ANHC 1 June 2004

ANHC ANCILLARY HEALTH CARE ABET LEVEL 4 JUNE 2004

ABET LEVEL 4 SUMMATIVE ASSESSMENT

NQF LEVEL 1

DEPARTMENT OF EDUCATION

ANCILLARY HEALTH CARE

CODE: ANHC

JUNE 2004

TIME: 3 HOURS

MARKS: 100

This question paper consists of 10 pages.

ANHC 2 June 2004

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INSTRUCTIONS 1. 2. 3. 4. 5.

Read ALL the questions very carefully.

Answer ALL the questions on the ANSWER BOOK.

Follow the instructions at the beginning of each question.

SECTIONS A, B and C are COMPULSORY.

Do not spend too much time on one question.

ANHC 3 June 2004

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SECTION A (COMPULSORY) QUESTION 1: MULTIPLE-CHOICE QUESTIONS Choose the correct answer from the options provided and write only the letter next to the question number, for example, 1.16 D.

1.1 Unemployment is one of the factors that promote poverty in our community.

Then the community needs to be involved in … to eliminate poverty.

A a vegetable garden project B stealing other people’s vehicles C unprotected sex D protest march (1) 1.2 A health promotion action plan helps to … A mislead the community. B direct the community with all the activities that are planned. C confuse the community involvement in activities. D promote misunderstanding in the community. (1) 1.3 In the case of fire in the building, it is wise to use … to vacate the building. A an emergency exit B the lift C the roof D A ladder (1) 1.4 Air passes through the nose or mouth to the back of the ... into the windpipe. A stomach B heart C throat D eye (1)

ANHC 4 June 2004

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1.5 For a normal nose bleeding, sit in a chair with your head slightly forward and

… for at least 15 minutes.

A pour a bucket full of water over the patient B close your eyes C cry D pinch the nostrils together (1) 1.6 A patient who is suffering from tuberculosis has to undergo a lot of treatment.

ONE of the management objectives that need to be applied is …

A directly observed therapy or treatment. B promotion of good oral hygiene. C severe pneumonia. D homemade salt mouthwash. (1) 1.7 One sign of sexually transmitted infections experienced by both males and

females is…

A genital ulcer(s). B running stomach. C pregnancy. D nose bleeding. (1) 1.8 It is very important to remember that HIV/AIDS can be spread by … A food and water. B sexual intercourse. C sharing eating utensils. D staying in one house. (1)

ANHC 5 June 2004

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1.9 A hazard can be defined as a potentially damaging event, phenomenon or

human activity, which may cause …

A people to be rich. B the people to celebrate. C the loss of life or injury. D peace and happiness. (1) 1.10 ... entails the integration of many activities and functions in order to safeguard

lives and property against possible hazard.

A Hazard B Disaster management C Population D Flood (1) 1.11 Disasters can happen because people vulnerable to them simply … A do not know how to notice early warnings. B know how to notice early warnings. C are good swimmers. D maintain their pride. (1) 1.12 South Africans are protected by human rights and patient rights. It is then

necessary for them to …

A know only these rights. B know their rights and responsibilities. C ignore them. D misinterpret them. (1)

ANHC 6 June 2004

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1.13 After testing for HIV/AIDS, the patient has the right to disclose or not to

disclose his/her status. Choose the right that is related to this statement:

A Privacy and confidentiality during and after examination B Take care of own life C Ask questions if instructions are not clear D Be referred to doctors and specialist when necessary (1) 1.14 Terminal diseases are those that are …. A curable. B none curable. C only infectious. D only epidemic. (1) 1.15 There are many causes for weight loss in HIV/AIDS. They include the

following:

A Keep weight stable B Prevent loss of muscles C Improve wound healing D Depression and anxiety (1)

[15] QUESTION 2: TRUE AND FALSE Indicate whether the following statements are TRUE or FALSE and write the correct answer next to the number of the question.

2.1 Sanitation is everybody’s responsibility that is household, local, provincial,

national government, NGOs and private sector.

(1) 2.2 A woman infected with HIV has the right to make choices about her

pregnancy.

(1) 2.3 When you feed your baby pieces of food, watch him/her carefully to make

sure that he/she does not choke.

(1) 2.4 Women never fall pregnant as a result of being raped. (1)

ANHC 7 June 2004

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2.5 Natural hazards are natural phenomena that may give rise to a disaster and

which can be classified according to origin.

(1) 2.6 Disaster management policy must also aim to give effect to the right to life,

equality, dignity, environment, property, health care, food, water and social security in terms of the Constitution.

(1)

2.7 Citizens have rights but also responsibilities to take charge of their own

health.

(1) 2.8 Employers must not provide as safe a working environment as possible,

including increasing the risk of being infected with HIV at work.

(1) 2.9 Crisis intervention is a short-term helping process with the aim of providing

immediate relief in an emergency situation.

