Exam Questions Jan 2018 Flashcards
Case Study Scenario 1: Ill Health
Bill has been diagnosed with dementia and is a resident in a care home. Bill’s care worker is Rosin. She knows Bill well and talks to him as often as possible during the day. Bill will sit quietly for long periods of time, but has outbursts of anger and he
shouts at the other residents.
Bill is losing weight and has already been diagnosed as having type 2 diabetes. At first, Bill was put onto a special diet. For some time Bill’s diabetes was only managed by diet, but he now also needs to take medication in the form of tablets. Rosin is concerned about how Bill will react to the new diabetes treatment because he is becoming increasingly aggressive. Bill’s family live in Australia so Rosin will take on the role of his advocate.
Q: Identify two other health and social care professionals who could work with Bill
Award one mark for any of the following up to a maximum of two marks. Doctor Nurse Social worker Occupational therapist Care manager Support worker Healthcare assistant Dietician/Nutritionist Pharmacist Consultant Psychiatrist Accept any other valid response. Do not accept Care Assistant or Domiciliary Carer
Case Study Scenario 1: Ill Health
Bill has been diagnosed with dementia and is a resident in a care home. Bill’s care worker is Rosin. She knows Bill well and talks to him as often as possible during the day. Bill will sit quietly for long periods of time, but has outbursts of anger and he
shouts at the other residents.
Bill is losing weight and has already been diagnosed as having type 2 diabetes. At first, Bill was put onto a special diet. For some time Bill’s diabetes was only managed by diet, but he now also needs to take medication in the form of tablets. Rosin is concerned about how Bill will react to the new diabetes treatment because he is becoming increasingly aggressive. Bill’s family live in Australia so Rosin will take on the role of his advocate.
Q: Rosin has the role of Bill’s advocate.
Describe two other day-to-day duties Rosin could have in her work as Bill’s care worker
Award one mark for identification and one additional
mark for appropriate expansion up to a maximum of
four marks.
Checking Bill’s needs are met (1) progress
monitored (1)
Providing physical personal care, e.g.
bathing/toileting/dressing/feeding (1) to
support Bill’s self-esteem/physical health (1)
Encouraging Bill to communicate (1) so he will
participate in activities in the home (1)
Offering choices (1) to support Bill’s
independence (1)
Providing leisure/creative activities(1) in a
safe and supportive setting (1)
Supporting care and support planning (1)
liaising with other health and care
professionals/ Bill’s family (1)
Do not award reference to advocacy.
Accept any other valid response.
Case Study Scenario 1: Ill Health
Bill has been diagnosed with dementia and is a resident in a care home. Bill’s care worker is Rosin. She knows Bill well and talks to him as often as possible during the day. Bill will sit quietly for long periods of time, but has outbursts of anger and he
shouts at the other residents.
Bill is losing weight and has already been diagnosed as having type 2 diabetes. At first, Bill was put onto a special diet. For some time Bill’s diabetes was only managed by diet, but he now also needs to take medication in the form of tablets. Rosin is concerned about how Bill will react to the new diabetes treatment because he is becoming increasingly aggressive. Bill’s family live in Australia so Rosin will take on the role of his advocate.
Q: Explain the responsibilities the care home’s management has to make sure their staff are safe.
Indicative content to cover the following points. This
is not an exhaustive list, any other plausible content
should be credited using professional judgement.
Robust health and safety policy in place.
Someone with official responsibility for health and
safety/ safeguarding and protecting individuals
from abuse.
Regular risk assessment to identify risks and
hazards at the care home; actions taken to reduce
chances of harm or injury.
Provide updated information on health and safety
issues.
Illness prevention measures, e.g. handwashing
facilities, thorough cleaning.
Control of harmful substances.
Use of protective equipment and infection control.
Staff health and safety training provided e.g.
restraint training.
Reporting and recording accidents and incidents.
Complaints procedures.
First-aid facilities provided.
Lone worker policy explained.
Staff service user ratio maintained.
CCTV in place.
Responses must be in reference to staff, not service
users.
Case Study Scenario 1: Ill Health
Bill has been diagnosed with dementia and is a resident in a care home. Bill’s care worker is Rosin. She knows Bill well and talks to him as often as possible during the day. Bill will sit quietly for long periods of time, but has outbursts of anger and he
shouts at the other residents.
Bill is losing weight and has already been diagnosed as having type 2 diabetes. At first, Bill was put onto a special diet. For some time Bill’s diabetes was only managed by diet, but he now also needs to take medication in the form of tablets. Rosin is concerned about how Bill will react to the new diabetes treatment because he is becoming increasingly aggressive. Bill’s family live in Australia so Rosin will take on the role of his advocate.
