Template: IHNA

Role Play Institute of Health and

Nursing Australia

Assessment Legal entity: Health Careers

International Pty Ltd
ABN: 59 106 800 944
ACN: 106 800 944
CRICOS Code: 03386G
RTO ID: 21985
www.ihna.edu.au
 Template: IHNA Role Play Assessment

IHNA ROLE PLAY ASSESSMENT TEMPLATE

Student Name:
Date:
Presenting issue:
Satisfactory Not Yet Satisfactory
Pre–attending skills
Arranged the environment ☐ ☐
Ensured confidentiality and privacy ☐ ☐
Introduced ☐ ☐
Demonstrated knowledge of organisational guidelines ☐ ☐
Skills
Communicated in a manner that promotes empowerment ☐ ☐
Showed active listening skills ☐ ☐
Respected and valued social cultural and spiritual needs ☐ ☐
Encouraged the older person to engage actively in ADLs ☐ ☐
Provided information about the support services ☐ ☐
Identified the physical and social factors that are having impact on ☐ ☐
client health and quality of life
Supported and encouraged the client to adopt a shared ☐ ☐
responsibility while supporting
Supported the client to express the client preference ☐ ☐
Supported the client to recognise the impact of ageing on their
ADLs
Basic skills
Empathy/Joining ☐ ☐
Rapport building ☐ ☐
Exploration of issue ☐ ☐
Assessor details
Name: Comments:
Signature:
Date:

Version 1 July 2023 Page 2 of 2

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Legal entity: Health Careers International Pty Ltd | ABN: 59 106 800 944 | ACN: 106 800 944 | RTO ID: 21985 | CRICOS Provider Code: 03386G