Sample assessment tool -- Observation and demonstration checklist Candidate Assessment Guide HLT54115 Diploma of Nursing Unit of competency: HLTWHS006 - Manage personal stressors in the work...

Sample assessment tool -- Observation and demonstration checklist
Candidate
Assessment Guide
HLT54115 Diploma of Nursing
Unit of competency:
HLTWHS006 - Manage personal stressors in the work environment
Knowledge questions
1. Identify and briefly describe five (5) common sources of stress in a clinical setting when working as an enrolled nurse.
· Shifting work
· Work hours
· Intra-professional relationship
· Bullying in workplace
· Unprofessional behavior of patients and family members
     Satisfactory              Not Yet Satisfactory
2. Briefly describe four (4) personal triggers to stress.
· Inadequate sleep
· Irregular diet
· Financial obligations
· Lack of support from family
    Satisfactory              Not Yet Satisfactory
3. Briefly describe four (4) strategies to prevent, reduce and manage stress.
· Effective communication with employees and family members
· Make enough time for self-care
· Counseling and consultation
· Work-life balance
     Satisfactory              Not Yet Satisfactory
4. Briefly describe two (2) internal and two (2) external options and resources for additional support in managing personal stress in a nursing context. Include in your response the role of informal/formal debriefing sessions and/or workplace counselling.
External
· Counseling of the patients and their family members about health issues
· Good behavior with colleagues and health workers
Internal
· Sleep management depending on the duty shift hours
· Healthy diet intake without skipping meals
     Satisfactory              Not Yet Satisfactory
5. How might the following complex client behaviours act as sources of stress in a health care work environment?
a. Emotional client:
The clients require to get saturated their feelings being acknowledged by the nursing professionals. Active listening is required along with a concrete plan. All these together enhance stress level.
     Satisfactory              Not Yet Satisfactory
b. Aggressive client:
The unreasonable and unpredictable behavior of the client cause sufficient stress to the nurses. Sometimes it becomes impossible to meet their demands.
     Satisfactory              Not Yet Satisfactory
c. Client with cognitive deficit:
Deficits in overall intelligence, abilities, and attentiveness cause stress to the nurses.
     Satisfactory              Not Yet Satisfactory
d. Non-compliance with management and treatment:
Lack of reasonability and responsibility in taking medications increasesthe burden of the nursing professionals causing enough stress to them
     Satisfactory             Not Yet Satisfactory
6. How might the following potential sources of stress generally manifest in a health care work environment?
a. Grief and loss experienced by nurses:
The experience of loss is generally overlooked and adverse situation arises when patients complain about this
     Satisfactory              Not Yet Satisfactory
b. Exposure to stressful working conditions:
Triggers the nurses towards half-done job by not providing the best quality of work. They become physically and emotionally tired.
     Satisfactory              Not Yet Satisfactory
c. Stressful incidents such as unexpected death of a patient:
Nursing professionals get de-motivated and sad. They cannot deliver best quality of work. They feel it difficult to provide full concentration on respective jobs.
Satisfactory              Not Yet Satisfactory
7. Outline four (4) legal rights relating to the Fair Work Act 2009 that you must be aware of when working in an organisation. How can a nurse ensure that their employer addresses these employee rights?
· Practice in environment in accordance with professional standards
· Organizations should have authorized scopes of practice
· Professional liability insurance policy for the nurses
· Being informed of the board meetings
Satisfactory              Not Yet Satisfactory
8. Briefly describe the impact of self-care strategies such as exercise, appropriate diet and nutrition on the physical health of a person.
· Well-balanced diet can prevent co-morbidities
· A proper diet helps in boosting immunity
· Exercises can keep physically and mentally fit
· Proper nutrition gives strength to carryon a strenuous job
· Individuals can have adequate sleep
     Satisfactory              Not Yet Satisfactory
9. Identify and briefly describe five (5) complementary and alternative health options a nurse can access for self-care.
· Meditation
· Supplementary diet
· Aromatherapy
· Vitamin supplements
· Acupuncture
     Satisfactory              Not Yet Satisfactory
10. Discuss an appropriate nursing work plan for a morning shift in an aged care facility. Discuss how you should apply work prioritization techniques and time management strategies when planning your shift.
