Exam Questions June 2019 Flashcards
Jason is being treated for mouth cancer in hospital. Following surgery to remove a
tumour from his tongue, Jason has eating and communication difficulties.
He gets very frustrated when he cannot make himself understood.
Q:The NHS (National Health Service) hospital services are provided by the
public sector.
State the other two sectors providing health and social care services.
Award one mark for any of the following up to a
maximum of two marks.
Private
Voluntary/charity/not-for-profit
Case Study Scenario 1: Ill Health
Jason is being treated for mouth cancer in hospital. Following surgery to remove a
tumour from his tongue, Jason has eating and communication difficulties.
He gets very frustrated when he cannot make himself understood.
Q: Describe two ways an advocate could support Jason
Award one mark for each identification and one
additional mark for each appropriate expansion
to a maximum of four marks.
Speaks to professionals (1) understand his care
and support process (1).
Talk about how he feels about his care (1) make
decisions (1)
Making sure HSC services follow correct
procedures (1) challenge decisions about his
care (1).
Finds information (1) support him if he does not
agree with decisions about his care (1)
Communicates on Jason’s
behalf (1) stand up for his rights (1).
Supports Jason’s choices (1) by completing
applications/letters (1).
Accept any other valid response.
Case Study Scenario 1: Ill Health
Jason is being treated for mouth cancer in hospital. Following surgery to remove a
tumour from his tongue, Jason has eating and communication difficulties.
He gets very frustrated when he cannot make himself understood.
Q: Explain the responsibilities of a healthcare assistant who cares for Jason
his is not an exhaustive list, any other
plausible content should be considered. Marks
should be awarded following the specific
marking guidance on page 3.
• Following policies and procedures.
• Working as a part of a team to provide
Jason’s personalised care.
• Assisting in giving medication/treatments.
• Monitor Jason’s condition.
• Providing personal care/ supporting washing
and dressing.
• Supporting Jason’s eating and drinking.
• Providing advice/emotional support to Jason.
Case Study Scenario 1: Ill Health
Jason is being treated for mouth cancer in hospital. Following surgery to remove a
tumour from his tongue, Jason has eating and communication difficulties.
He gets very frustrated when he cannot make himself understood.
Q: Discuss barriers that could affect Jason’s ongoing care.
This is not an exhaustive list, any other plausible
content should be considered. Marks should be
awarded following the specific marking guidance
on page 3.
• Specific needs, e.g. availability of specialist
units.
• Individual preferences and emotional needs.
• Financial, e.g. personal or services.
• Geographical, e.g. location of services or
home.
• Social, e.g. family commitments.
• Cultural e.g. religious beliefs or community
expectations.
• Communication/understanding issues
Case Study Scenario 2: Learning Disability
Nicky is 18 years old. She has a learning disability.
Nicky attends a day centre that provides care and support for adults with
learning disabilities.
Nicky can communicate verbally. However, she struggles to explain her needs.
Nicky lives at home with her parents.
Q: State two health and social care professionals who could support Nicky’s
communication issues.
Award one mark for any of the following up to a maximum of two marks. Speech/language therapist (SALT) Support worker Social worker Advocate Doctor/GP Specialist/Learning Disability Nurse Do not accept nurse Do not accept counsellor Accept any other valid response
Case Study Scenario 2: Learning Disability
Nicky is 18 years old. She has a learning disability.
Nicky attends a day centre that provides care and support for adults with
learning disabilities.
Nicky can communicate verbally. However, she struggles to explain her needs.
Nicky lives at home with her parents.
Q: Describe two anti-discriminatory responsibilities that health and social care
workers have in their work with Nicky.
Award one mark for the identification and one
additional mark for the appropriate expansion.
To implement policies (1) ensure equality of
care (1).
Adhere to codes of practice/professional
guidelines (1) ensure good working practices
(1).
Follow the Equality Act 2010 (1) promote rights
(1).
Challenging direct/indirect discrimination (1) so
Nicky feels valued and included (1).
