Contemporary Nursing

11/11/2022, 22:39 Assessment 2: Evidence-based Case Study – (HNB2008) Contemporary Nursing C – S 1/8
Assessment 2: Evidence-based Case Study

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In this written assessment, you will formulate a plan of care attributed to a patient scenario using the clinical
reasoning cycle as a guide. This will allow you to demonstrate your understanding of associated
pathophysiology, pharmacology, development of patient goals, interventions and evaluation of care.
This is an individual assessment task based on a patient clinical scenario where you are expected to apply
clinical reasoning and critical thinking to develop a plan of care. You need to draw upon knowledge gained
through workshops, clinical labs, simulations and your own self-directed learning through your pre/post
learning resources and from Contemporary Nursing A & B, and Contemporary Nursing A & B Mental Health as
well as Research and Evidence Based Practice.

Overview Length or Duration Worth Due
Case Study 1500 (+/-10%) 50% Week 3, Monday
14th November

Key Assessment Information
The purpose of this assessment task is to:
Assist you in consolidating knowledge gained on the various focus topics relating to provision of evidence
based care for patients with acute and chronic disorders.
Apply knowledge obtained through participation in workshops, clinical labs, simulations and your selfdirected learning through your pre & post activities in problem solving and decision making in authentic
clinical scenarios.

(HNB2008) Contemporary Nursing C – S
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Reinforce theoretical underpinning of caring for patients with acute and chronic conditions prior to your
professional experience placement (PEP).
Learning Outcome 1 – Appraise knowledge and further expand clinical decision making through critical
thinking and skills in contemporary nursing interventions in current health priorities;
Learning Outcome 2 – Integrate previous knowledge about pathophysiology and pharmacotherapeutics
and quality use of medicines to utilise a systematic problem-solving and evidence-based approach in
decision making about patients with acute, chronic and mental health issues across the lifespan and
cultural contexts;
Learning Outcome 4 – Analyse and reflect upon professional nursing practice and the safe delivery of
ethical and culturally competent care within their current scope of practice as a student registered nurse.
GC 1a-d, 2a, 3a-d
The written assessment task is related to a case scenario below. The context of the scenario will be based on
disorders that have been covered in the first week of the block, and from Contemporary Nursing A & B,
Contemporary Nursing A & B Mental Health.
The assessment piece should be developed with reference to the
clinical reasoning cycle but DO NOT
submit a clinical reasoning cycle
. Through application of critical thinking and clinical reasoning you are to
explore the following points:
patient’s history, presenting problems and the related pathophysiological processes to identify priority
comprehensive assessment, i.e. specific observation, assessment tools and or tests
holistic plan of care is developed by setting specific goals
formulate nursing interventions and or treatments, with rationales and consider ways to evaluate the
effectiveness of actions
consider relevance of specific nursing standards, code of conduct, code of ethics and legalities and
relevant legislation
adherence to cultural awareness and diversity considerations
Consider patient-centred care, recovery-oriented and trauma-informed practice, patient/consumer
perspectives, and or lived experience research
Consider current/future nursing practice and research implications
Jessica Jones is an 18yo female who was previously diagnosed with Bulimia Nervosa. Jessica lives at
home with mother, Marie. Her parents are divorced and her father lives in Western Australia. She has two
older brothers both of whom live overseas in the UK and USA respectively Jessica decided to defer