(1) 2.10 Taking ‘AZT’ within three months of infection decreases the viral particles in

some patients and thus may slow the rate of progression to AIDS.

(1) [10]

ANHC 8 June 2004

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QUESTION 3: MATCHING ITEMS Match the statements from COLUMN B with words in COLUMN A. Write the question number and the correct letter next to it, for example 3.18 P.

3.1 3.2 3.3 3.4 3.5 3.6. 3.7 3.8 3.9 3.10 3.11 3.12 3.13 3.14 3.15

COLUMN A Unimproved pit toilet The patient could faint or collapse Substances that can be abused Sexually transmitted infections Tuberculosis A disaster The disaster phase Poor sanitation Malnutrition Patient rights Patient responsibility Health worker Home-based care Communicable diseases The respiratory system

A. B. C. D. E. F. G. H. I J. K. L. M. N. O.

COLUMN B the nose, air pipe and lungs allow us to breathe in oxygen, which is taken into the blood and breathe out carbon dioxide illness which can be passed from one person to another taking care of the ill person at home a trained person who helps with health related issues like primary health care, care of the aged and of the disabled take care of own health be treated with respect and dignity overfeeding or underfeeding diarrhoea the period during which extraordinary measures have to be taken in order to save lives, protect property and secure livelihoods the result of a hazard’s impact on society coughing, sweating at night and loss of water infections that can be contracted through sexual intimacy alcohol, cocaine and ecstacy non-resistance to very high temperature a top structure around and/or over a pit generally unlined where soil conditions allow, with a pedestal or squate-plate

[15]

TOTAL SECTION A: /40/

ANHC 9 June 2004

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SECTION B (COMPULSORY) QUESTION 4: CASE STUDY 4.1 FIRST AID PROCEDURES:

The Muzonke family has a daughter, Nokuzola, who wrote Grade 12 in 2002. Nokuzola has been up and down the streets with her friends even towards examinations; she never had time to study and prepare herself for the end-of- the-year examinations. The time came for them to sit for examinations, and results were issued on 27th December 2003. All learners who wrote were panicking and one could read this on their faces. Nokuzola’s name was not in the newspaper and she couldn’t believe it. She went to school for the statement of results and it showed very bad results. All her friends had passed. The following day very early in the morning, I heard my neighbour screaming: ‘Nokuzola! Oh Good people help me!’ I suspected that there is something wrong. I ran for help and I found that Nokuzola had collapsed and was unconscious because of the poison she had taken.

Answer the following question:

As an ABET Level 4 Ancillary Health Care learner, how would you help in resuscitating Nukuzola, by applying the best relevant First Aid procedures for a person who took poison and in an unconscious state?

[20]

4.2 PATIENT RIGHTS

Muzuki Marivate who was wheelchair-bound, as he was semi-paralysed after HIV had affected his spinal column, also had TB and a massive gland in his neck. He was always taken to the toilet. This made him to resign himself to his fate two years ago.

A relative and a nurse told him about Keswa clinic. He did not hesitate and went there right away. He was counselled by Dr Pat Senatla who put him on a TB and AIDS treatment programme. Aids Health Care Foundation funded him by paying R2 000 per month towards his medical treatment. He was also provided with free antiretroviral treatment. Muzuki Marivate took the treatment regularly and listened to all medical advice. He eats well, his TB is cured, he weighs 69 kg and is recovering speedily.

Presently Muzuki Marivate can walk, undertake household chores and tend to his garden.

ANHC 10 June 2004

Answer the following questions:

4.2.1 Muzuki Marivate’s rights to ‘health information’ were not violated. Name TWO people who promoted this right.

(4)

4.2.2 What are THREE responsibilities that Muzuki Marivate carried

towards his survival?

(6)

4.2.3 It is a patient right to ‘receive good quality health care on the basis of clinical need’. State THREE roles played by the clinic towards Muzuki Marivate’s recovery.

(6)

4.2.4 It is not the sole responsibility of the clinic (Department of Health)

to ‘save lives of the patients’. From the passage, give an example that support partnerships of this nature.

(2)

4.2.5 What do you think is the importance of disclosing HIV/AIDS status?

Give ONE reason.

(2) [20]

TOTAL SECTION B: /40/ SECTION C (COMPULSORY) QUESTION 5: ESSAY WRITING You live in a two-bedroomed house in Ikageng. You have to care for your 70-year-old grandmother who is terminally ill of cancer and cannot get out of bed. On her last chemotherapy visit, it was discovered that she had developed TB and her blood pressusure had gone up. Write an essay of ONE page on How you are going to care for her emotional, spiritual and physical needss.

[20]

TOTAL SECTION C: /20/ GRAND TOTAL: 100

ANHC 11 June 2004

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ANHC 12 June 2004

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