Exam Questions Jan 2019 Flashcards
Marilyn is 32 years old. She has issues with substance abuse and mental ill health. She
is currently visited by a community psychiatric nurse.
Marilyn has just lost her job as a shop worker. She cannot afford to pay her rent and is
at risk of becoming homeless.
Q: State two health settings that the community psychiatric nurse may refer Marilyn
to, for support.
Psychiatric ward/hospital/Unit
Day care unit
GP surgery
Substance abuse rehabilitation centre Residential care
Community mental health centre
Accept any other appropriate health settings.
Do not accept just clinic or hospital.
Marilyn is 32 years old. She has issues with substance abuse and mental ill health. She
is currently visited by a community psychiatric nurse.
Marilyn has just lost her job as a shop worker. She cannot afford to pay her rent and is
at risk of becoming homeless.
Q: Explain two ways the community psychiatric nurse can make sure that they do
not discriminate against Marilyn
Award one mark for each correct identification to a
maximum of two marks and a further mark for each
justification to a maximum of four marks.
They should ensure equality of care (1). By following
policies (1) (or identified specific policy)
They should support Marilyn’s rights (1). By following antidiscriminatory legislation/ codes of practice (1).
They should follow anti-discriminatory procedures (1) and
include Marilyn in care reviews/planning (1).
They should offer choices (1) that fit with Marilyn’s
culture/religion (1).
Accept specific examples of actions
Accept any other valid response.
Marilyn is 32 years old. She has issues with substance abuse and mental ill health. She
is currently visited by a community psychiatric nurse.
Marilyn has just lost her job as a shop worker. She cannot afford to pay her rent and is
at risk of becoming homeless.
Q: Explain why Marilyn may not be able to access the health and social care services
she needs
Indicative content may cover the following points.
Psychological/emotional barriers may prevent her
from seeking services.
Lack of resources/bed blocking may mean the
services cannot meet her needs
Financial constraints may limit her choices if she
needs services not locally available.
Geographical/transport issues may make it difficult
for her to attend appointments.
Social/family concerns may dissuade from attending.
Physically accessing services may be difficult.
Lack of awareness.
Accept any other appropriate content.
Marilyn is 32 years old. She has issues with substance abuse and mental ill health. She
is currently visited by a community psychiatric nurse.
Marilyn has just lost her job as a shop worker. She cannot afford to pay her rent and is
at risk of becoming homeless.
Q: Discuss ways that health and social care professionals could support Marilyn.
Indicative content may cover the following points.
Assessment, care and support planning.
Partnership working with multi-disciplinary specialist
input such as psychiatric services.
Holistic in relation to mental and physical health.
Empowering her; confidence boosting; new skills
training.
Supporting routines for family life, education,
employment and leisure.
Providing links to support groups and mentors.
Accept any other appropriate content.
Case Study Scenario 2: Learning Disability
Shirley is 45 years old. She has Down’s syndrome. Shirley moved out of her family
home and lives alone in supported living.
The care manager wants to get feedback on the service provision after discussion with Shirley’s social worker.
Q: (a) State two ways that the care manager could get feedback from Shirley.
Award one mark for any of the following up to a maximum of two marks. Questionnaire Focus group One-to-one interview Survey Suggestion box Observation Feedback from advocate/relatives/other staff Informal conversation Accept any other appropriate answers.
Case Study Scenario 2: Learning Disability
Shirley is 45 years old. She has Down’s syndrome. Shirley moved out of her family
home and lives alone in supported living.
The care manager wants to get feedback on the service provision after discussion with Shirley’s social worker.
(b) Describe two responsibilities of Shirley’s social worker
Award one mark for each descriptive point to a maximum
of four. Award no more than three marks for one
responsibility.
Conducting interviews (1)
To assess and review their situation (1)
Undertaking and writing up assessments (1)
Providing information and support (1)
Participating in multi-disciplinary teams (1)
Holistic care (1)
Act as an advocate (1)
Promoting individual rights (1)
Offer counselling (1)
Accept appropriate specific examples
Accept any other valid response.
Case Study Scenario 2: Learning Disability
Shirley is 45 years old. She has Down’s syndrome. Shirley moved out of her family
home and lives alone in supported living.
The care manager wants to get feedback on the service provision after discussion with Shirley’s social worker.
Q: (c) Explain how the care manager could make sure that Shirley is safeguarded.
ndicative content may cover the following points. Risk assessment Mentor at work. Disclosure and Barring Service Appropriate staff training Policy update Following procedures Mandatory updates First aid facilities. Prevention of abuse. Confidentiality. Answers could refer to the workplace and/or the supported living. Accept any other appropriate content. Accept any other valid response.
Case Study Scenario 2: Learning Disability
Shirley is 45 years old. She has Down’s syndrome. Shirley moved out of her family
home and lives alone in supported living.
The care manager wants to get feedback on the service provision after discussion with Shirley’s social worker.
Shirley works one day a week. She is often late.
Q: (d) Discuss how social care professionals could support Shirley to live alone
Indicative content may cover the following points. Assertiveness training Transport support Money management Life skills training SMART targets Time management skills Creating a daily timetable Empowering Shirley to take the lead Assistance with producing a plan Meal planning Accept any other appropriate content.