Using communication strategies (1) to enable
Nicky to express her choices (1).
Empowering Nicky (1) by promoting
individualised care (1).
Accept any specific examples of relevant
policies.
Accept any other valid response.
Case Study Scenario 2: Learning Disability
Nicky is 18 years old. She has a learning disability.
Nicky attends a day centre that provides care and support for adults with
learning disabilities.
Nicky can communicate verbally. However, she struggles to explain her needs.
Nicky lives at home with her parents.
Q: Explain how Nicky is kept safe when she is at the day centre.
This is not an exhaustive list, any other plausible
content should be considered. Marks should be
awarded following the specific marking guidance
on page 3.
• Following policies and procedures.
• Using risk assessments to identify hazards.
• Organising regular equipment safety checks.
• Appoint a designated first-aider.
• Safeguarding and protecting from abuse.
• Undertaking training
/CPD/education/awareness raising about
safety issues.
• Controlling substances harmful to their
health.
• Providing necessary protective clothing and
equipment.
• Keeping to food hygiene standards.
• Following complaints procedures.
• Using whistleblowing opportunity.
Case Study Scenario 2: Learning Disability
Nicky is 18 years old. She has a learning disability.
Nicky attends a day centre that provides care and support for adults with
learning disabilities.
Nicky can communicate verbally. However, she struggles to explain her needs.
Nicky lives at home with her parents.
Q: Discuss how the multidisciplinary team (MDT) working with Nicky could
empower her.
This is not an exhaustive list, any other plausible
content should be considered. Marks should be
awarded following the specific marking guidance
on page 3.
Balancing Nicky’s individual rights with those of
other service users.
Providing active support consistent with her
beliefs/culture.
Dealing with possible conflict within the centre.
Individualised care/person-centred for Nicky.
Promoting Nicky’s rights, choices/dignity and
independence.
Encouraging Nicky’s feedback and involvement
Providing information/advice to inform Nicky’s
decisions
Case Study Scenario 3: Physical/Sensory Disabilities
Juan is 35 years old. He has had mobility problems for 10 years and uses a wheelchair.
Juan lives alone and maintains an independent life with the help of Rose. Rose is a
domiciliary carer who visits Juan’s home several times a week.
He communicates regularly with friends by using social media
Q: State two ways organisations could represent the interests of service users like Juan.
Award one mark for any of the following up to a maximum of two marks. Appoint an advocate Ensure a complaints policy is in place Whistleblowing policies Feedback from charities Feedback from patient groups Raise awareness Accept any other appropriate wording.
Case Study Scenario 3: Physical/Sensory Disabilities
Juan is 35 years old. He has had mobility problems for 10 years and uses a wheelchair.
Juan lives alone and maintains an independent life with the help of Rose. Rose is a
domiciliary carer who visits Juan’s home several times a week.
He communicates regularly with friends by using social media
Juan has regular appointments with an occupational therapist.
Q: Describe two responsibilities of an occupational therapist supporting Juan.
Award one mark for identification and one
additional mark for appropriate expansion.
Assessment of physical needs (1) to identify
appropriate adaptations (1).
Keep accurate records (1) to monitor
effectiveness of adaptations (1).
Advise on adaptations (1) to support activities of
daily living (1).
Teaching use of OT aides (1) to support his
independence (1).
Attend multi-disciplinary meetings (1) to plan
and review ongoing care (1).
Follow organisational policies/procedures (1) to
provide consistent care (1).
Accept examples of appropriate
policies/procedures to a maximum of one for
identification and one for extension.
Accept any other valid response
Case Study Scenario 3: Physical/Sensory Disabilities
Juan is 35 years old. He has had mobility problems for 10 years and uses a wheelchair.
Juan lives alone and maintains an independent life with the help of Rose. Rose is a
domiciliary carer who visits Juan’s home several times a week.
He communicates regularly with friends by using social media
Juan’s domiciliary care services are to be inspected.
Q: Explain how services are improved by inspection.
