Ethics

Question 1

What have to be with patients who are angry

Answer 1

Be open about other priorities and offer the complaints system

Question 2

What do if someone who works in care wants to go in with communicable disease

Answer 2

The correct answer is to Advise her that you need to contact the Local Health Protection Agency (HPA) and she should not go into work. If she does not consent, confirm that you will still need to inform the HPA.

Question 3

Fitness to fly after surgeries

Answer 3

travel should be avoided for 10 days following abdominal surgery
laparoscopic surgery: after 24 hours
colonoscopy: after 24 hours
following the application of a plaster cast, the majority of airlines restrict flying for 24 hours on flights of less than 2 hours or 48 hours for longer flights

Question 4

What do if GMC requests to see a patients notes for a case but patients refuses

Answer 4

The GMC have authority in this scenario

Question 5

When writing controlled prescriptions what needs to be on the written prescription

Answer 5

Name and address of patient
Strength and administration
Number of pils in words and figures
Prescribers name, signature, address and current date

Question 6

What details need to give about a chaperone

Answer 6

Full name and role of chaperone

Question 7

If someone has a LPA what do before making any decision on their care

Answer 7

Assess capacity

Question 8

What need to do to confirm death after unsuccessful CPR attempts

Answer 8

Full assessment for signs of life for a further 5 mins

Question 9

What do if patient has no advance DNACPR or LPA, who does decision lie with

Answer 9

Senior clinician- they can make decisions regarding DNRs

Question 10

Can you prescribe for your close family

Answer 10

No

Question 11

What do if someone who lacks capacity needs to stop driving

Answer 11

Contact the DVLA yourself

Question 12

When is only time can disclose information to police about a patient

Answer 12

If case will lead to harm to others not for example a tax fraud

Question 13

What do if a child asks to speak to you without the parent

Answer 13

Politely ask the mother to step outside for a few minutes

Question 14

What do if a patient in an emergency setting refuses to be treated

Answer 14

Under common law can treat if patient refuses

Question 15

If someone comes in with either gunshot or knife wound and does not want you to call police what must you do

Answer 15

Tell them you have to call the police but you will not give patient details at this point

Question 16

What do if patient doesnt want to have important medical investigation as does not fit with their schedule

Answer 16

Try to explain further why should have it

Question 17

When is a registered nurse able to verify a death

Answer 17

If happens in a nursing home, DNACPR in place and no features which would warrant referral to coroner

Question 18

What temperature must body be at to verify death

Answer 18

At least 35

Question 19

What is done under common law

Answer 19

Treating people who refuse to be treated in an emergency

Question 20

What do if someone requires non urgent intimate exam but no one around to chaperone

Answer 20

Ask to book appt tomorrow when one will be available, no need to wait around as yet because waiting would be a waste of time

Question 21

What do you do if been given a rota feel is very unfair

Answer 21

Go and speak to person in charge of rota and discuss

Question 22

Can you drive if schizophrenic or manic

Answer 22

Must not drive during exacerbation where unwell
Inform DVLA
Must be well for 3 months following consultation with consultatn

Question 23

When can you stop treating a patient

Answer 23

When breakdown of trust means you cannot provide good care

Question 24

What is key requirement of an advanced directive

Answer 24

Must refer to a specific treatment in specific scenario

Question 25

What do if person has DNR but then decides they dont want despite having severe comorbidities that would mean it would be unsuccessful

Answer 25

Do not let them have it as patients can only refuse treatments in advance not request