Question 1:

12 marks

1100 words

The family of Camilla are visiting her and ask you to explain how she had a stroke at such a young age.
Your answer should include an explanation of the aetiology and pathophysiology of Camillas illness.
reference your answer
use language that an educated patient would understand
Question 1

Essentials 3 - 4 paragraphs

Camillas illness:
Aetiology (the cause or origin) of bacterial endocarditis
Pathophysiology (the functional changes) caused by bacterial endocarditis
Why has she had a stroke at such a young age? (Is there a relationship between the stroke and Camillas
illness?)
Explain all this in a way that her family can understand (looking at some examples of consumer fact sheets
may help here)
Question 2:

6 marks

550 words

Identify and justify the important focussed assessments that you would perform on Camilla using a systems
approach.
Reference the literature to support your rationales.
Question 2

Essentials 2 - 3 paragraphs

1-What is a systems approach?

2- What are focussed assessments?
For each assessment:
Define the assessment
State why you would do it
Use the literature to back up your reason for doing the assessment

Question 3:

6 marks

550 words

Prioritise and discuss the two main complications that you would be worried that Camilla may experience
within the next four weeks.
Rationalise (give reasons for) your answer.

Question 3

Essentials 2 paragraphs

Prioritise 2 main complications (put the most important one first)

Remember: its concern for the next 4 weeks
For each complication:
1- Define the complication
2- State why you believe it is a potential complication
3- Use the literature to back up your reason for recognising this issue as a complication

Question 4:

4 marks

300 words

Describe two specific nursing tools that you could use in your nursing care of a patient, such as Ms
Jenkenson.
1 outline the rationale (reason) for your selection
2 reference the literature to support your rationale

So, 2 paragraphs (one nursing tool per paragraph):

1- Define the nursing tool
2- State why you would use it
3- Support your decision by referring to the literature

For example:
During Ms Jenkensons inpatient stay I would use the hospital anxiety and depression scale (Zigmond &
Snaith, 1983). This outcome measure is comprised of two sections, one to measure anxiety, and one to
measure depression (ref). As this patients illness has been sudden and the long term effects as yet unknown,
this patient is at risk of developing anxiety or depression (ref?) and baseline assessment needs to be recorded
to determine if a therapeutic intervention is required (ref?).
(75 words)