• Use Microsoft Word.
• Font: Calibri (Body), or Times New Roman, size 12.
• Copy and paste each question into your document and provide your answer underneath.
• At the end of each answer, include:
• Word count
• Reference list for that question (APA 7th style)

1. Referencing (APA 7th Edition)

• Use correct and consistent APA 7th referencing throughout your assessment.
• Include:
• In-text citations for all sourced information.
• A reference list after each question.
• Your references must be:
• From peer-reviewed nursing journals, government websites, or reputable health organisations.
• Current (published within the last 10 years).
• Making sure the hyperlink of each reference works and can be accessed by the assessor. Failure to open hyperlinks by assessors can
  indicate false references and students may be referred to Student Integrity.
• Core unit textbooks can be used to support definitions but are not sufficient as your main sources of evidence.
• Higher marks are awarded for integrating references within your discussion, not just placing them at the end of a paragraph.

1. Word Count

• Your total word count must be 2000 words ±10% (i.e. between 1800 and 2200 words). The 2000 words can be divided how you wish between
  the 3 questions.
• This includes:
• In-text citations.
• End-text reference lists not included.

1. Writing Style

• Use clear, concise sentences.
  [OFFICIAL]
• Structure your writing in well-organised paragraphs.
• Avoid bullet points.
• Do not copy and paste.
• Paraphrase and reference.

1. Submission Instructions

• Save your file as: StudentNumber_NUR245_Workbook.docx (e.g., 12345678_NUR245_Workbook.docx)
• Save your AI Logbook as: StudentNumber_NUR245_AILogbook.docx (e.g., 12345678_NUR245_AILogbook.docx)
• Submit your Word document via LMS by the due date.
• Submit the AI Logbook via LMS by the due date.
• After submitting, check your Turnitin report to ensure your work maintains academic integrity