     Satisfactory              Not Yet Satisfactory
11. Briefly describe how a nurse could apply work/life balance strategies.
· Time prioritization for family and professional life
· Financial consultation from professionals
· Development of lasting associations
· Consideration of realistic schedule
· Investment in self-care
· Asking for help from colleagues while necessary
     Satisfactory              Not Yet Satisfactory
Knowledge questions
Part A – Descriptive questions:
1. Discuss ways an enrolled nurse could identify needs of the person in palliative care, and their family or carers, when providing palliative care support to them. Include in your response examples of specific assessment tools a nurse may use and common needs and preferences they must identify.
The nurse can come out with the need of the patient by thoroughly observing signs of the patient. As the
patient undergoes unconsciousness to semi-consciousness it is impossible for them to indicate towards directed intervention or requirement. Thus, the nurse needs to be responsive and understandable to recognized requirements of the patient. Hand movement, movement of head, breathing sound, and vocal movement are indicative of vital signs.
     Satisfactory                  Not Yet Satisfactory
1. Explore and discuss legislation on advance care planning, advance care directives and notification of a death in your State/Territory in relation to a person admitted in a hospice/aged care facility/ hospital setting.
Include in your responses an enrolled nurse’s role in applying the legislation.
Nurses should know the professional standards and obligations while mediating towards palliative care. Patients should be dealt with care and humanity. They should never become arrogant or negligence on any aspect. They should console the family members and keep the patients clean and tidy.
     Satisfactory                  Not Yet Satisfactory
1. Discuss diverse cultural, religious and spiritual factors underpinning the person’s choices at end-of-life using appropriate examples. How is this understanding vital in providing nursing care?
The nurse should understand the cultural or spiritual beliefs of the patients and never ague on those. They should assimilate themselves with those beliefs while dealing the patients. They should not suppress their own faiths on to the patients or never deny on patients’ beliefs.
     Satisfactory                  Not Yet Satisfactory
1. Discuss the following ethical and legal issues related to a palliative care approach:
3. Decisions regarding advance care directives – Analgesics should be given whenever pain succumbs.
3. Conflicts that may occur in relation to personal values and decisions made by or for the person ▪ Organ donation – The nursing professionals should not impose their own decisions or values on to the patients
3. Request for autopsy- Family members should be given with informed consents
How could each of these ethical and legal issues affect your nursing practice?
The nursing professionals often become the frontliners to get conflicted with. Thus, they should save themselves by following the protocols thoroughly.
     Satisfactory                  Not Yet Satisfactory
1. Briefly describe the hydration and nutrition requirements of an adult patient during palliative care and at end-of-life. Discuss ways a nurse could address the hydration and nutrition requirements of the patient when providing palliative care or end of life care.
· IV fluid should be administered.
· Diet should be given through riles tube
· The patient must be kept hydrated
· Low fat, low protein diet should be consumed
     Satisfactory                  Not Yet Satisfactory
1. Discuss the use of syringe driver and intima sub-cut lines in administering analgesic medications for a patient receiving palliative care or end of life care. Include in your answer:
· Examples of analgesics administered using a syringe driver or intima sub-cut lines.
· Indications and contraindications for use of syringe drivers in administration of pain medication.
· Indications for intima sub cut lines for pain relief, anti-nausea and steroid injections.
· Role of an enrolled nurse in administering medications via a syringe driver or intima sub-cut lines.
The place should be sterilized with alcohol before the syringe is inserted. A thorough rub should be applied to the injected place. A sterilized cotton needs to be placed after taking out the syringe.
     Satisfactory                  Not Yet Satisfactory
1. Discuss common non-pharmaceutical and complementary care in pain management for a patient receiving palliative care or end of life care using examples.
A hand massage to the back with oil or ointments can be provided. A balm can be effective to reduce headache. Music therapy can be applied as well.
     Satisfactory                  Not Yet Satisfactory
1. Discuss the impact of loss and grief on the person receiving palliative care and their family or carers. How could a nurse manage these impacts?
the nurse can deliver the knowledge of biological process regarding life and death. Death or mortality are same and these are inevitable. The nurse can normalize the situation by consoling them about inevitability.
     Satisfactory                  Not Yet Satisfactory
1. Discuss the impact of loss and grief on nurses and other team members. How could they manage these impacts?
the nurse can deliver the knowledge of biological...