This is not an exhaustive list, any other plausible content
should be considered. Marks should be awarded following the
specific marking guidance on page 3.
• Use of regular inspection feedback.
• A nationwide standard for service.
• Use of feedback from all stakeholders including service
users.
• Information obtained from inspection is used to produce
an action plan.
• Services respond to action plan.
• Recommendations for improvement are made and must
be actioned.
• Legislation and regulations in place ensures services
improve if required.
• Inspection report is available to the public.
Case Study Scenario 3: Physical/Sensory Disabilities
Juan is 35 years old. He has had mobility problems for 10 years and uses a wheelchair.
Juan lives alone and maintains an independent life with the help of Rose. Rose is a
domiciliary carer who visits Juan’s home several times a week.
He communicates regularly with friends by using social media
Q: Discuss how Rose’s employer can make sure she is kept safe when she is at work.
This is not an exhaustive list, any other plausible content
should be considered. Marks should be awarded following the
specific marking guidance.
• Risk assessment of domiciliary setting has taken place.
• Risk assessment of procedures.
• Suitable equipment.
• Provide PPE.
• Systems to keep in touch with employer.
• Appropriate training, e.g. manual handling, COSHH,
RIDDOR, safeguarding.
• Having a lone worker policy.
• Clear reporting and line management structure.
• Staff encouraged to have trade union or professional
association membership
Case Study Scenario 4: Age-related Needs
You are on a work experience placement on a children’s ward at the local hospital.
Your supervisor is a healthcare assistant.
The children are aged from one to eight years. One of the children, Josie aged eight,
is giving cause for concern. Social services have been involved with the family since
her older sister, Megan, was born.
Q: State two work-related skills required by a healthcare assistant
Award one mark for any of the following up to a
maximum of two marks.
Speaking and listening skills (1).
Written communication skills (1).
Ability to relate to service users/other
stakeholders (1).
Ability to interact with sensitivity (1).
Observation skills (1).
A caring nature (1)
An approachable nature (1)
The ability to keep sensitive information
confidential at all times (1)
The ability and desire to take own initiative
whilst recognising their limitations (1)
Flexibility (1)
The ability to work as part of a team (1)
The ability to remain patient and calm in tough
situations (1)
Good organisational skills (1)
Case Study Scenario 4: Age-related Needs
You are on a work experience placement on a children’s ward at the local hospital.
Your supervisor is a healthcare assistant.
The children are aged from one to eight years. One of the children, Josie aged eight,
is giving cause for concern. Social services have been involved with the family since
her older sister, Megan, was born.
Q: Describe the role of the midwife and the social worker who supported Josie’s
mother when she was pregnant.
Midwife
Social worker
Award one mark for each descriptive point, award up to two marks for each role, to a maximum of four marks. Midwife • Monitoring women during pregnancy (1). • Providing advice for women (1). • Supports women during labour (1) • Providing care for the mother (1). • Works with mothers during the early postnatal period (1). Social worker • Assesses the needs of groups of people (1). • To support identified needs (1). • Works with families (1). • To provide support with social emotional needs (1). • Protect vulnerable people (1). • Liaise with other agencies (1). Accept any other valid response.
Case Study Scenario 4: Age-related Needs
You are on a work experience placement on a children’s ward at the local hospital.
Your supervisor is a healthcare assistant.
The children are aged from one to eight years. One of the children, Josie aged eight,
is giving cause for concern. Social services have been involved with the family since
her older sister, Megan, was born.
Q: Explain how staff working practices could affect the children on the ward.
This is not an exhaustive list, any other plausible content
should be considered. Marks should be awarded following the
specific marking guidance on page 3.
Answers should exemplify practice and effects on children.
• Outcomes
• Applying care values and principles
• Information management and communication
• Accountability to professional bodies
• Line management
• Implementation of code of practice.
• Meeting national occupational standards
• Policies and procedures
• Staff having relevant skill.
• Identification of poor working practice
• Safeguarding
