 Qualification
Title Diploma of Nursing
Task Number 1 of 3 Task Name Written Knowledge Assessment
Evaluation is the vital step where the outcome of the patient is evaluated. Reassessment may be
needed depending upon the progress in patient’s condition (Doenges, Moorhouse & Murr, 2016).
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Knowledge Assessment Task
1b
Question:
b. Mrs White appears teary and very anxious during the admission period.
She state’s that she ‘would like to be discharged as soon as possible because she really doesn’t like to be away from home’.
Identify two people that you would report your immediate concerns to:
1: ____________________________________ 2: _______________________________________
In order to ease Mrs White’s anxiety about being away from home; identify one person you can access through a ‘Team referral’ to
assist Mrs White during her admission?
1: _____________________________________
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Knowledge Assessment Task
1c. Consider the information provided in the scenario and complete the following table:
Nursing Assessment Implementation of Nursing Care
Provide 2 answers
Rationale (reason)
Provide 2 answers
Impaired physical mobility related to
joint discomfort secondary to arthritis
1.
2.
1.
2.
At risk of falls due to poor eyesight; and
reluctance to use mobility aide
1.
2.
1.
2.
At risk of impaired nutritional intake due
to arthritis pain in both hands which
limit function
1.
2.
1.
2.
Potential for impaired skin integrity due
to urinary incontinence
1.
2.
1.
2.
Continued urinary incontinence due to
inability to reach the toilet in time
1. 1.

Knowledge Assessment Task
2. 2.

Knowledge Assessment Task
2a
Scenario 2:
Molly Green is a 7-year-old child admitted to the burns ward. She sustained partial thickness burns to both legs when she fell into a
hot bath. Her wounds are dressed each day and she is required to stay in bed at all times.
Question:
a. Molly requires a nutritional assessment; list 3 physical characteristics that you would assess in regard to Molly’s nutritional
status.
Answer:
1.The most important physical characteristics for determining the need of therapeutic diet would be
based on the fact if dietary intake was inadequate during admission.
2.Factors like nausea or diarrhoea must be considered for the changes in therapeutic diet. The
nature of burn is also an important assessment.
3. A weight gain from fluid intake is often observed, therefore there would be need in change of
fluid intake and address the change in body weight.
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2b
Molly’s care will be attended to by not only nurses and doctors, but members of the Multidisciplinary Team (MDT).
In consultation with them, in particular, dieticians, you ask about the therapeutic diet that has been ordered.
Question:
b. Molly will require a therapeutic diet to aid in her recovery. Complete the table below according to best practice for Molly’s
specific medical condition.
Therapeutic diet required Rationale (reason)
Molly needs a diet of high protein and which would meet her demand
and supply substrate for wound healing as protein is lost due to
burns
The protein aids in rebuilding the muscles
Vitamins and mineral are good for minimizing the rate of infection Vitamin helps to reduce stress due to response after
burn injury.
2c Question:
c. During meal times Molly is not interested in the food provided; her parents state that she is not a fussy eater; identify 2
strategies you would implement to ensure that Molly’s nutritional requirements are met?
Answer:
1:
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Knowledge Assessment Task
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2:
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Knowledge Assessment Task
2d. You are required to implement care for Molly. Complete the following Nursing Care Plan:
Nursing Assessment Implementation of Nursing Care Rationale
Impaired fluid balance related
to fluid loss from burns
1) To monitor vital signs like fluid intake and urine
output.
2) To record daily weight and fluid intake (Flo et al,
2016).
1. Monitoring would help to understand the fluid loss and
replacement.
2. To evaluate the need of replacement of fluid and
electrolyte
At risk of infection related to
broken skin integrity
a) The skin must be kept free from pressure.
b) The area must be regularly washed with mild
soap.
a) It helps in promoting circulation.
b) The skin must be kept clean for less risk of infection.
Displaying signs of fear and
anxiety related to age and
hospitalisation
a) Explain and give assurance about the care
procedure.
b) Investigate behavioural changes like disturbance
in sleep or frequent nightmares
a) Misconception is cleared and fear can be reduced.
b) This can be indicators of anxiety, therefore
psychological help must be provided

Knowledge Assessment Task

Knowledge Assessment Task
2e
Molly is commenced on Oxygen – 2 litres per minute, via nasal prongs.
Molly is often fidgeting with the nasal prongs; you have entered her room and found the nasal prongs sitting on the pillow several
times.
Patient education and nursing care of a patient receiving oxygen therapy is very important, evaluate the current situation with Molly
and:
Question:
e. Provide 4 points below that you believe important when nursing a patient receiving oxygen therapy.
Answer:
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Knowledge Assessment Task
3a
Scenario 3:
Anthony Marino is a 77-year-old Italian man, admitted to the ward with a 3 day history of diarrhoea, nausea and vomiting.
Mr. Marino has a urinary catheter inserted due to urinary incontinence; he is no longer able to mobilise and in confined to either bed
or chair.
He is an easy going fellow, however has periods of confusion related to vascular dementia.
Question:
a. Outline key aspects of nursing care in the following table:
Sign / Symptom Nursing Care provided:
During an episode of vomiting a) Make him sit elevated.
b) Give him a bowl to vomit.
c) Make him feel comfortable.
Following an episode of vomiting a) Avoid food that may make him feel nauseate
(Giger, 2016).
b) Eliminate smell of vomit.
c) Stay hydrated by drinking water.
Excoriation observed following episode of diarrhoea a) Soothe the skin smoothly.
b) daily use of soothing cream
c) moisture from sweat must be controlled.
Reddened sacral area a) The area of reddening must be kept clean .
b) Hydrocolloid dressing must be given and would
be beneficial.
Confusion – related to acute admission and change of
environment
a) mental assistance and counselling
b) They must not be kept alone and encourage
small conversations.
c) Track him with his recovery process.
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