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older brothers both of whom live overseas, in the UK and USA respectively. Jessica decided to defer
going to university for a year and currently works for a logistics company as a receptionist. Jessica was
diagnosed with bulimia when she was 16years old. She was treated with cognitive behavioural therapy
and made a good recovery.
Over the last six months Marie, has noticed that Jessica has lost weight and there has been a change in
Jessica’s behaviour including, being secretive around food, becoming more antisocial and withdrawn,
eating alone and avoiding other people at meal times, and frequent trips to the bathroom after eating.
Jessica was reviewed by the GP who referred her to the local hospital with hypokalaemia,
hypernatraemia and cardiac arrhythmias. Vital signs: low blood pressure, irregular pulse, and feeling
dizzy at times for unclear reasons. Jessica’s weight and height in ED: 170cm and 40kg. Admitted to the
cardiac unit for cardiac monitoring and treatment of hypokalaemia (2.5mmol/L) and hypernatraemia
(149mmol/L), on background of binge eating, purging and laxative abuse. Jessica voiced feelings of
regret, guilt, low mood, and shame. Jessica was reviewed by the Mental Health Team and SCOFF
questionnaire performed. A plan of care was arranged that included potassium supplements and
continuous cardiac monitoring, referral to Dietician, fluid balance chart, food chart and supervision at all
meal times, bed rest with supervised toilet privileges before meals and 1 hour after meals, and 1:1
nursing. Jessica has voiced her anger at these rules and plan of care, and does not wish comply.
Case Study Question:
How would you as the Registered Nurse
prioritise and manage this situation?
In your answer you will need to consider the Registered Nurse Standards for Practice (Nursing and
Midwifery Board of Australia [NMBA], 2016), Mental Health Act (2014); Recovery Focused Principles;
Trauma Informed Care; Strengths Based Practice; The Mental Health Nursing Standards by the
Australian College of Mental Health Nurse (2013); and the Medical Treatment Planning and Decisions Act
(The clinical reasoning cycle & essay key points will also be interwoven into below structure. DO NOT
submit a clinical reasoning cycle).
Your case-study essay should be structured as follows:
Start by setting the context and providing relevant background information.
Include a statement that is a response to the case-study-essay question, and that summarises the main
aim or points of the case-study essay.
Outline the main ideas to be discussed in the case-study essay, in the order they appear in the body of
the essay.
Body (do not use as a heading)
Each paragraph should cover a single idea expressed in a topic sentence, followed by supporting
evidence and examples from contemporary academic literature, including peer-reviewed journal articles.
Conclusion: A summary of your appraisal.
Restate your essay question, and sum up your main points
This is an academic assignment; therefore, academic standards inclusive of grammar, sentence structure,
paraphrasing and APA 7th edition referencing for both in-text citations and referencing apply.
All written assessments must align to the following academic standards:
use high-level quality contemporary evidence-based literature to inform the discussion and critical
analysis, date of evidence within five years. Do not use references over five years unless it was a
landmark study or brought about a significant change in practice. Legislation i.e. Mental Health Act. 2014
or professional standards/guidelines i.e. Registered nurse standards for practice (Nursing and Midwifery
Board of Australia, 2016), can be used as long as it the most recent.
for this assignment a minimum of 8 references should be used. It is about quality of the reference not the
quantity. Aim for 1 reference per 150 words (standard academic writing), and anytime you are making a
t t t th t i id t t it

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statement that requires evidence to support it.
write in the
third person, do not use personal pronouns;
APA 7th edition for in-text citations and reference list;
the following structure: an introduction, body and conclusion – do not use “Body” as a heading;
do not use bullet points or tables in your essay;
adherence to the word count; ten percent (10%) allowed either side of word count;
a 12 size font in either Arial, Times New Roman or Calibri;
1.5 line spacing; and
submitted using an MS word document only.
All assessments should have a title page that specifies:
Unit Code & Unit Name
Student Name
Student Identification number
Title of assignment
An accurate word count that includes in-text citations, but excludes the reference section at the end of the
The academic learning hub is a useful service that can assist in the essay planning process.
Students should refer to VU Assessment for learning policy regarding word count and late submission
Word count:
A key part of academic writing is adhering to the word count. Adhering to the word is important
because it will:
Test your communication skills: being able to keep within a word count requires a concise writing style and
excellent communication skills
Demonstrate your critical thinking skills: to stay within word counts, you need to focus on what is most
important and select the best examples. It puts critical thinking into practice
What is included in the word count:
The essay and in-text references
What is not included in the word count:
Title page, questions/headings, reference list, appendices
Exceeding the word count.
The marker of your assignment will only mark up to the maximum limit – i.e. 1650 words. Any words beyond
that will not be read or marked.
Late submissions
The standard penalty for late submission without an approved short extension will be 5% of the total possible
mark per day. If submission is overdue by more than three (3) days in a 4-week Block, the work will not be
To get started on your assessment task, please follow the below instructions.
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01 Read through the case study, essay instructions and rubric for this assessment task
Use the above essay structure,
clinical reasoning cycle and
essay key points to plan your
CRC Template
03 W standards rite your essay using contemporary evidence-based literature and alignment with academic
04 Check for similarity using Urkund system
05 Submit your work before the due date by following the submission instructions below you submit your complete assignment as one document. . Please ensure
The following levels of criteria will be used to grade this assessment task:
Criterion 1: Critical analysis and critical thought (LO 1, 2, 4) – 30%
Criterion 2: Identification of theoretical and practical concepts with establishment of relationships (LO2 1,
2, 4) – 35%
Criterion 3: Language, expression & writing style (LO 4) – 15%
Criterion 4: Use of literature (LO 1, 2, 4) – 10%
Criterion 5: Referencing in-text and reference list (LO 4) – 10%
Assessment 2: Evidence Based Case Study Rubric (/d2l/common/dialogs/quickLink/quickLink.d2l?
Please submit your completed assessment electronically via the Dropbox: Assessment 2:
Evidence Based Case Study (/d2l/common/dialogs/quickLink/quickLink.d2l?
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