SITUATIONAL JUDGEMENT TEST QUESTIONS
WITH CORRECT ANSWERS
What should you do when a prescription error occurs? - VERIFIED ANSWER-Inform the patient of your
mistake
Document the mistake in the notes
Fill out a clinical incident form in the case of a patient being given a medication he is allergic to
Road Traffic Act related to blood sampling - VERIFIED ANSWER-Police are allowed to take a blood
sample from a patient without their knowledge or consent
They can do this when they are stable or conscious, or from a previous sample
Can only be used when retrospective consent gained
Can not interfere with urgent clinical care
Ill family member asking for advice? - VERIFIED ANSWER-If concerned out of hours, contact OFH
service
Reasonable to obtain further details
Important to signpost to appropriate medical care e.g. A&E should it be necessary
Mum wants vitamins for child as she has been prescribed them - VERIFIED ANSWER-Refuse to
prescribe and ask other GP why
If worried about maintaining trust in GP prescribe but important to advise that not clinically necessary
Clinical error by secretary in hospital - VERIFIED ANSWER-Contact person with clinical responsibility
If not available, contact yourself
Speak to clinical director
Fraud in clinical research - VERIFIED ANSWER-Confidentially report to audit department of company
Report to local rep
,Tell the consultant to stop doing it
Notice prescribing error re penicillin - VERIFIED ANSWER-Cross out prescription
Ask whether patient allergic
Review notes
A&E - Intoxicated and demanding medical rx. Threatens physical violence to other pt - VERIFIED
ANSWER-Call security
Tell pt behaviour is not appropriate and will not be tolerated
Ensure other patients not distressed
Patient given too many tablets and about to take - VERIFIED ANSWER-Every pt should be offered
translator where possible
Prevent taking immediatley
Conduct preliminary ix and feedback to staff involved
Angry husband of patient on shift you have just taken over - VERIFIED ANSWER-Examine for any new
medical pathology
Inform that you have just taken over
Answer as many questions as you feel able to
Fellow FY1 not pulling weight and ineffective handover - VERIFIED ANSWER-Discuss issues directly
Could offer help if within capabilities
Other colleagues affected should address
Remember bloods need to be done on leaving, and nurse says too busy angrily - VERIFIED ANSWER-
Ask another FY1 to complete
Discuss with nurse in charge procedure for taking bloods at busy times
Speak to nurse privately next day
, Nursing team don't follow instructions overnight causing deterioration in pt's condition - VERIFIED
ANSWER-Ensure senior nursing and medical staff aware
Clarification of whether information was communicated
Misread something and wrong drug px - VERIFIED ANSWER-Inform consultant
Inform patient
Change to appropriate drug
Fellow FY1 dyslexic so doesn't want to write drug charts - VERIFIED ANSWER-Inform safety issue
Encourage to tell educational supervisor
Discuss with senior colleague
Nurse refuses to give mx prescribed - VERIFIED ANSWER-Discuss why
Review patient
Discuss with senior colleague
Pt with DT's agitated and punches nurse - VERIFIED ANSWER-Call hospital security
Attempt to calm down through talking
Ensure nurse okay
Fellow FY1 not coping - VERIFIED ANSWER-Talk to her about it
Advise to talk to more senior member of team
Go with her to talk to her consultant
When can you disclose personal information - VERIFIED ANSWER-Patient consents
Disclosure is for the benefit of a patient without capacity
Required by law or has been permitted
Justified in the public interest
WITH CORRECT ANSWERS
What should you do when a prescription error occurs? - VERIFIED ANSWER-Inform the patient of your
mistake
Document the mistake in the notes
Fill out a clinical incident form in the case of a patient being given a medication he is allergic to
Road Traffic Act related to blood sampling - VERIFIED ANSWER-Police are allowed to take a blood
sample from a patient without their knowledge or consent
They can do this when they are stable or conscious, or from a previous sample
Can only be used when retrospective consent gained
Can not interfere with urgent clinical care
Ill family member asking for advice? - VERIFIED ANSWER-If concerned out of hours, contact OFH
service
Reasonable to obtain further details
Important to signpost to appropriate medical care e.g. A&E should it be necessary
Mum wants vitamins for child as she has been prescribed them - VERIFIED ANSWER-Refuse to
prescribe and ask other GP why
If worried about maintaining trust in GP prescribe but important to advise that not clinically necessary
Clinical error by secretary in hospital - VERIFIED ANSWER-Contact person with clinical responsibility
If not available, contact yourself
Speak to clinical director
Fraud in clinical research - VERIFIED ANSWER-Confidentially report to audit department of company
Report to local rep
,Tell the consultant to stop doing it
Notice prescribing error re penicillin - VERIFIED ANSWER-Cross out prescription
Ask whether patient allergic
Review notes
A&E - Intoxicated and demanding medical rx. Threatens physical violence to other pt - VERIFIED
ANSWER-Call security
Tell pt behaviour is not appropriate and will not be tolerated
Ensure other patients not distressed
Patient given too many tablets and about to take - VERIFIED ANSWER-Every pt should be offered
translator where possible
Prevent taking immediatley
Conduct preliminary ix and feedback to staff involved
Angry husband of patient on shift you have just taken over - VERIFIED ANSWER-Examine for any new
medical pathology
Inform that you have just taken over
Answer as many questions as you feel able to
Fellow FY1 not pulling weight and ineffective handover - VERIFIED ANSWER-Discuss issues directly
Could offer help if within capabilities
Other colleagues affected should address
Remember bloods need to be done on leaving, and nurse says too busy angrily - VERIFIED ANSWER-
Ask another FY1 to complete
Discuss with nurse in charge procedure for taking bloods at busy times
Speak to nurse privately next day
, Nursing team don't follow instructions overnight causing deterioration in pt's condition - VERIFIED
ANSWER-Ensure senior nursing and medical staff aware
Clarification of whether information was communicated
Misread something and wrong drug px - VERIFIED ANSWER-Inform consultant
Inform patient
Change to appropriate drug
Fellow FY1 dyslexic so doesn't want to write drug charts - VERIFIED ANSWER-Inform safety issue
Encourage to tell educational supervisor
Discuss with senior colleague
Nurse refuses to give mx prescribed - VERIFIED ANSWER-Discuss why
Review patient
Discuss with senior colleague
Pt with DT's agitated and punches nurse - VERIFIED ANSWER-Call hospital security
Attempt to calm down through talking
Ensure nurse okay
Fellow FY1 not coping - VERIFIED ANSWER-Talk to her about it
Advise to talk to more senior member of team
Go with her to talk to her consultant
When can you disclose personal information - VERIFIED ANSWER-Patient consents
Disclosure is for the benefit of a patient without capacity
Required by law or has been permitted
Justified in the public interest
