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STUDY > Situational Judgement > Flashcards

Situational Judgement Flashcards

1
Q

Beneficence:

A

You have a moral duty to provide treatment that must have some benefit to the patient

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2
Q

Non-maleficence:

A

You should not put the patient in harms way

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3
Q

Autonomy:

A

Every person is an individual and should be treated as such

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4
Q

Consent:

A

Is required!

Patients need to be informed in order to consent - tell them risk and reward

Patients have the right to deny treatment

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5
Q

Justice:

A

All resources need to be given out in a fair and equal manner

Providing equal treatment for patients that have the same clinical need

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6
Q

Confidentiality:

A

Patient information shouldn’t be disclosed to anyone other than the relevant medical personnel in the hospital

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7
Q

Resolving the issue in the most reasonable manner is…

A

A very appropriate thing to do

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8
Q

Informing someone else of issues thereby preventing this from happening again is…

A

A very appropriate thing to do

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9
Q

Improving patient safety is…

A

A very appropriate thing to do

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10
Q

Addressing problems in the workplace is…

A

A very appropriate thing to do

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11
Q

Consulting a more senior member of staff is…

A

A very appropriate thing to do

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12
Q

Respecting the dignity and wishes of patients is…

A

A very appropriate thing to do

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13
Q

Being honest is…

A

A very appropriate thing to do

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14
Q

Alerting senior staff when something is directly putting patients at risk is…

A

Appropriate but not ideal (because it will take ages and you need to sort this out now)

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15
Q

Apologising on behalf of another member of staff to a patient is…

A

Appropriate but not ideal (saying sorry on behalf of the hospital is good as it helps the patient to feel better, but ideally the person who made the mistake should apologise)

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16
Q

Going over the allocated time frame for an appointment in order to support the emotional needs of a patient is…

A

Appropriate but not ideal

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17
Q

Passing responsibility onto another staff member is…

A

Inappropriate but not awful (Ideally you should assist the patient yourself, but if you pass the responsibility onto someone else, although not ideal, at least someone is helping the patient)

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18
Q

Involving a more senior member of staff to assist in a task that you could have done on your own is…

A

Inappropriate but not awful

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19
Q

Refusing to examine any patient who makes you feel uneasy is…

A

Inappropriate but not awful (regardless of what they have done they all need to be treated equally with respect and dignity)

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20
Q

Not assisting fellow students with any work that you would have been qualified to help with is…

A

Inappropriate but not awful

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21
Q

Calling off non-academic activities to prioritise university work/hospital work is…

A

Inappropriate but not awful (you need to have a happy medium, but if something urgent is going on in the hospital then you must attend to the urgent thing in the hospital even if it means cancelling)

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22
Q

Moving on from a problem before it’s solved or ignoring the problem is…

A

A very inappropriate thing to do

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23
Q

Not answering questions is….

A

A very inappropriate thing to do

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24
Q

Telling lies is…

A

A very inappropriate thing to do

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25
Q

Doing procedures that you are not qualified to do is…

A

A very inappropriate thing to do

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26
Q

Being rude to patients is…

A

A very inappropriate thing to do

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27
Q

Failing to report cheating in exams is…

A

A very inappropriate thing to do

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28
Q

Breaking confidentiality regulations is…

A

A very inappropriate thing to do

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29
Q

Trying to change a patient’s mind once they’ve made their decision is…

A

A very inappropriate thing to do

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30
Q

Proceeding without consent is…

A

A very inappropriate thing to do

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31
Q

Delaying vital lifesaving treatment is…

A

A very inappropriate thing to do

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32
Q

How important is it to … The patient’s feelings and dignity?

A

Very important

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33
Q

How important is it to consider… If it puts people’s safety at risk?

A

Very important

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34
Q

How important is it to consider… Maintaining professionalism?

A

Very important

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35
Q

How important is it to consider… Sticking to the provided timescales?