1. AI Declaration and Logbook – Required for All Students

• You must submit the AI Logbook with your assessment – even if you did not use AI tools.
• There is a checkbox to indicate:
• I have not used any form of AI
• I have used AI and have completed the logbook with full prompts and how I used the outputs
• Failure to submit the AI logbook will result in a penalty or referral to Academic Integrity.
• If you declare that no AI was used, but your assessor identifies signs of AI-generated content or is unable to open the hyperlink of the
  reference, you may be referred for a formal investigation.
• Honesty and integrity are cornerstones of nursing and as such ensure that you are being honest in your declarations. AI can an advantageous
  tool, and can help generate ideas, and used ethically can help you understand concepts. The key is to use it within the bounds of the
  assessment guideline, and you present your own work, with clear references to support your arguments and learn the content.
  [OFFICIAL]
  Brian Jamieson
  Brian Jamieson is a 77-year-old man who has been admitted to your ward with new onset of atrial fibrillation. He is normally fit and healthy, walks for an hour
  a day and even has the occasional jog. He has no significant medical history other than mild dyslipidaemia, for which he was commenced on atorvastatin, but
  ceased after a week due to the side effects. Surgical history includes two bowel resections for a ruptured diverticulum at the age of 49. He has had no further
  issues since then. He had COVID approximately 1 month ago and has had an ongoing chest infection, which has now turned into Community Acquired
  Pneumonia, for which he has been prescribed Ceftriaxone 1gram intravenous (IV) daily and Doxycycline 100mg orally twice a day.
  Brian is a nonsmoker, who drinks occasionally on a weekend. He mostly drinks 2-3 glasses of red wine but has the odd glass of whiskey every now and then.
  His diet is varied, and he eats what would be considered to be a healthy diet, with fruit, veg, fish and meat. He drinks 5-6 cups of coffee a day, with milk.
  His father died at the age of 70 from a massive Myocardial Infarction, and his mother died in her late 80’s of natural causes (although she had previously had
  a haemorrhagic stroke 15 years prior to her death, caused by undiagnosed hypertension, and had multiple Transient Ischaemic Attacks).
  Brian is commenced on Rivaroxaban for clot prevention and a low dose (2.5 mg) of Bisoprolol to assist with heart strain, however he is refusing to take the
  Bisoprolol as he states there is nothing wrong with his blood pressure and he has read that Bisoprolol is antihypertensive.
  Considering Brian Jamieson’s case, critically analyse the potential risks and benefits associated with his refusal to take the prescribed low dose of Bisoprolol
  for atrial fibrillation.
  In your assignment, integrate evidence-based information and other considerations that may be warranted (critical thinking).
  Support your arguments with references to current literature and clinical guidelines. Consider potential strengths and challenges in implementing your
  proposed strategies (with the use of evidence-based teaching techniques) and suggest ways to overcome them. Demonstrate critical thinking skills by
  analysing the complexities of Brian’s case and providing a well-reasoned and evidence-based response. Students will do this through answering the below
  questions.
  [OFFICIAL]
  ULO’s met 1, 3, 4 and 5.
  Question 1 – approximately 650 words
  Clinical Rationale:
  Analyse and compare Rivaroxaban to one other known anticoagulant used for atrial fibrillation and how both medications may contribute to preventing
  complications associated with atrial fibrillation, such as stroke or heart failure. Your discussion should include why you would use one over the other, related
  to pharmacology and patient outcome. Furthermore, analyse the relevance of blood pressure(BP) control in patients with atrial fibrillation (AF). Why is BP
  control essential for patients with AF, relating this to the pathophysiology of BP and AF.
  Note for this question: When providing evidence-based literature, students may use peer reviewed journal articles, textbooks or relevant clinical practice
  guidelines if available. If using clinical practice guidelines, students must ensure they are the most recent iteration and email them to the UC via the LMS
  portal.
  Why is this important to your practice as an RN? It is important because it relates directly to patient care and treatment decisions for a common condition –
  AF. It will help you to understand why some patients are prescribed one medication over another, despite having seemingly similar conditions, and will also
  give you the understanding of the pharmacology of the medication. This is essential for the safe administration of medications, effective monitoring and
  educating patients of their treatment options. This question will help students to identify the important aspects of delivering this medication and creating an
  argument and rationale. Something which is required of RNs.
  [OFFICIAL]
  Criteria (H)igh (D)istinction (D)istinction (C)redit (P)ass (N)eeds further
  development
  Demonstrates critical
  thinking and clinical
  reasoning (ULO1)
  Critically analyses the
  use of Rivaroxaban
  and compares to
  another anticoagulant
  and draws on up-todate contemporary
  literature to support