Q: Discuss the possible advantages and disadvantages of partnership working to
manage Bill’s changing health conditions.
Indicative content to cover the following points. This is
not an exhaustive list, any other plausible content
should be credited using professional judgement.
Advantages :
Range of services and specialists available.
Different health and social care professionals
working together.
Joined-up working putting Bill’s needs at the
centre.
Holistic approach – Bill’s mental and physical needs
met.
Avoids wasting money/resources on unsuitable
care.
Can involve informal care as well as state, private
and voluntary sector organisations.
Calling on additional specialists with a wider
knowledge and skills base.
However disadvantages:
May be communication delays.
Misunderstandings/ bureaucracy delays.
Personality conflicts between professionals.
Gaps in service provision.
Accept any other valid response.
Case Study Scenario 2: Learning Disability
Kiaan is a residential social worker in a residential care home for young people with
learning disabilities. A few of these young people have complex needs. Some of them
have mental health issues and take prescribed medication.
There are quite a few unqualified staff working in the care home and Kiaan is concerned about the safety of the service users. Last week he overheard a support worker shouting at Tara, an 18-year-old resident.
Tara and her parents are Jehovah’s Witnesses. Tara is keen to continue her education and would like to eventually have a job. She loves children and would like to start her own family once she finds a suitable partner with similar views to her, as a Jehovah’s Witness.
Q: Describe how one named organisation could regulate this care home.
Award one mark for naming the organisation and an
additional expansion mark for any of the following up
to a maximum of two marks.
Care Quality Commission (CQC) (1)
The Care and Social Services Inspectorate (CSSIW)
(1)
The Regulation and Quality Improvement Authority
(RQIA) (1)
Visit and observe (1)
Interview staff (1)
Interview residents and relatives (1)
Provide action plan if required (1)
Publish report (1)
Follow up complaints (1)
Case Study Scenario 2: Learning Disability
Kiaan is a residential social worker in a residential care home for young people with
learning disabilities. A few of these young people have complex needs. Some of them
have mental health issues and take prescribed medication.
There are quite a few unqualified staff working in the care home and Kiaan is concerned about the safety of the service users. Last week he overheard a support worker shouting at Tara, an 18-year-old resident.
Tara and her parents are Jehovah’s Witnesses. Tara is keen to continue her education and would like to eventually have a job. She loves children and would like to start her own family once she finds a suitable partner with similar views to her, as a Jehovah’s Witness.
Q: Describe two ways that Kiaan could raise his concerns about his work setting.
Award one mark for identification and one additional
mark for appropriate expansion up to a maximum of
four marks.
Complain to his /other support worker’s line
manager (1) to register malpractice (1)
Whistleblowing to external agencies (1)
quality of care is poor/ dangerous (1)
Report to the police (1) leading to criminal
investigation (1)
Accept inverse responses.
Accept any other valid response
Case Study Scenario 2: Learning Disability
Kiaan is a residential social worker in a residential care home for young people with
learning disabilities. A few of these young people have complex needs. Some of them
have mental health issues and take prescribed medication.
There are quite a few unqualified staff working in the care home and Kiaan is concerned about the safety of the service users. Last week he overheard a support worker shouting at Tara, an 18-year-old resident.
Tara and her parents are Jehovah’s Witnesses. Tara is keen to continue her education and would like to eventually have a job. She loves children and would like to start her own family once she finds a suitable partner with similar views to her, as a Jehovah’s Witness.
Q: Explain how the care home staff are accountable to professional bodies.
Indicative content to cover the following points. This is
not an exhaustive list, any plausible content should be
credited using professional judgment.
Staff regulated and monitored by professional
bodies, e.g. Health and Care Professionals Council
(HCPC), Nursing and Midwifery Council (NMC).
Training and education updates.
Ongoing professional development and CPD/
revalidation procedures.
Evidence that staff have current and up-to-date
understanding of relevant policies and procedures.
Set standards of professional practice in their
everyday work.
Standards of professional conduct set.
Formal procedures instigated following raising
concerns/ whistleblowing to investigate
unprofessional conduct.
Following safeguarding regulations.
Do not accept reference to OFSTED or CQC.
Accept any other valid response.
Case Study Scenario 2: Learning Disability
Kiaan is a residential social worker in a residential care home for young people with
learning disabilities. A few of these young people have complex needs. Some of them
have mental health issues and take prescribed medication.
