Situational Judgement Test UPDATED
Actual Exam Questions and CORRECT
Answers
What should you do when a prescription error occurs? - CORRECT 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 - CORRECT 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? - CORRECT 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 - CORRECT 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 - CORRECT ANSWER✔✔- Contact person with
clinical responsibility
If not available, contact yourself
Speak to clinical director
,Fraud in clinical research - CORRECT ANSWER✔✔- Confidentially report to audit
department of company
Report to local rep
Tell the consultant to stop doing it
Notice prescribing error re penicillin - CORRECT ANSWER✔✔- Cross out prescription
Ask whether patient allergic
Review notes
A&E - Intoxicated and demanding medical rx. Threatens physical violence to other pt -
CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT
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 -
CORRECT ANSWER✔✔- Ensure senior nursing and medical staff aware
Clarification of whether information was communicated
Misread something and wrong drug px - CORRECT ANSWER✔✔- Inform consultant
Inform patient
Change to appropriate drug
Fellow FY1 dyslexic so doesn't want to write drug charts - CORRECT ANSWER✔✔-
Inform safety issue
Encourage to tell educational supervisor
Discuss with senior colleague
Nurse refuses to give mx prescribed - CORRECT ANSWER✔✔- Discuss why
Review patient
Discuss with senior colleague
Pt with DT's agitated and punches nurse - CORRECT ANSWER✔✔- Call hospital security
Attempt to calm down through talking
Ensure nurse okay
Fellow FY1 not coping - CORRECT 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 - CORRECT ANSWER✔✔- Patient consents
Disclosure is for the benefit of a patient without capacity
Required by law or has been permitted
Actual Exam Questions and CORRECT
Answers
What should you do when a prescription error occurs? - CORRECT 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 - CORRECT 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? - CORRECT 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 - CORRECT 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 - CORRECT ANSWER✔✔- Contact person with
clinical responsibility
If not available, contact yourself
Speak to clinical director
,Fraud in clinical research - CORRECT ANSWER✔✔- Confidentially report to audit
department of company
Report to local rep
Tell the consultant to stop doing it
Notice prescribing error re penicillin - CORRECT ANSWER✔✔- Cross out prescription
Ask whether patient allergic
Review notes
A&E - Intoxicated and demanding medical rx. Threatens physical violence to other pt -
CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT
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 -
CORRECT ANSWER✔✔- Ensure senior nursing and medical staff aware
Clarification of whether information was communicated
Misread something and wrong drug px - CORRECT ANSWER✔✔- Inform consultant
Inform patient
Change to appropriate drug
Fellow FY1 dyslexic so doesn't want to write drug charts - CORRECT ANSWER✔✔-
Inform safety issue
Encourage to tell educational supervisor
Discuss with senior colleague
Nurse refuses to give mx prescribed - CORRECT ANSWER✔✔- Discuss why
Review patient
Discuss with senior colleague
Pt with DT's agitated and punches nurse - CORRECT ANSWER✔✔- Call hospital security
Attempt to calm down through talking
Ensure nurse okay
Fellow FY1 not coping - CORRECT 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 - CORRECT ANSWER✔✔- Patient consents
Disclosure is for the benefit of a patient without capacity
Required by law or has been permitted