  the answer. The
  answer is concise and
  accurate.
  Adheres to assessment
  guidelines.
  8-10 marks
  Analyses the use of
  Rivaroxaban and
  compares to another
  anticoagulant and
  draws on up-to-date
  contemporary
  literature to support
  the answer. The
  answer is accurate and
  flows. Adheres to
  assessment guidelines.
  7 marks
  Correctly identifies the
  use of Rivaroxaban
  and compares to
  another anticoagulant
  and draws on up-todate contemporary
  literature to support
  the answer. The
  answer is accurate.
  Adheres to assessment
  guidelines.
  6 marks
  Partially identifies the
  use of Rivaroxaban
  and make some
  comparison to another
  anticoagulant, drawing
  on limited up-to-date
  contemporary
  literature to support
  the answer. The
  answer is accurate.
  Adheres to assessment
  guidelines.
  5marks
  Identifies but does not
  compare the use of
  Rivaroxaban with
  another anticoagulant.
  The answer is not
  always correct. Does
  not adhere to
  assessment guidelines.
  0-4 marks
  Applies knowledge of
  pathophysiology,
  pharmacology and
  evidence-based
  nursing practice (ULO
  4)
  Critically analyses the
  pathophysiology of AF
  and the use of
  rivaroxaban. Evaluates
  and justifies improved
  patient outcomes,
  using contemporary
  literature to support
  the answer.
  Adheres to assessment
  guidelines.
  8-10 marks
  Analyses the
  pathophysiology of AF
  and the use of
  rivaroxaban. Evaluates
  improved patient
  outcomes and uses
  contemporary
  literature to support
  the answer.
  Adheres to assessment
  guidelines.
  7 marks
  Describes the
  pathophysiology of AF
  and the use of
  rivaroxaban. Explains
  improved patient
  outcomes and uses
  contemporary
  literature to support
  the answer.
  Adheres to assessment
  guidelines.
  6 marks
  Discusses the
  pathophysiology of AF
  and the use of
  rivaroxaban. Identifies
  improved patient
  outcomes and uses
  contemporary
  literature to support
  the answer.
  Adheres to assessment
  guidelines.
  5 marks
  Identifies but does not
  discuss the
  pathophysiology AF
  and the use of
  rivaroxaban. Identifies
  improved patient
  outcomes but does
  not use contemporary
  literature to support
  the answer.
  Does not adhere to
  assessment
  guidelines.
  0-4 marks
  [OFFICIAL]
  Criteria (H)igh (D)istinction (D)istinction (C)redit (P)ass (N)eeds further
  development
  Demonstrates critical
  thinking and clinical
  reasoning (ULO1)
  Analyses and
  evaluates the
  relevance of blood
  pressure control in
  patients with atrial
  fibrillation. The answer
  is concise and
  accurate.
  Adheres to assessment
  guidelines.
  8-10 marks
  Analyses and
  compares the
  relevance of blood
  pressure control in
  patients with atrial
  fibrillation. The answer
  is accurate and flows.
  Adheres to assessment
  guidelines.
  7 marks
  Explains and compares
  the relevance of blood
  pressure control in
  patients with atrial
  fibrillation. The answer
  is accurate. Adheres to
  assessment guidelines.
  6 marks
  Identifies and
  compares the
  relevance of blood
  pressure control in
  patients with atrial
  fibrillation. The answer
  is accurate. Adheres to
  assessment guidelines.
  5 marks
  Identifies but does not
  compare the relevance
  of blood pressure
  control in patients
  with atrial fibrillation.
  The answer is not
  always correct. Does
  not adhere to
  assessment guidelines.
  0-4 marks
  Demonstrates safe,
  effective and
  evidence-based
  nursing practice
  (ULO5)
  Uses four or more
  current (within 5
  years) evidence-based
  literature to support
  their comparison and
  argument. The sources
  are relevant,
  and referenced
  correctly. The
  references are
  critically integrated
  throughout. Adheres
  to assessment
  guidelines.
  8-10 marks
  Uses three or more
  current (within 5
  years) evidence-based
  literature to support
  their writing. The
  sources are relevant,
  and referenced
  correctly. The
  references are
  integrated throughout.
  Adheres to assessment
  guidelines.
  7 marks
  Uses current (within 5
  years) of evidencebased literature to
  support their writing.
  The sources are
  relevant,
  and referenced
  correctly. Adheres to
  assessment guidelines.
  6 marks
  Uses evidence-based
  literature to support
  their writing. The
  sources are relevant,
  and mostly referenced
  correctly. Adheres to
  assessment guidelines.
  5 marks
  Evidence-based
  literature is up to 10
  years old or only uses
  textbooks. The sources
  lack relevance and
  credibility, referencing
  is inadequate. Does
  not adhere to
  assessment guidelines
  0-4 marks
  [OFFICIAL]
  Question 2 – approximately 650 words
  Patient Education:
  Evaluate the importance of effective communication and patient education in addressing Brian’s concerns about Bisoprolol.
  Utilise one of the following evidence-based teaching techniques to educate Brian about the purpose and benefits of Bisoprolol for better patient outcomes.
  Discuss the benefits and challenges of the strategy you will implement, and consider his reluctance based on his perception of blood pressure and the use of
  Bisoprolol. Analyse the pharmacology related to Bisoprolol and its use in the treatment of heart failure/strain compared to hypertension.
  Evidence based teaching techniques to choose ONE of the following:
  Motivational interviewing
  Teach-back Technique
