NCP106 Nursing care plans – Assessment 1 Part B
Version 1. RTO Code 0269. Think: Colleges Pty Ltd. CRICOS Provider No XXXXXXXXXXPage 1
Introduction
Within the health care system, Enrolled Nurses (ENs) work as part of a collaborative, multidisciplinary health
care team. An essential role of the EN is to ensure that the individual health care needs of their clients are
identified, and a plan of holistic care is established early on during the admission process. The client’s
individual needs should be reassessed frequently, to mitigate the risk of adverse outcomes and evaluate
treatments, for as long as they need care.
Accurately assessing the physical, mental and emotional health status of your client can prevent adverse
outcomes occu
ing, and can assist to identify any specific individual needs that will impact their admission.
This assessment provides an opportunity to demonstrate how knowledge of a client’s health status and
individual needs can ensure their treatment is appropriate, holistic and that person-centred care is provided.
Summary
Assessment 1, Part B, will require you to answer a number of short answer questions, amend the nursing
care plan you completed previously in Assessment 1 Part A, and complete clinical documentation. The case
study is based on Mr McFarlane, who was admitted to your ward in Assessment 1: Part A.
To complete Assessment 1: Part B, you will need to consider the following from the case study:
• The overall health status of Mr McFarlane;
• What is needed to support him to make informed decisions relating to his care; and
• How to best plan and implement person centred care.
In your answers, you should apply an understanding of nursing diagnosis, nursing assessments, analytical
thinking and nursing intervention implementation. Utilise medical terminology where appropriate, and
apply directional terms when refe
ing to nursing interventions.
Assessment 1, Part B: - CASE STUDY BRIEF
Course HLT54115 Diploma of Nursing
Subject Code and Title NCP106 Nursing care plans
Unit(s) of Competency HLTENN004 Implement, monitor and evaluate nursing care plans
Performance criteria,
Knowledge evidence and
Performance assessed
PC:
1.1, 1.2, 2.7, 3.1, 3.3, 4.1, 4.2, 4.3, 4.4
PE:
1, 3, 4
KE:
5, 6, 7
Title of Assessment Task Assessment 1, Part B: Case Study
Type of Assessment Task Short Response
Length As indicated for each question
Submission Due by the end of Module 5.1 (Week 9)
NCP106 Nursing care plans – Assessment 1 Part B
Version 1. RTO Code 0269. Think: Colleges Pty Ltd. CRICOS Provider No XXXXXXXXXXPage 2
Task Instructions
Before attempting your assessment, please refresh your knowledge of Mr George McFarlane and his
underlying health concerns by first watching the video provided in Blackboard.
http:
www.kaltura.com/tiny/3z0xh.
To complete Assessment 1, Part B, provide your responses to the questions on the Assessment Response
Template below. Your responses must be typed into the spaces provided beneath each question, and the
whole document and associated charts must be submitted to Blackboard as your response to Part B.
Assessment 1, Part B, should build on your responses to Assessment 1, Part A, by demonstrating your
knowledge of the client’s related medical history, Nursing Care Plan recommendations and cu
ent vital
signs.
You should discuss rationales and analysis of nursing interventions implemented and complete all
documentation on required charts which will be provided via Blackboard.
These questions must be answered in full. When responding to the questions, you need to pay attention to
the entire question being asked, as well as the prescribed word count. You are required to use the co
ect
medical terminology when answering all questions and also refer to the assessment charts used.
You will be assessed on your responses and will be deemed as either satisfactory or not satisfactory. ALL
your responses must be marked as satisfactory in order to pass the assessment. If your assessment is not
deemed satisfactory, you will re-assessed as per the THINK Education Assessment Policy for Vocational
Education and Training (VET) v.4 (04 June 2018), before being awarded a Non Satisfactory mark for the
assessment and the unit.
Submission Instructions
Submissions for Assessment 1, Part B - will be open from the beginning of Module 1.1 until the due date,
which is 23:55hrs AEST/AEDT Sunday of Module 5.1 (Week 9).
Submit your final response via the Assessment link in the main navigation menu in the NCP106 subject
page. The facilitator will provide feedback via the Grade Centre in the Blackboard portal. Feedback
explaining the rationale for your grade can be viewed in My Grades.
Assessment Process
• All items must be submitted by the due date.
• All items must be satisfactorily answered / addressed / completed in order for you to achieve a
“Satisfactory” outcome for this assessment.