A

Important

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36
Q

How important is it to consider… Other people’s opinions?

A

Important

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37
Q

How important is it to consider… The impact on individuals wellbeing/emotions if you tell?

A

Of minor importance

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38
Q

How important is it to consider… Potential damage of friendships?

A

Of minor importance

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39
Q

How important is it to consider… Rank within hospital?

A

Not important at all

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40
Q

How important is it to consider… If a patient changes their mind time and time again about their consensual obligation
to treatment?

A

Not important at all

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41
Q

How important is it to consider… Previous confrontations and disagreements?

A

Not important at all

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42
Q

Explaining to a patient why their surgery is delayed is…

A

A very appropriate thing to do

43
Q

How important is it to consider… staff and patient safety?

A

Very important

44
Q

Timely responses that directly resolve the problem are…

A

Very appropriate

45
Q

Making someone aware of a mistake they made is…

A

Very appropriate

46
Q

Providing an apology is…

A

Very appropriate

47
Q

Consulting a senior member of staff for advice is…

A

Very appropriate

48
Q

Honest reassurance is…

A

Very appropriate

49
Q

Written complaints over incidents which are directly putting patients at risk are…

A

Appropriate but not ideal (might help but won’t harm situation)

50
Q

Running over appointment time is…

A

Appropriate but not ideal (might help but won’t harm situation)

51
Q

Apologising for somebody else’s mistake is…

A

Appropriate but not ideal (might help but won’t harm situation)

52
Q

Actions indicating a poor work-life balance are…

A

Inappropriate but not awful

53
Q

Talking about patients in a public setting is…

A

Very inappropriate

54
Q

Definition of very important =

A

Vital

The situation couldn’t be solved without consideration of this

55
Q

Definition of important =

A

Would help considering this but not vital

56
Q

Definition of minor importance =

A

Could be considered but won’t make a difference

57
Q

Definition of not important at all =

A

Shouldn’t be considered

58
Q

Definition of very appropriate =

A

Will solve or make scenario better

59
Q

Definition of appropriate but not ideal =

A

Might help but won’t harm situation

There are better alternatives

60
Q

Definition of inappropriate but not awful =

A

Shouldn’t be fine but wouldn’t make situation worse

61
Q

Very inappropriate

A

Would make situation worse

62
Q

Doing another students work/tasks is…

A

very inappropriate

63
Q

If you are gonna be late to work you, calling your senior would be…

A

Inappropriate but not awful - wasting the time of a senior is bad but contacting hospital is good idea

64
Q

If you are gonna be late to work you due to snow, waiting for weather to settle before driving to work is…

A

Appropriate but not ideal - you have a responsibility to go to work but it is not ideal to put yourself in danger on snowy/icy roads - it would be better to get public transport.

65
Q

If you overhear colleagues talking about a patient rudely in a public place you should…

A

Resolve the main issue immediately = Approach them and point out that their comments may be heard by others.

Do not draw attention/make a scene - that would make the situation worse.

No point apologising on their behalf as it’s better to make the people aware they are doing something wrong and also don’t want to make patients aware if they have not heard.

No point addressing the issue later. It would be appropriate but not ideal to talk to the colleague privately afterwards.

66
Q

If a colleague has made a mistake…

A

Address the issue immediately (unless it will undermine the doctor in front of the patient)

Do not go behind someone’s back - address the individual (local)

Go to senior if necessary - If you need to go to the senior then let the person know

Be discrete - avoid confrontation/embarrassing someone

67
Q

If one student is not contributing equally to your team…

A

Need to prioritise getting the project done

You shouldn’t cause a scene

Do not escalate and complain to a senior before talking to Ben - causing more harm as it’s creating conflict = very inappropriate

Be direct and immediate - Talk to Ben and ask him why he is not contributing and try and sort out the issue

Undertaking the colleagues work will get the project done but will not sort issues and ignores teamwork as not everyone having an equal contribution = would be inappropriate but not awful

68
Q

Is it important or not to consider if the patient is hard to diagnose/treat when deciding to treat carry out the task straight away?

