| Q1. In an allied health setting, list five (5) examples of behaviours of concern. For each example describe how you would respond appropriately to these. | ||
| Behaviour of concern | Response | |
| a | ||
| b | ||
| c | ||
| d | ||
| e | ||
| Q2. There has been a bout of Gastric Flu that has decimated the usual healthcare team and there is a number of temporary staff working to cover the shortfall. Reg is an acute care client who is prone to episodes of aggressive behaviour and strong emotional outbursts. What measures can be used to reduce the impact of Reg’s behaviour on the inexperienced, temporary team of staff? |
| Q3. Reg’s care plan comprises strict limitations regarding responding to behaviours of concern. Because of the mediations Reg is using, Reg is not to be administered sedatives of any sort. It is during the busy mid-morning recess that Reg has a sudden, explosive outburst. Reg has destroyed his bed and has upturned the furniture in his room. He has jammed the “call” button at his bedside so the nurses’ station’s computer is producing a constant alarm.When staff members enter Reg’s room, he hurls furniture at them and is yelling profanities. Reg has cut his foot and there is blood on the floor; there is also water running from the room tap, which is overflowing from the basin. | ||
| a | List the top three (3) priorities in responding to Reg’s behaviours of concern | |
| b | What types of assistance could be sought? | |
| c | Describe your actions when responding to Reg’s behaviour | |
| d | What self-care strategies would you employ after this incident? | |
| Q4. Alice is a day client who is participating in a group therapy rehabilitation program and is profoundly shy. She has a hearing impairment that requires the use of a hearing aid. At times, Alice will pretend that she is sleeping or switches off her hearing aid to avoid communicating with people. Alice has been seen to communicate with an AUSLAN carer, Leonie, during her visits. | ||
| a | How can you use communication effectively with Alice? | |
| Q5. Read the following scenarios and, for each one, in your role as an Allied Health Assistant, select appropriate strategies to respond effectively to the difficult or challenging behaviour. | ||
| a | Chris, a temporary staff member, disappears for long periods without advising any of the team. | |
| b | Leonard refuses to use a bed pan even though he removes every catheter that has been fitted, invalidating this as an alternative. For four days in a row, Leonard has fouled his bed telling the nursing staff he “can’t be bothered to get out of bed”. | |
| c | Clementine has learning disabilities. Although she is confined to her bed, she enjoys physical contact. When you are attending to Clementine she likes to hug you and kiss your cheek. Of late, she has started squeezing your breasts and laughing hysterically. | |
| d | Clint is a laundry delivery driver. It is part of your job role to meet him and ensure he collects the laundry each Thursday. Clint tells you inappropriate jokes even though you have asked him not to. His behaviour has escalated recently and you are feeling harassed. | |
| Q6. Riley is in a critical condition and his Advanced Care Directive stipulates that, in accordance with Riley’s beliefs, there is a “Do Not Resuscitate (DNR)” directive. Riley’s family is not happy that Riley has made the decision to “DNR” and during visits to Riley’s bedside the family continually challenges the care staff. Riley’s family has started to bring lawyers, priests and members from the Christian Fellowship group to Riley’s bedside. Riley is a Humanist and opposes his family’s Christian beliefs; he has been estranged from his family for most of his adult life. | ||
| a | How would you respond to Riley’s family? | |
| b | Whilst you are tending to Riley, his mother places a crucifix above Riley’s bed. How do you respond? | |
| Q7. Trish is in the final stages of a terminal disease and she has asked if her beloved dog can be allowed to visit her to say goodbye. The facility does not allow animals into buildings. You have sought advice from your supervisor who told you that, “if we wait a few days the problem will go away”. You feel conflicted as you know that the facility has hosted animals in its grounds for less important occasions. | ||
| a | How would you respond to your supervisor? | |
| Trish’s health worsens and in moments of consciousness she implores you for her dog to be brought to her. | ||
| b | How would you respond to Trish? | |
| c | What action would you take? Explain why you would do this? | |
| Q8. List three (3) forms of assistance that you can call on when responding to behaviours of concern. For each, describe when you would use it. | |
| Form of assistance | When you would use it |
| Q9. Name three (3) policies, procedures or guidelines that determine how you respond to issues of safety during an incident involving behaviours of concern. | |
| 1 | |
| 2 | |
| 3 | |
| Q10. Describe how you would respond to the following contingencies | ||
| a | There is a fire in the staff kitchen but the sprinkler system has not activated. There is no fire blanket or other fire fighting appliance within reach. How do you respond? | |
| b | During the evening, you are attending to a client, Muriel, and the power is lost suddenly. How do you respond? | |
| c | One of your colleagues is found crying in the staff room. How do you respond? | |
| d | Bronwyn is usually placid; however, when you move to assist her she strikes out at you and bloodies your nose. How would you respond? | |
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