• Please note that this is one assessment from the range of assessment tasks you will complete. You
must complete all assessment tasks in this subject. Please refer to your subject outline for
information on the other assessment tasks.
• Clear, constructive and accurate feedback will be given to you on your results and performance.
• The assessment items you submit will be retained by the college as evidence of your performance.
College Policies and Procedures relating to assessments, and associated forms, are available via
http:
www.think.edu.au/studying-at-think/policies-and-procedures
http:
www.kaltura.com/tiny/3z0xh
http:
www.think.edu.au/studying-at-think/policies-and-procedures
NCP106 Nursing care plans – Assessment 1 Part B
Version 1. RTO Code 0269. Think: Colleges Pty Ltd. CRICOS Provider No XXXXXXXXXXPage 3
Question XXXXXXXXXXword count)
On Sunday at 13:42hrs, you are about to leave to have your lunch
eak when Mr McFarlane’s wife calls you
from the co
idor and states “Nurse! My husband does not look well and something is wrong with him. Please
can you come and have a look at him?” On entry to Mr McFarlane’s room, you notice the following:
• His
eathing is short and shallow
• Pale and clammy skin with cyanosis around his lips and peripheral extremities
• His eyes are closed and not opening when you call his name; they open when you apply pressure to his
chest
• He is confused and not making sense
• His best motor response is localising
• He is lying in a supine position at a 60% angle
• Vital signs RR: 9, SpO2: 74% Room Air, BP: 100/60, HR: 45, Temp: 38.7
• BGL 1.9 mmol/L
• GCS 12
Discuss your nursing actions and rationales for your decisions, taking into account policies and procedures and
scope of practice as an Enrolled Nurse (EN).
Discuss to whom you would refer the changes in Mr McFarlane’s condition.
Consider, in your response, any concerns about Mr McFarlane’s cu
ent vital signs or clinical status; for
example: GCS 12, BGL 1.9 mmol/L, and any relevant previous medical history.
Consider the position of Mr McFarlane and how/if you could safely reposition him, considering his BMI and
safety precautions / risk minimisation actions.
Ensure that the vital signs observations, BGL and GCS are documented on the charts utilised in Assessment 1A
and upload these updated charts as part of your assessment response.
NCP106 Nursing care plans – Assessment 1 Part B
Version 1. RTO Code 0269. Think: Colleges Pty Ltd. CRICOS Provider No XXXXXXXXXXPage 4
Response Question 1:
NCP106 Nursing care plans – Assessment 1 Part B
Version 1. RTO Code 0269. Think: Colleges Pty Ltd. CRICOS Provider No XXXXXXXXXXPage 5
Question XXXXXXXXXXwords)
Based on the initial handover you received for Mr McFarlane and, taking into account his recent clinical
deterioration, consider how best to update the plan of care for Mr McFarlane.
Use the template below to outline the anticipated care for Mr McFarlane taking into consideration his past
medical history and recent events. Ensure that you remain within your EN Scope of Practice and take into
account policies and procedures. This requires you to:
• Outline two (2) new nursing diagnoses or risk factors associated with Mr McFarlane’s cu
ent health
presentations (these nursing diagnoses or risk factors cannot be the same ones used in Assessment 1,
Part A)
• List and justify at least one (1) nursing intervention(s) that could be instigated for each diagnosis.
• Specify at least one (1) member of the multidisciplinary team that may be able to support your
suggested interventions.
• Describe how your planned intervention(s) reflects the client’s interests and physical, emotional and
psychosocial needs
• Identify and explain at least one (1) expected outcome(s) that you would hope for as a result of each
intervention.
Consider in your recommendations, Mr McFarlane’s risk of DVT, VTE, unstable BGL`s, diet, cu
ent GCS score,
vital signs, clinical investigations and recent clinical deterioration.
Nursing diagnosis Planning and rationale
- (Nursing
intervention)
Multidisciplinary
member to provide
support
Link to physical,
emotional and or
psychosocial needs
Expected Outcome
NCP106 Nursing care plans – Assessment 1 Part B
Version 1. RTO Code 0269. Think: Colleges Pty Ltd. CRICOS Provider No XXXXXXXXXXPage 6
NCP106 Nursing care plans – Assessment 1 Part B
Version 1. RTO Code 0269. Think: Colleges Pty Ltd. CRICOS Provider No XXXXXXXXXXPage 7
Question 3: Nursing Documentation XXXXXXXXXXwords)
At the end of your shift you need to complete nursing documentation to record the care you provided to
Mr McFarlane.
Using