  Why this is important for your practice as an RN? As nurses, it is essential that we educate patients about their medications—including potential risks and
  benefits—so they are equipped to make informed decisions about their care. The approach we take, along with the communication tools we use, should
  foster a sense of trust and ensure patients feel heard. By tailoring education to each individual’s level of health literacy, we empower them to engage
  confidently in their treatment journey.
  [OFFICIAL]
  Criteria (H)igh (D)istinction (D)istinction (C)redit (P)ass (N)eeds further
  development
  Demonstrates an
  understanding of
  the challenges and
  opportunities
  related to
  implementing
  health promotion,
  health education,
  and behaviour
  change in the acute
  health setting (ULO
  3)
  Evaluates and analyses a
  challenge and an
  opportunity to
  implement a health
  promotion, education
  and behaviour change
  for the case study.
  Utilises one of the
  evidence-based teaching
  technique that might
  work on this patient and
  critically analyses the
  technique in relation to
  the patient’s health
  literacy. Writes concisely
  and cohesively. Adheres
  to assessment
  guidelines.
  8-10 marks
  Identifies and analyses a
  challenge and an
  opportunity to
  implement a health
  promotion, education
  and behaviour change
  for the case study.
  Utilises one of the
  evidence-based teaching
  technique that might
  work on this patient and
  analyses the technique
  in relation to the
  patients’ health literacy.
  Writes cohesively.
  Adheres to assessment
  guidelines.
  7 marks
  Identifies and explains a
  challenge and an
  opportunity to
  implement a health
  promotion, education
  and behaviour change
  for the case study.
  Utilises one of the
  evidence-based teaching
  technique that might
  work on this patient and
  explains the technique
  in relation to the
  patients’ health literacy.
  Adheres to assessment
  guidelines.
  6 marks
  Identifies a challenge
  and an opportunity to
  implement a health
  promotion, education
  and behaviour change
  for the case study.
  Utilises one of the
  teaching techniques
  that might work on
  this patient. Uses the
  case study in answer.
  Adheres to
  assessment guidelines.
  5 marks
  Identifies, but does not
  explain a challenge and
  an opportunity to
  implement a health
  promotion, education
  and behaviour change
  for the case study. Does
  not utilise one of the or
  does not explain a
  teaching technique that
  might work on this
  patient or uses one that
  is not suited for the
  patients’ health literacy.
  Does not use the case
  study in answer. Does
  not adhere to
  assessment guidelines
  0-4 marks
  [OFFICIAL]
  Criteria (H)igh (D)istinction (D)istinction (C)redit (P)ass (N)eeds further
  development
  Applies knowledge
  of pharmacology
  and evidence-based
  nursing practice
  (ULO 4)
  Critically analyses the
  pharmacology related to
  Bisoprolol. Evaluates
  and justifies improved
  patient outcomes, using
  contemporary literature
  to support the answer.
  Adheres to assessment
  guidelines.
  8-10 marks
  Analyses the
  pharmacology related to
  Bisoprolol. Evaluates
  improved patient
  outcomes and uses
  contemporary literature
  to support the answer.
  Adheres to assessment
  guidelines.
  7 marks
  Describes the
  pharmacology related to
  Bisoprolol. Explains
  improved patient
  outcomes and uses
  contemporary literature
  to support the answer.
  Adheres to assessment
  guidelines.
  6 marks
  Discusses the
  pharmacology related
  to Bisoprolol.
  Identifies improved
  patient outcomes and
  uses contemporary
  literature to support
  the answer.
  Adheres to
  assessment
  guidelines.
  5 marks
  Identifies but does not
  discuss the
  pharmacology related to
  Bisoprolol. Identifies
  improved patient
  outcomes but does not
  use contemporary
  literature to support the
  answer.
  Does not adhere to
  assessment guidelines.
  0-4 marks
  Demonstrates safe,
  effective, and
  evidence-based
  nursing practice
  (ULO5)
  Uses four or more
  current (within 5 years)
  evidence-based
  literature to support
  their comparison and
  argument. The sources
  are relevant,
  and referenced
  correctly. The references
  are critically integrated
  throughout. Adheres to
  assessment guidelines.
  8-10marks
  Uses three or more
  current (within 5 years)
  evidence-based
  literature to support
  their writing. The
  sources are relevant,
  and referenced
  correctly. The references
  are integrated
  throughout. Adheres to
  assessment guidelines.
  7 marks
  Uses current (within 5
  years) of evidence-based
  literature to support
  their writing. The
  sources are relevant,
  and referenced
  correctly. Adheres to
  assessment guidelines.
  6 marks
  Uses evidence-based
  literature to support
  their writing. The
  sources are relevant,
  and mostly referenced
  correctly. Adheres to
  assessment guidelines.
  5 marks
  Evidence-based
  literature is up to 10
  years old or only uses
  textbooks. The sources
  lack relevance and
  credibility, referencing is
  inadequate.
  Does not adhere to
  assessment guidelines.
  0-4 marks
  [OFFICIAL]
  Question 3 – approximately 650 words
  Discuss how the relationship between atrial fibrillation and Brian’s ongoing pneumonia may impact his cardiovascular health. Analyse the use of ceftriaxone