There are quite a few unqualified staff working in the care home and Kiaan is concerned about the safety of the service users. Last week he overheard a support worker shouting at Tara, an 18-year-old resident.
Tara and her parents are Jehovah’s Witnesses. Tara is keen to continue her education and would like to eventually have a job. She loves children and would like to start her own family once she finds a suitable partner with similar views to her, as a Jehovah’s Witness.
Q: Discuss issues that could arise from the promotion of Tara’s rights and choices.
Indicative content to cover the following points.
This is not an exhaustive list, any other plausible
content should be credited using professional
judgement.
Applying care values and principles may not
always be possible for Tara – conflicting needs of
other service users and staff:
Equally valid preference of another resident, e.g.
choice of music in the sitting room.
Right to choice but protecting personal safety,
e.g. Tara may want to go out, but her aggression
could increase so she is a danger to herself and to
others.
Tara’s right to confidentiality conflicting with
safeguarding.
Respect for culture and religious values – Tara is a
Jehovah Witness.
Her right to education, but resources may be in
short supply.
Tara’s learning difficulties could affect her career
opportunities.
Accept any other valid response.
Case Study Scenario 3: Physical/ Sensory Disability
Melanie is 16 years old. She lives with her parents and her sister. Melanie was born
with a hearing impairment and she uses two hearing aids.
Melanie’s hearing impairment was only diagnosed when she was five years old. She
has a noticeable specific language impairment and finds it difficult to communicate
with strangers.
Melanie attends the local comprehensive school. Sometimes she finds it hard to
understand her teachers and other students. Melanie feels very isolated and she is
becoming anxious about her future.
Following a recent audiological appointment, Melanie has said that she would like to
have some additional support with her health and social care needs.
Q: Identify two issues that could affect Melanie’s access to additional service
support.
Award one mark for any of the following up to a maximum of two marks. Difficulty in referral to correct services (1) Time taken for assessment (1) Eligibility criteria as she may fall between child and adult services (1) Hearing impairment (1) language difficulties (1) Individual preferences (1) Financial (1) Geographical (1) Social (1) Cultural (1) Lack of knowledge (1) Anxiety (1) Insufficient services/resources available
Case Study Scenario 3: Physical/ Sensory Disability
Melanie is 16 years old. She lives with her parents and her sister. Melanie was born
with a hearing impairment and she uses two hearing aids.
Melanie’s hearing impairment was only diagnosed when she was five years old. She
has a noticeable specific language impairment and finds it difficult to communicate
with strangers.
Melanie attends the local comprehensive school. Sometimes she finds it hard to
understand her teachers and other students. Melanie feels very isolated and she is
becoming anxious about her future.
Following a recent audiological appointment, Melanie has said that she would like to
have some additional support with her health and social care needs.
Q: Describe how health and social care professionals should communicate within the team, without compromising Melanie’s right to confidentiality
Award one mark for identification and one additional
mark for appropriate expansion up to a maximum of
four marks.
Communicate only with the staff who need to
know information about Melanie (1) by
adhering to legal and workplace requirements
specified by the codes of practice (1).
Safe and secure storage and retrieval of
medical and personal information (1) by
applying the requirements of the Data
Protection Act 1998 (1).
Following appropriate procedures (1) by
ensuring they use password protected security
access (1).
Accept any other valid response.
Case Study Scenario 3: Physical/ Sensory Disability
Melanie is 16 years old. She lives with her parents and her sister. Melanie was born
with a hearing impairment and she uses two hearing aids.
Melanie’s hearing impairment was only diagnosed when she was five years old. She
has a noticeable specific language impairment and finds it difficult to communicate
with strangers.
Melanie attends the local comprehensive school. Sometimes she finds it hard to
understand her teachers and other students. Melanie feels very isolated and she is
becoming anxious about her future.
Following a recent audiological appointment, Melanie has said that she would like to
have some additional support with her health and social care needs.
Q: People working in health and social care organisations have responsibilities to prevent discriminatory practices in caring for Melanie.
Explain these responsibilities.
Indicative content to cover the following points. This
is not an exhaustive list, any other plausible content
should be credited using professional judgement.
Implementing codes of practice and policies that
identify and challenge discrimination.
Adapting the ways the care services are
provided for different types of service user, e.g.
hearing impairment adjustments.
Addressing their own prejudices and adapting
behaviours to meet service user needs.
Use written and visual communication more
often than spoken /ensure quiet areas are
available for important conversations/employ a
signer or interpreter to ensure clear
communication.
