AS 91463 Annotated exemplars

This annotated exemplar is intended for teacher use only. Annotated exemplars are extracts of student evidence, with commentary, that explain key parts of a standard. These help teachers make assessment judgements at the grade boundaries.

Download all exemplars and commentary [PDF, 293 KB]

TKI Health assessment resources (external link)

For Excellence, the student needs to evaluate, perceptively, health practices currently used in New Zealand.

This involves involves making connections between a selection of underlying health concepts (hauora, socio-ecological perspective, health promotion, and attitudes and values), the underpinning philosophies of each practice, and the advantages and disadvantages of each practice; and drawing justified conclusions.

The student has selected three health practices used for the management of birthing pain: WSM (epidural) and CAM (hypnobirthing, TENS).  

The student has introduced the evaluation with a general explanation of the difference between WSM, CAM and TM (1). This provides a useful reference point to which the student can link his/her explanations of the philosophies of the health practices. 

The student has explained the underpinning philosophy of each practice, and their respective procedures for managing birthing pain. The discussion of epidural (2) is evidence-based (using one source of evidence), and explains the link between epidural and WSM. The explanation of procedures includes the key aspects of using this practice. 

The student has explained advantages and disadvantages of each practice. A number of pros and cons to epidural (3) are explained (in some places, this is more of a list of ideas) with some explicit reference to underlying concepts (hauora, attitudes and values). 

An overall comparison has been made (4). This answer is concise and coherent; providing a justified conclusion based upon earlier explanations of advantages and disadvantages. 

For a more secure Excellence, the student would need to more fully develop some of the explanations and include further explicit links to the underlying concepts.

For Merit, the student needs to evaluate, in depth, health practices currently used in New Zealand.

This involves comparing the advantages and disadvantages of the selected practices and drawing conclusions supported by reasoned arguments.

The student has selected three health practices used to manage/treat depression: WSM (SSRI) and CAM/TM (acupuncture and St John’s Wort).  

The student has explained the underpinning philosophy of each practice, and their respective procedures for managing/treating depression. The answer for St John’s Wort (1) is evidence-based (using two sources), but the explanation of the philosophy does not link clearly to CAM/TM. A range of procedures are covered (how it is taken, dosage, frequency, where it is purchased, and the duration of treatment).   

The student has explained advantages and disadvantages of each practice. A number of pros and cons to St. John’s Wort are explained (2) (in some places this is more of a list of ideas), with some explicit reference to the underlying concept of hauora. A range of evidence is used to support this answer.    

An overall comparison has been made (3). This answer covers all three health practices, and it is justified in relation to earlier explanations of advantages and disadvantages, but it makes few links to the underlying concepts. 

To reach Excellence, the student needs to more fully develop some of the explanations and include further explicit links to the underlying concepts. The philosophy of St. John’s Wort needs more detail and needs to be linked back to CAM/TM, and the overall comparison needs to be further refined.

For Merit, the student needs to evaluate, in depth, health practices currently used in New Zealand.

This involves comparing the advantages and disadvantages of the selected practices and drawing conclusions supported by reasoned arguments.

The student has selected three health practices used for obesity: WSM (laparoscopic gastric band and green prescription) and CAM (hypnosis).  

The student has explained the underpinning philosophy of each practice, and their respective procedures for weight loss. The response for hypnosis (1) is evidence-based (using two sources). The explanation of the philosophy links accurately to CAM and is somewhat detailed - key beliefs underpinning hypnosis are covered. The procedures of hypnosis when used for weight loss are covered briefly.  

The student has explained advantages and disadvantages of each practice, with laparoscopic gastric band surgery exemplified (2). A number of pros and cons to this practice are explained (in some places, this is more of a list of ideas) with some explicit reference to the underlying concept of hauora, but the links to well-being are not expanded upon. Evidence from one source is used to support this answer.   

An overall comparison has been made (3). This answer covers all three health practices and is a clear summary, but is only a brief justification, without clear links to the underlying concepts. 

For a more secure Merit, the student would need to further develop the comparison of health practices, with some links to underlying concepts and additional detail provided.   

For Achieved, the student needs to evaluate health practices currently used in New Zealand.

This involves applying a critical perspective and evidence-based consideration of health practices through:

• explaining the procedures involved in each practice, the underpinning philosophy or knowledge foundation of each practice in relation to Western scientific medicine (WSM), complementary and alternative medicine (CAM) and/or traditional medicine (TM)
• explaining the advantages and disadvantages of each practice in relation to the concept of hauora.

The student has selected three health practices used for the management of birthing pain: WSM (epidural) and CAM (hypnobirthing, TENS).  

The student has explained the underpinning philosophy of each practice, and their respective procedures for managing birthing pain. The response for hypnobirthing (1) is evidence-based (using two sources), and it explains the link between hypnobirthing and CAM. The explanation of procedures is brief. Some description is given with regard to what happens at a hypnosis session, but key information is missing (the length, frequency and duration of sessions). 

The student has explained advantages and disadvantages of each practice. A number of advantages and disadvantages of hypnobirthing (2) are explained, with explicit reference to the underlying concept of attitudes and values. 

An overall comparison has been made, albeit briefly (3). The justification is not convincing, because the effectiveness of a given treatment is only one aspect to consider when weighing up options. 

To reach Merit, the student would need to provide a more convincing and detailed comparison of the selected practices, drawing conclusions that are supported by reasoned arguments. It would also strengthen this response to include more key information about the procedures involved in using hypnosis for managing birthing pain.

For Achieved, the student needs to evaluate health practices currently used in New Zealand.

This involves applying a critical perspective and evidence-based consideration of health practicesthrough:

• explaining the procedures involved in each practice, the underpinning philosophy or knowledge foundation of each practice in relation to Western scientific medicine (WSM), complementary and alternative medicine (CAM) and/or traditional medicine (TM)
• explaining the advantages and disadvantages of each practice in relation to the concept of hauora.

The student has selected three health practices used to manage/treat depression: WSM (SSRI) and CAM/TM (acupuncture and St. John’s Wort).  

The student has explained the underpinning philosophy of each practice, and their respective procedures for managing/treating depression. The response for acupuncture (1) is evidence-based (using two sources). The explanation of the philosophy contains some key points relating to CAM/TM, but is brief. The explanation of procedures is also brief, and not specifically related to depression.

The student has explained advantages and disadvantages of each practice. A number of pros and cons to acupuncture (2) are explained (in some places, this is more of a list of ideas) with some explicit reference to the underlying concept of hauora in the consideration of advantages.

The overall comparison provides a reasoned argument as to why acupuncture is the preferred treatment, however this answer does not make any comparisons to SSRIs and St John’s Wort, instead re-stating ideas from earlier in the work. 

For a more secure Achieved, the student would need to provide more detail in the explanations of philosophies and procedures, as well as advantages and disadvantages linked to depression.