1. Accurately summarises the key concepts (causes, pathogenesis, clinical manifestations, diagnosis, treatment, course, prognosis and prevention) of left MCA ischaemic stroke. Minimal information included with omissions, lack of clarity. Most concepts poorly or inaccurately summarised. One or two concepts have been omitted or a number of key concepts lack clarity and conciseness. Links established between boxes. Most of the key concepts identified, but some relevant information has been omitted or lacks clarity. Links between boxes established and logical. Accurately summarises most of the key concepts in clearly labelled text boxes. Links between boxes is established and logical. Accurately summarises all key concepts in clearly labelled text boxes. Links between boxes is established and logical. 5 02 3 4 5 Guided question 1: Demonstrates comprehensive and detailed knowledge of the pathogenesis of left MCA ischaemic stroke, and relates the clinical manifestations to the pathogenesis. A superficial description of the pathogenesis of left MCA ischaemic stroke, with a number of significant inaccuracies, repetition or lack of clarity. Has not accurately related the clinical manifestations to the pathogenesis. The sources of information are not accurate and clearly evident. Using information from relevant references provides a basic description of the pathogenesis of left MCA ischaemic stroke, with some links to the clinical manifestations presented by the patient in the case study. There may be minor inaccuracies, omissions or repetition of information, lack of clarity or logical flow of the process. The discussion is mostly supported by appropriate sources. Analyses information from relevant sources and generally provides an accurate explanation of the pathogenesis causing the clinical manifestations of the patient in the case study. The explanation is mostly developed in a logical sequence, but there may be one or two omissions of significant information, or all manifestations are accurately explained but there is little logical development in the discussion. The discussion is clearly and accurately supported by appropriate sources. Analyses information from a discerning selection of sources and accurately explains the pathogenesis, causing the clinical manifestations of the patient in the case study. Mostly synthesises the information effectively in own words and in a logical sequence, including all manifestations presented by the patient. The discussion is clearly and accurately supported by appropriate sources. Analyses information from a discerning selection of sources and provides an accurate and comprehensive explanation of the pathogenesis causing the clinical manifestation of the patient in the case study. The explanation is developed in a logical sequence and incorporates all manifestations presented in the case study. The discussion is clearly and accurately supported by appropriate sources. 15 07 1011 1315 Guided question 2: Demonstrates ability to prioritise nursing care for a patient with left MCA ischaemic stroke. Discussion explains the rationales and justifies nursing strategies. Discussion is well supported by appropriate sources. Does not accurately identify two nursing strategies to manage a patient with left MCA ischaemic stroke and provides little or inaccurate explanation of rationales. Information predominantly copied or quoted from inappropriate sources. The sources of information are not accurate and clearly evident. Identifies two nursing strategies to manage a patient with left MCA ischaemic stroke and provides basic rationales for the strategies but are not evidence based. The discussion is mostly supported by appropriate sources. Identifies two high priority nursing strategies to manage a patient with left MCA ischaemic stroke and provides accurate rationales for the management but not clearly evidence based. The discussion is clearly and accurately supported by appropriate sources. Accurately identifies two high priority nursing strategies used to manage a patient with left MCA ischaemic stroke and states accurate rationales based on current evidence. The discussion is clearly and accurately supported by appropriate sources. Identifies two high priority nursing strategies used to manage a patient with left MCA ischaemic stroke in the Emergency Department. The nursing strategies are well supported by discussion that clearly explains the rationales. The discussion is clearly and accurately supported by appropriate sources. 10 0 56 7 8 10 Guided question 3: Demonstrates knowledge of the mechanism of action of Alteplase relating to the underlying pathogenesis of a left MCA ischaemic stroke. The mechanism of action of Alteplase is incomplete or inaccurate with little or no relationship to the underlying pathogenesis of left MCA ischaemic stroke. Information predominantly taken from inappropriate sources. The sources of information are not accurate and clearly evident. Provides a basic explanation of the mechanism of action of Alteplase. The answer may not be clearly related to the pathogenesis of left MCA ischaemic stroke, contain some inaccuracies or lack clarity. Nursing considerations (therapeutic and adverse effects) not discussed. The discussion is mostly supported by appropriate sources. Accurately explains the mechanism of action of Alteplase, generally relating to the underlying pathogenesis of left MCA ischaemic stroke. Nursing considerations (therapeutic and adverse effects) are briefly identified. The discussion is clearly and accurately supported by appropriate sources. Accurately discusses the mechanism of action of Alteplase. Links the drug to the the underlying pathogenesis of left MCA ischaemic stroke. Identifies the nursing considerations of the drugs. The discussion is clearly and accurately supported by appropriate sources. Comprehen-sively and accurately discusses the mechanism of action of Alteplase. Relates the drug to the underlying pathogenesis and clinical manifestations of left MCA ischaemic stroke. Identifies the therapeutic and adverse effects that will inform nursing considerations.
