Trainee Assessment
Dementia:
Effects of providing
support
Unit standard
23922 Manage the effects for providing support for
people living with dementia in a health or wellbeing
setting
Version
Level
Credits
3
4
4
Your name:
Your workplace:
Your date of birth:
NSN number (if you know it):
Declaration





I was told about and understand the assessment requirements and appeals process.
I have prepared my answers myself.
Any evidence I have provided as my own, I produced myself.
I understand that this assessment may be used for moderation and quality control purposes.
I understand that when I achieve this unit standard my result will be registered with the
New Zealand Qualifications Authority.
I confirm the above declaration:
Yes
No
Date:
Assessment summary (completed by assessor)
Trainee’s performance summary
Assessment tasks
Assessor’s signature
Date achieved
Task 1: Effects on the family/whānau
Task 2: Changes in the family/whānau
Task 3: Services for the family/whānau
Task 4: Effects on yourself (support worker)
Task 5: Manage effects on yourself (support
worker)
Unit standard results
I have assessed the trainee and confirm the requirements have been met to demonstrate
competency in:
Unit standard
23922 Manage the effects of providing support for
people living with dementia in a health or
wellbeing setting
Version
3
Level
4
Credits
4
Assessor’s name:
Assessor’s number:
Signature:
Date:
Dementia: Effects of providing support (US 23922 v3) Trainee Assessment © Careerforce – Issue 4.1 – March 2017
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Trainee information
Before you start

The assessor/verifier will meet with you and talk about what you need to do.

Read through the Careerforce workplace learning and assessment guide if you need more
information about the assessment process.
As you go

Answer all questions.

Follow the instructions for each task.

If you answer by writing, you may write either electronically or by hand.

If you answer verbally, your assessor will write your answer(s) or may use a voice recorder.

Your assessor or verifier will use the checklists in this Trainee Assessment when they observe
your work.

If you need help with this assessment, please contact your assessor.
When you finish

Make sure you have completed any parts where the assessor/verifier has said you need to
do more work.
Appeals
If you wish to appeal against the assessment result or process, talk to your assessor. If you are
still not satisfied, you can appeal to Careerforce by completing the assessment result appeal
form that can be found online at www.careerforce.org.nz/contact/forms
Feedback
Careerforce regularly reviews our assessment and learning resources. As a user, we would
appreciate feedback on how you found it. Feedback can be provided to Careerforce via:

our online feedback form at www.careerforce.org.nz/contact/resource-assessment-feedback

email to [email protected]
Dementia: Effects of providing support (US 23922 v3) Trainee Assessment © Careerforce – Issue 4.1 – March 2017
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Definitions
Dementia is a term that covers a group of different illnesses in which there is a progressive and
irreversible loss of mental functioning that results in a decline in the person’s ability to think,
reason and remember. A feature of dementia is the individual and changing nature of the
cognitive, functional, behavioural and psychological effects that occur.
Verification is a process undertaken by a verifier and/or assessor. They may verify authenticity,
the validity of evidence and/or the trainee’s workplace performance.
Culture includes but is not limited to cultures based upon:

age.

class.

disability.

ethnicity.

gender.

sexual orientation.

cultures can include identification with a culture through birth, adoption, genealogy or
whakapapa.
Assessment note
Candidates’ practice must reflect appropriate values, processes, and protocols in relation to
working with Māori, Pasifika and/or people of other cultures, in a range of settings and
environments. In this assessment candidates must describe working with a Māori, Pasifika or a
person from a culture other than their own.
Dementia: Effects of providing support (US 23922 v3) Trainee Assessment © Careerforce – Issue 4.1 – March 2017
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Task 1: Effects on the family/whānau
For this task you need to choose two families/whānau of a person living with dementia that you
are supporting. One of these two must be a family/whānau of Māori, Pasifika or a culture other
than your own.
Describe four potential effects of providing support on the family/whānau of a person living
with dementia.
Potential effects may include:

stress.

burnout.

personal loss.

abuse.

role change.

loss and grief.

other.
First family/whānau (from Māori, Pasifika or a culture other than your own):
First effect:
Second effect:
Third effect:
Fourth effect:
Dementia: Effects of providing support (US 23922 v3) Trainee Assessment © Careerforce – Issue 4.1 – March 2017
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Second family/whānau:
First effect:
Second effect:
Third effect:
Fourth effect:
Task 1: Assessor’s feedback to trainee
When the assessor agrees that you have completed this task successfully, they will sign it off on
the assessment summary page at the front of this assessment.
Dementia: Effects of providing support (US 23922 v3) Trainee Assessment © Careerforce – Issue 4.1 – March 2017
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Task 2: Changes in the family/whānau
For this task you need to support two families/whānau of a person living with dementia. One of
these two must be a family/whānau of Māori, Pasifika or a culture other than your own.
For each family/ whānau you must:

observe, record and report two changes.