Case Study Scenario 3: Physical/Sensory Disabilities
Ritesh is 11 years old and lives with his parents. He has cerebral palsy and is a
wheelchair user. Ritesh has very limited verbal communication and needs assistance
with personal care.
He attends a local comprehensive school where he gets one-to-one support.
However, he has found it difficult to get to know the other children in the school.
Joe is Ritesh’s one-to-one support worker.
Q: (a) Identify two ways that Joe is accountable in his role as a support worker.
Award one mark for identification up to a maximum of
two marks.
Only does activities he is trained/competent in (1)
Accept examples of the application of codes of practice (1)
Updating training (1)
Accept examples of the application of policies and
procedures (1)
Accept any other valid response.
Case Study Scenario 3: Physical/Sensory Disabilities
Ritesh is 11 years old and lives with his parents. He has cerebral palsy and is a
wheelchair user. Ritesh has very limited verbal communication and needs assistance
with personal care.
He attends a local comprehensive school where he gets one-to-one support.
However, he has found it difficult to get to know the other children in the school.
Joe is Ritesh’s one-to-one support worker.
Q: (b) Describe two responsibilities that Joe’s employers have towards him
Award one mark for each descriptive point to a maximum
of four. Award no more than three marks for one
responsibility.
Provide training/CPD (1)
Ensure he can apply organisational policies (1)
Meet NOS (National Occupational Standards) (1)
Staff safeguarding (1)
Whistleblowing policy (1)
Complaints procedures (1)
Accept any other valid response.
Case Study Scenario 3: Physical/Sensory Disabilities
Ritesh is 11 years old and lives with his parents. He has cerebral palsy and is a
wheelchair user. Ritesh has very limited verbal communication and needs assistance
with personal care.
He attends a local comprehensive school where he gets one-to-one support.
However, he has found it difficult to get to know the other children in the school.
Joe is Ritesh’s one-to-one support worker.
Q: (c) Explain how Joe could promote Ritesh’s independence.
Indicative content may cover the following points.
Promoting choices.
Empowering Ritesh to express his needs and preferences.
Encouraging Ritesh to attend physiotherapy.
Supporting the use of equipment and adaptations.
Facilitating social interaction with classmates.
Allowing Ritesh to make mistakes and risks.
Communicating and advocating Ritesh’s wishes and needs.
Do not award responses specific to education.
Accept any other appropriate content.
Accept any other valid response.
Case Study Scenario 3: Physical/Sensory Disabilities
Ritesh is 11 years old and lives with his parents. He has cerebral palsy and is a
wheelchair user. Ritesh has very limited verbal communication and needs assistance
with personal care.
He attends a local comprehensive school where he gets one-to-one support.
However, he has found it difficult to get to know the other children in the school.
Joe is Ritesh’s one-to-one support worker.
Q: (d) Discuss how Joe could support Ritesh in dealing with conflict.
Indicative content may cover the following points.
By talking and listening to him and being
positive/encouraging/motivating him in dealing with his
issues.
Identifying a support group that could help with the life
skills needed to deal with conflict.
He could act as an advocate for him
Some involvement in the assessment, care and support planning to promote the skills Ritesh needs to deal with conflict.
Do not award responses referencing how schools deal with conflict.
Accept any other valid response.
Case Study Scenario 4: Age-related Needs
Donald is 85 years old. He has been diagnosed with Alzheimer’s disease by his GP.
Donald has become aggressive. His wife, Hilary, has become concerned that she
cannot care for Donald at home because her arthritis is getting worse.
Q: (a) State two healthcare professionals, other than a GP or occupational therapist, who could work with Donald.
Award one mark for any of the following up to a maximum
of two marks.
Dietitian
Pharmacist
Physiotherapist
Nurse (accept specific named nursing roles up to two
marks)
Health Care assistant
Dementia Specialist/psychiatrist/consultant
Do not accept GP, doctor, or Occupational Therapist.
Do not accept nurse in addition to a named nursing role
Case Study Scenario 4: Age-related Needs
Donald is 85 years old. He has been diagnosed with Alzheimer’s disease by his GP.
Donald has become aggressive. His wife, Hilary, has become concerned that she
cannot care for Donald at home because her arthritis is getting worse.
Explain two ways an occupational therapist could support Hilary with day-to-day
activities
Award one mark for each correct identification to a
maximum of two marks and a further mark for each
justification to a maximum of four marks.
Advise on home/environmental alterations (1) such as
adjustments for wheelchair access/handrails etc. (1)
Advise on specialist equipment (1) to help with daily
activities such as cooking, washing etc. (1)
Attend multi-disciplinary case meetings (1) to plan and
review holistic ongoing treatment. (1)
Accept any other valid response.
Case Study Scenario 4: Age-related Needs
Donald is 85 years old. He has been diagnosed with Alzheimer’s disease by his GP.
Donald has become aggressive. His wife, Hilary, has become concerned that she
cannot care for Donald at home because her arthritis is getting worse.
Explain the reasons why a nursing home might be an appropriate care setting for
Donald.
Indicative content may cover the following points. A registered nurse on duty 24 hours. A number of carers to attend to Donald. Care home specialist equipment such as lifts. Arrange special activities. Respite for Hilary. Increased social interaction. Maintaining safety. Added security. Accept any other valid response
