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  Scenario 2 (Mrs Gills). Relates to questions 15 – 18

Mrs Mary Gills is an 84-year-old woman, who was recently admitted to The Golden Days Nursing Home where you work. Mary has Parkinson’s disease and early-stage Parkinson’s dementia. She also has low vision and is hard of hearing and wears glasses and hearing aids in both ears. Steven is Mary’s son and her sole support person.

During your shift you walk past Mrs Gills room at 0800hrs and discover that she has fallen out of the bed onto the floor where she is crying quietly and trying to get up. You assist Mrs Gill onto a chair as she keeps saying over and over, “I’m alright”.

Mary’s doctor was informed as she would need a medical review, and a physical assessment was conducted by the Registered Nurse, no physical  injuries noted.

Vital signs Temp 37.1, Pulse 100, Respirations 22, Blood Pressure 140/80.

You are also required to complete an incident form and follow up with a risk assessment.

After following facility procedure for this incident, you are then to discuss this with the patient and the son, your supervisor will be with you during this discussion.

15.    Provide a definition of ‘open disclosure’ and discuss the principles of open disclosure referring to the Australian Open Disclosure Framework (2013) 

Definition of ‘open disclosure’

…………………………………………………………………………………………. 

 

Provide five (5) principles of open disclosure   

…………………………………………………………………………………………. 

 

Provide three (3) considerations that are used during the open disclosure process.

…………………………………………………………………………………………. 

Scenario 2 (Mrs Mary Gills) continued:

Steve, Mary’s son, will be traveling overseas for the next few weeks and will not have telephone access. He has asked if you could email him to provide him with a progress report on his mother.

17.    Identify five (5) factors relating to email etiquette you will need to adhere to when emailing clients or other staff members from your workplace.

…………………………………………………………………………………………. 

Scenario 2 (Mrs Mary Gills) continued:

The Nursing home where Mrs Gill lives, keeps their patient records electronically and not paper based.

18.    From a legal and ethical viewpoint, how may a health care facility keep their electronic records private and confidential. Identify two (2) methods.

…………………………………………………………………………………………. 

 

  Scenario 3 (Steven Mayfair) Relates to questions 19 and 20
Steven Mayfair (identifies as he) is 38yrs old and in the rehabilitation, ward recovering from a motorbike accident where he damaged both his legs. He is learning to walk again after extensive surgery and hospital time. He is often withdrawn and difficult to talk to at times.

19.    To facilitate effective communication with Steven, answer the following in regards to open and closed methods of communication.

Define what a closed ended question is. 

…………………………………………………………………………………………. 

Provide Two (2) examples of a closed question you may ask Steven.

…………………………………………………………………………………………. 

Define what an open-ended question is.   

…………………………………………………………………………………………. 

Provide Two (2) examples of an open-ended question you may ask Steven.

…………………………………………………………………………………………. 

20.    Define the term ‘Active Listening’ and provide three (3) examples how this could be used when communicating with Steven.

………………………………………………………………………………………….

  Scenario 4 – Relates to questions 21 – 24
You are working as an Enrolled Nurse in a surgical ward, on your break you check your social media account and notice that one of your work colleagues, who is a friend of yours and working the same shift, has posted some information relating to one of the young clients in the unit who has had a bad accident that was in the media.

21.    State four (4) ways you can meet your obligations as a registered health practitioner when using social media as per the Australian Health Practitioner Regulation Agency (AHPRA) social media guidelines.

…………………………………………………………………………………………. 

 

22.    You are required to be an advocate for this person who has been put on social media.

Identify three (3) reasons why advocacy is important to nursing. 

…………………………………………………………………………………………. 

Scenario 4 – continued

You need to speak to your colleague about this social media post. You recognise this is an unacceptable situation and a breach of the client’s privacy.

23.    Describe three (3) strategies you could use to deliver a constructive outcome when providing feedback to your colleague who had posted on social media.

………………………………………………………………………………………….

24.    Identify three (3) principles for receiving feedback to improve your professional performance, when speaking to colleagues and clients? 

…………………………………………………………………………………………. 

 

General Questions – Relate to Questions 25 – 31

25.    Identify eight (8) legal obligations that you must apply to your documentation practices.

…………………………………………………………………………………………. 

 

26.    Outline three (3) reasons why interviewing skills are valuable for the nurse to obtain a client’s history.

………………………………………………………………………………………….  

 

27.    The table below identifies three (3) ways to approach conflict resolution and negotiate solutions. 

Discuss what each one means:

Win – Win           

…………………………………………………………………………………………. . 

Lose – Win         

…………………………………………………………………………………………. 

 

Win – Lose         

…………………………………………………………………………………………. 

You are a nurse who is responsible for organizing an International Nurses Day celebration for the large multipurpose medical centre you work in.  You are to get a small group of other staff members together to help organise. You have a small budget from the organisation and 5 weeks to decide what to do. You will be conducting weekly meetings for the next 4 weeks.

28a.  To help you understand and monitor your groups dynamics, there are four development stages a group may go through.

Provide a description for each of the following stages.

Forming stage

…………………………………………………………………………………………. 

…………………………………………………………………………………………. 

 

Storming stage

…………………………………………………………………………………………. 

 

Norming stage

…………………………………………………………………………………………. 

 

Performing stage

…………………………………………………………………………………………. 

 

28b.  Discuss two (2) ways you can improve changing group dynamics 

…………………………………………………………………………………………. 

 

29.    What is the purpose of small group meetings?

…………………………………………………………………………………………. 

 

30.    Discuss two (2) ways you can have effective meetings where communication is effective, meetings are of value and meet identified objectives.

…………………………………………………………………………………………. 

31.    You have chosen your small group and during meetings each member has a specific role to play. Explain the role of the members in the table below:

Team Member What is their role in the meeting
Enrolled Nurse – Sam (Leader) 

 

 

Enrolled Nurse – Sally ( Questioner)

 

 

Registered Nurse – Jill (Problem Solver)

 

 

Student EN – Cris ( Follower)

 

 

SCIENCE
HEALTH SCIENCE
NURSING
NUR HLTENN036

 

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