respond to these two changes using strategies.
Your support must be in accordance with your role and responsibilities and your organisation’s
policies and procedures.
Complete all the written parts of this task before asking your verifier to complete the
verification checklist.
Strategies could include:

risk management.

communication.

information provision.

dealing with loss and grief.

stress management.

taking time out.

debriefing.

self-advocacy.

other.
1 Answer the questions below.
Describe the changes you observed, how you recorded and reported these and what strategy
you used to respond to the changes.
First family/whānau (from Māori, Pasifika or a culture other than your own):
First change you
observed
How and where
you recorded and
reported the
change
Dementia: Effects of providing support (US 23922 v3) Trainee Assessment © Careerforce – Issue 4.1 – March 2017
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Strategy you used
to respond to the
change
Second change you
observed
How and where
you recorded and
reported the
change
Strategy you used
to respond to the
change
Second family/whānau:
First change you
observed
How and where
you recorded and
reported the
change
Dementia: Effects of providing support (US 23922 v3) Trainee Assessment © Careerforce – Issue 4.1 – March 2017
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Strategy you used
to respond to the
change
Second change you
observed
How and where
you recorded and
reported the
change
Strategy you used
to respond to the
change
Dementia: Effects of providing support (US 23922 v3) Trainee Assessment © Careerforce – Issue 4.1 – March 2017
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Verification
Ask your verifier to complete the verification checklist. Read the checklist so that you know
what is being verified.
Your verifier is likely to be your workplace supervisor, manager, team leader or assessor. They
must be a person who has observed you work over a period of time and can confirm that you
have completed the tasks to the standard required. Your assessor may contact your verifier to
discuss their comments.
Verification for the first family/whānau
(from Māori, Pasifika or a culture other than the trainee’s own.)
Note to verifier:
You have been asked to complete this verification as the supervisor/manager of the trainee.
You must have observed the trainee working over a period of time.
You need to be confident that the information the trainee has provided in Task 2 Question 1 is
correct, and that the trainee consistently performs to the standards listed in the checklist
below.
If you agree that the trainee meets these standards, please tick the boxes below. If you do not
agree, please discuss the requirements with the trainee. Please comment on the trainee’s
performance. The assessor may wish to contact you to discuss this verification.
The trainee:

followed the organisation’s policies and procedures while supporting the
family/whānau.

demonstrated appropriate values, processes, and protocols in relation to
working with Māori, Pasifika and/or people from a culture other than their
own.
Please comment:

observed, recorded and reported changes in this family/whānau.
Please comment:
Dementia: Effects of providing support (US 23922 v3) Trainee Assessment © Careerforce – Issue 4.1 – March 2017
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
responded to two changes in the family/whānau using appropriate
strategies.
Please comment:

carried out tasks according to their role and responsibilities.
Please comment:
Add any further comments on the trainee’s performance:
If you are a verifier, please give your details as the assessor may wish to contact you.
Verifier’s name:
Designation:
Signature:
Date:
Contact details
(phone/email):
Dementia: Effects of providing support (US 23922 v3) Trainee Assessment © Careerforce – Issue 4.1 – March 2017
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Verification for the second family/whānau
Note to verifier:
You have been asked to complete this verification as the supervisor/manager of the trainee.
You must have observed the trainee working over a period of time.
You need to be confident that the information the trainee has provided in Task 2 Question 1 is
correct, and that the trainee consistently performs to the standards listed in the checklist
below.
If you agree that the trainee meets these standards, please tick the boxes below. If you do not
agree, please discuss the requirements with the trainee. Please comment on the trainee’s
performance. The assessor may wish to contact you to discuss this verification.
The trainee:

followed the organisation’s policies and procedures while supporting the
family/whānau.