  and doxycycline for this patient and argue the use of both for Brian – why use both, when IV is more effective than oral? Support your response with insights
  from pathophysiology, pharmacology and evidence-based practice.
  Why this is important for your practice as an RN? Understanding the disease process helps nurses recognise how infections like pneumonia can impact overall
  health, particularly when they complicate existing conditions such as cardiac arrhythmias. A solid grasp of pathophysiology allows nurses to anticipate
  symptoms, monitor for deterioration, and guide appropriate care interventions. Familiarity with antibiotics—such as the difference between broad-spectrum
  and targeted agents, or IV versus oral administration—supports safe medication management and patient education. By integrating this knowledge into
  practice, nurses enhance treatment outcomes and ensure patient-centred care.
  [OFFICIAL]
  Criteria (H)igh (D)istinction (D)istinction (C)redit (P)ass (N)eeds further
  development
  Demonstrates critical
  thinking and clinical
  reasoning (ULO1)
  Analyses and evaluates
  the relationship
  between atrial
  fibrillation and
  pneumonia and its
  impact on his
  cardiovascular health.
  Draws on up-to-date
  contemporary
  literature to support
  the answer. The answer
  is concise and accurate.
  Adheres to assessment
  guidelines.
  8-10 marks
  Analyses and compares
  the relationship
  between atrial
  fibrillation and
  pneumonia and its
  impact on his
  cardiovascular health.
  Draws on up-to-date
  contemporary
  literature to support
  the answer. The answer
  is accurate and flows.
  Adheres to assessment
  guidelines.
  7 marks
  Explains and compares
  the relationship
  between atrial
  fibrillation and
  pneumonia and its
  impact on his
  cardiovascular health.
  Draws on up-to-date
  contemporary
  literature to support
  the answer. The answer
  is accurate. Adheres to
  assessment guidelines.
  6 marks
  Identifies and the
  relationship between
  atrial fibrillation and
  pneumonia and its
  impact on his
  cardiovascular health.
  Draws on up-to-date
  contemporary
  literature to support
  the answer. The answer
  is accurate. Adheres to
  assessment guidelines.
  5 marks
  Identifies but does not
  compare the
  relationship between
  atrial fibrillation and
  pneumonia and its
  impact on his
  cardiovascular health.
  The answer is not
  always correct. Does
  not adhere to
  assessment guidelines.
  0-4 marks
  [OFFICIAL]
  Criteria (H)igh (D)istinction (D)istinction (C)redit (P)ass (N)eeds further
  development
  Applies knowledge of
  pharmacology and
  evidence-based nursing
  practice (ULO 4)
  Critically analyses the
  pharmacology of
  ceftriaxone and
  doxycycline. Argues
  and justifies the use of
  both intravenous and
  oral use of antibiotics,
  using contemporary
  literature to support
  the answer. Relates
  back to the case study.
  Adheres to assessment
  guidelines.
  8-10 marks
  Analyses the
  pharmacology of
  ceftriaxone and
  doxycycline. Evaluates
  the use of both
  intravenous and oral
  use, using
  contemporary
  literature to support
  the answer. Relates
  back to the case study.
  Adheres to assessment
  guidelines.
  7 marks
  Describes the
  pharmacology of
  ceftriaxone and
  doxycycline. Explains
  the use of both
  intravenous and oral
  use, using
  contemporary
  literature to support
  the answer. Relates
  back to the case study.
  Adheres to assessment
  guidelines.
  6 marks
  Discusses the
  pharmacology of
  ceftriaxone and
  doxycycline. Identifies
  the use of both
  intravenous and oral
  use, using
  contemporary
  literature to support
  the answer. Relates
  back to the case study.
  Adheres to assessment
  guidelines.
  5 marks
  Identifies but does not
  discuss the
  pharmacology of
  ceftriaxone and
  doxycycline and
  intravenous and oral
  use, uses little
  contemporary
  literature to support
  the answer. Does not
  relate back to the case
  study or does so only 1-
  2 times and the case
  study is not integrated
  throughout. Does not
  adhere to assessment
  guidelines.
  0-4 marks
  [OFFICIAL]
  Criteria (H)igh (D)istinction (D)istinction (C)redit (P)ass (N)eeds further
  development
  Demonstrates safe,
  effective, and evidencebased nursing practice
  (ULO5)
  Uses four or more
  current (within 5 years)
  evidence-based
  literature to support
  their comparison and
  argument. The sources
  are relevant,
  and referenced
  correctly. The
  references are critically
  integrated throughout.
  Adheres to assessment
  guidelines.
  8-10 marks
  Uses three or more
  current (within 5 years)
  evidence-based
  literature to support
  their writing. The
  sources are relevant,
  and referenced
  correctly. The
  references are
  integrated throughout.
  Adheres to assessment
  guidelines.
  7 marks
  Uses current (within 5
  years) of evidencebased literature to
  support their writing.
  The sources are
  relevant,
  and referenced
  correctly. Adheres to
  assessment guidelines.
  6 marks
  Uses evidence-based
  literature to support
  their writing. The
  sources are relevant,
  and mostly referenced
  correctly. Adheres to
  assessment guidelines.
  5 marks
  Evidence-based
  literature is up to 10
  years old or only uses
  textbooks. The sources
  lack relevance and
  credibility, referencing
  is inadequate.
  Does not adhere to
  assessment guidelines.
  0-4 marks

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