Being supportive and encouraging and treat her
with respect.
Welcoming and accessible environment created
for Melanie.
To challenge intentional and unintentional
discrimination.
Accept any other valid response
Case Study Scenario 3: Physical/ Sensory Disability
Melanie is 16 years old. She lives with her parents and her sister. Melanie was born
with a hearing impairment and she uses two hearing aids.
Melanie’s hearing impairment was only diagnosed when she was five years old. She
has a noticeable specific language impairment and finds it difficult to communicate
with strangers.
Melanie attends the local comprehensive school. Sometimes she finds it hard to
understand her teachers and other students. Melanie feels very isolated and she is
becoming anxious about her future.
Following a recent audiological appointment, Melanie has said that she would like to
have some additional support with her health and social care needs.
Q: Discuss how health and social care staff could empower Melanie in preparing for her future.
Indicative content to cover the following points. This is
not an exhaustive list, any other plausible content should
be credited using professional judgement.
Putting Melanie at the centre of service provision and
promoting individualised care, e.g. taking in to
account her education, training, and future career
preparation.
Providing information about possible treatments and
adaptive aids, e.g. cochlear implant or recent
technological advances.
Promoting Melanie’s right to dignity and
independence.
Providing active support in line with her beliefs,
culture and preferences.
Encouraging Melanie to express her needs and
preferences.
Specific language and additional support, e.g. signing
/signer re her hearing and language impairments.
Accept any other valid response.
Case Study Scenario 4: Early Years
You are working as a trainee nurse on a local hospital ward. The children on the
ward are aged from 0 to 6 years. This children’s ward has been poorly equipped and
understaffed. A few weeks ago, a nurse miscalculated the dose of a drug needed to
slow down a baby boy’s heart rate. She gave the baby 10 times the dose he needed
and he became seriously ill.
You think that this hospital ward has not been providing effective care for the babies,
young children and their families
Q: Identify two essential skills you need to become a nurse.
Award one mark for any of the following up to a maximum of two marks. Compassion /empathetic/ caring (1) Communication/listening Skills (1) Competent to carry out procedures, e.g. drug calculation (1) Confident (1) Adaptable/ flexible (1) Able to problem solve (1) Can follow instructions/ good attention to detail(1) Patience (1) Observational Skills (1) Maths (1) Organisational (1) Record keeping/note taking (1) Accept any other valid response.
Case Study Scenario 4: Early Years
You are working as a trainee nurse on a local hospital ward. The children on the
ward are aged from 0 to 6 years. This children’s ward has been poorly equipped and
understaffed. A few weeks ago, a nurse miscalculated the dose of a drug needed to
slow down a baby boy’s heart rate. She gave the baby 10 times the dose he needed
and he became seriously ill.
You think that this hospital ward has not been providing effective care for the babies,
young children and their families
Q: Describe two hospital policies that you should follow as a nurse
Award one mark for each policy area identified to a
maximum of two marks and one mark for each linked
description to a maximum of four.
Examples of policy areas:
Hospital’s medication (1) to ensure that correct
medication is given /checked (1).
Hospital codes of practice/clinical guidance (1)
avoiding risks and hazards (1).
Hospital health and safety (1) advises staff re
their duties and responsibilities (1).
Personnel/Human Resources (1) promotes
equality and diversity (1)
Whistleblowing/complaints (1) to raise concerns
or issues regarding poor practice.
Do not accept legislation.
Accept any other valid response.
Case Study Scenario 4: Early Years
You are working as a trainee nurse on a local hospital ward. The children on the
ward are aged from 0 to 6 years. This children’s ward has been poorly equipped and
understaffed. A few weeks ago, a nurse miscalculated the dose of a drug needed to
slow down a baby boy’s heart rate. She gave the baby 10 times the dose he needed
and he became seriously ill.
You think that this hospital ward has not been providing effective care for the babies,
young children and their families
Q: Explain two ways that the work of hospital staff can be monitored.
Indicative content to cover the following points.
This is not an exhaustive list, any other plausible
content should be credited using professional
judgement.
Service user feedback to improve provision so
there is sufficient staffing and resources in
place to meet needs.
External inspection by relevant agencies eg
CQC to check that staff understand how to
implement the hospital’s policies.
Staff have access to relevant continuous
professional development.
Complaints investigated promptly and properly.
Whistleblowing encouraged.
Line management with a staff appraisal system
to monitor the quality of the work undertaken
and any additional training needs.
CCTV
Accept any other valid response.