observed, recorded and reported changes in this family/whānau.
Please comment:

responded to two changes in the family/whānau using appropriate
strategies.
Please comment:

carried out tasks according to their role and responsibilities.
Please comment:
Add any further comments on the trainee’s performance:
Dementia: Effects of providing support (US 23922 v3) Trainee Assessment © Careerforce – Issue 4.1 – March 2017
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If you are a verifier, please give your details as the assessor may wish to contact you.
Verifier’s name:
Designation:
Signature:
Date:
Contact details
(phone/email):
Task 2: Assessor’s feedback to trainee
When the assessor agrees that you have completed this task successfully, they will sign it off on
the assessment summary page at the front of this assessment.
Dementia: Effects of providing support (US 23922 v3) Trainee Assessment © Careerforce – Issue 4.1 – March 2017
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Task 3: Services for the family/whānau
1 Identify the local and national support and advocacy services available for
each family/whānau of two different people living with dementia.
Describe their purpose and how these are accessed.
First family/whānau (from Māori, Pasifika or a culture other than your own):
Second family/whānau:
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Task 3: Assessor’s feedback to trainee
When the assessor agrees that you have completed this task successfully, they will sign it off on
the assessment summary page at the front of this assessment.
Dementia: Effects of providing support (US 23922 v3) Trainee Assessment © Careerforce – Issue 4.1 – March 2017
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Task 4: Effects on yourself (support worker)
For this task you need to identify, using self-reflection, the effects upon yourself of providing
support. You then need to describe strategies to manage these effects.
2 Describe four potential effects on you as the support worker providing
support to people living with dementia.
Potential effect may include:

stress.

burnout.

personal loss.

abuse.

role change.

loss and grief.

other.
First effect:
Second effect:
Third effect:
Fourth effect:
Dementia: Effects of providing support (US 23922 v3) Trainee Assessment © Careerforce – Issue 4.1 – March 2017
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Task 4: Assessor’s feedback to trainee
When the assessor agrees that you have completed this task successfully, they will sign it off on
the assessment summary page at the front of this assessment.
Dementia: Effects of providing support (US 23922 v3) Trainee Assessment © Careerforce – Issue 4.1 – March 2017
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Task 5: Manage effects on yourself (support
worker)
For this task you need to use strategies to manage effects on yourself as the support worker of
providing support to people living with dementia.
You need to:
 identify two effects using self reflection and one other strategy.
 manage these two effects using two strategies.
You must use your strategies according to your role and responsibilities and your organisation’s
policies and procedures.
Complete all the written parts of this task before asking your verifier to complete the
verification checklist.
1 Describe the two strategies you used for the two effects you identified on
yourself of providing support as the support worker.
At least one strategy must include self-reflection.
Self-reflection:
Dementia: Effects of providing support (US 23922 v3) Trainee Assessment © Careerforce – Issue 4.1 – March 2017
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Second strategy:
2 Describe two strategies you used to manage two effects and how you used
them.
First strategy:
Dementia: Effects of providing support (US 23922 v3) Trainee Assessment © Careerforce – Issue 4.1 – March 2017
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Second strategy:
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Verification
Ask your verifier to complete the verification checklist. Read the checklist so that you know
what is being verified.
Your verifier is likely to be your workplace supervisor, manager, team leader or assessor. They
must be a person who has observed you work over a period of time and can confirm that you
have completed the tasks to the standard required. Your assessor may contact your verifier to
discuss their comments.
Verification
Note to verifier:
You have been asked to complete this verification as the supervisor/manager of the trainee.
You must have observed the trainee working over a period of time.
You need to be confident that the information the trainee has provided in Task 5 Question 1
and 2 are correct, and that the trainee consistently performs to the standards listed in the
checklist below.
If you agree that the trainee meets these standards, please tick the boxes below. If you do not
agree, please discuss the requirements with the trainee. Please comment on the trainee’s
performance. The assessor may wish to contact you to discuss this verification.
The trainee:

identified two effects on themselves as the support worker using
self reflection and one other strategy.
Please comment:

used two strategies to manage two effects on themselves of providing
support for people living with dementia.
Please comment:

carried out tasks according to their role and responsibilities and their
organisation’s policies and procedures.
Dementia: Effects of providing support (US 23922 v3) Trainee Assessment © Careerforce – Issue 4.1 – March 2017
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Add any further comments on the trainee’s performance:
If you are a verifier, please give your details as the assessor may wish to contact you.
Verifier’s name:
Designation:
Signature:
Date:
Contact details
(phone/email):
Task 5: Assessor’s feedback to trainee
When the assessor agrees that you have completed this task successfully, they will sign it off on
the assessment summary page at the front of this assessment.
Dementia: Effects of providing support (US 23922 v3) Trainee Assessment © Careerforce – Issue 4.1 – March 2017
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