Test Blueprint

Test Blueprint Name Affiliation Course Instructor Date Test Blueprint Part 1: Assessment/Evaluation Items Blueprint for Assessment CONTENT LEVEL OF COGNITIVE SKILL Topic Subtopic R U AP AN TOTAL Principles of End-of-Life Care Basic components of patient-centered care at end-of-life. 1 2 2 1 6 Cultural and ethical considerations in end-of-life care 2 3 2 1 8 Coping Skills Strategies supporting clinicians, patients, and families during the end-of-life process. 3 1 2 1 7 Effective Therapeutic Communication Techniques Active listening 2 1 2 1 6 Approaches for beginning sensitive conversations. 3 2 2 4 11 Deciding on End-of-Life Care Decision-making frameworks for nursing professionals. 3 2 3 4 12 TOTAL 14 11 13 12 50 KEY: R – Remembering U – Understanding AP – Applying AN – Analyzing Short Assessment/Evaluation Quantitative Segment Multiple-Choice Questions (MCQ) 1 Which of the following is a clinician-related factor contributing to the low end-of-life discussion rate? a. Awareness of the family or patient concerns regarding diagnosis. b. Trust about prognosis. c. Uncertainty about how to navigate sensitive conversations. d. Overconfidence in curative therapies. 2 Which communication technique is most convenient for a nurse in a scenario where a patient refuses further treatment, and the family is confused about their loved one's decision? a. Advise the family to seek counseling elsewhere. b. Reiterate the patient’s decision without explanation. c. Provide the family with statistical data about treatment success rates. d. Use open-ended questions to explore the family’s concerns. Qualitative Segment Essay Question What are the key signs indicating that a patient is nearing death? How can you improve the detection of these signs while in practice? How will you compassionately address the patient and their family once you detect end-of-life signs in your clinical practice? Scoring the Qualitative Segment Essay Rubric Criteria Ratings Excellent (46-60 points) Good (31-45 points) Fair (16-30 points) Poor (0-15 points) Description of key signs of nearing death. Thoroughly describes several key signs that indicate a patient is nearing death, with clear explanations and examples. Describes several key signs of nearing death, with proper explanation and few examples. The student describes a few signs but with insufficient detail or depth. Fails to describe key signs or the signs identified are not relevant. Explanation of how to improve detection of end-of-life signs. Gives comprehensive, evidence-based strategies for improving the detection of end-of-life signs, including practical techniques and suggestions for clinical settings. Provides clear strategies for improving the detection of end-of-life signs, with some practical examples and considerations. The student suggests basic detection methods but lacks depth or evidence-based support. Fails to provide strategies for improving detection, or the strategies proposed are vague or unrealistic. Therapeutic Approach to Patient and Family Describes compassionate and therapeutic approaches to communicating with the patient and family, incorporating cultural sensitivity, emotional support, and communication techniques. The student provides a therapeutic approach to addressing the patient and family, addressing key aspects such as empathy and communication, but may lack some detail or cultural sensitivity. The student mentions therapeutic approaches but lacks sufficient depth or overlooks important aspects such as emotional support or communication. The student p...