A

Of minor importance - still gonna need to do the task but still need to recognise that the task is difficult. This should affect your action (how you undertake the task) but not affect your decision to do the task or not.

69
Q

If a colleague posts something that might breach confidentiality you should….

A

Contact the colleague and advise them to remove the social media post

Do not contact a superior and escalate the situation

70
Q

Asking a patient to ask you questions later because you are busy is…

A

Very inappropriate

71
Q

Addressing on someone’s behalf is…

A

Appropriate but not ideal

72
Q

Asking another doctor to give information about a patient who is your friend and not in your care is…

A

Inappropriate but not awful

73
Q

If you have to raise a concern against a senior, how important is it to consider how they will mark your work?

A

Not important at all

74
Q

How important is it to consider if other people may share the concerns of one person that has made a complaint?

Also how important is it to consider that others have not seen evidence to back up the complaint?

A

Important

Important

75
Q

Reminding a fellow student that not doing something that they are anxious about will effect their academic progress is…

A

Inappropriate but not awful (it is true but will increase anxiety - it would be more appropriate to calm and reassure them)

76
Q

If someone is anxious giving them privacy to calm down is…

A

A very inappropriate thing to do

77
Q

If you think something is offensive, the fact that others do not think it is offensive is…

A

Of minor importance

78
Q

When can you break confidentiality?

A

When another person is at risk

79
Q

Should you give relatives info about the patient?

A

If you have patient consent

80
Q

If confidentiality is breached it is very appropriate to…

A

Stop breach ASAP - privately explain to person what they did wrong

Deal with in a discreet manner

81
Q

If confidentiality is breached it is appropriate but not ideal to…

A

Distract people’s attention to change subject

Confront person about breach

82
Q

If confidentiality is breached it is inappropriate to…

A

Ignore problem

83
Q

How important is it to consider the intent of a person/their rank when they are breaching confidentiality…

A

Not important at all

84
Q

When should you self prescribe/take meds without a prescription…

A

Never!

85
Q

When maintaining professionalism it is very appropriate to…

A

Talk to someone privately about their behaviour

Apologise

Avoid further escalation

86
Q

When maintaining professionalism it is inappropriate to…

A

Be rude

Cause a scene/undermining colleagues in front of patients

Ignore offensive comments

Wait to see if someone does something inappropriate again before acting

Being inconsiderate of the workload others face

Expect people to accommodate you without notice

87
Q

When maintaining professionalism important factors to consider are…

A

Patient safety

Patients may be watching

Patients need to be able to trust doctors

Policy and rules

88
Q

When working in a team it is very appropriate to…

A

Raise concerns about a problem politely and privately

Resolve issues diplomatically and professionally

Make sure everyone has a voice, work is evenly distributed and work is completed on time

Compromise to reach common decisions

89
Q

When working in a team it is inappropriate to…

A

Create conflict

Ignore concerns

Escalating situation and involving tutors

Allowing personal issues to affect the group

Reassigning tasks without informing people

Excluding people

90
Q

When a patient refuses advice/medication you should…

A

Respect patients wishes but explore their feelings and provide advice

Do not be forceful or deceptive

91
Q

When faced with a conflict of interest…

A

Be honest and declare it

Be prepared to exclude yourself from decision making

92
Q

When mistakes happen it is inappropriate to…

A

Ignore mistakes

Not report them even if they didn’t cause harm

Ignore policy

Do something you’re not competent at

93
Q

When mistakes happen it is not important to consider…

A

No one noticed the error or that it was a minor error

Person responsible isn’t available or that they’re a superior

Someone else might fix the mistake

94
Q

When a young boy is lost but you are busy dealing with something else it is…

Very inappropriate to…

Inappropriate but not awful to…

Appropriate but not ideal…

Very appropriate to…

A

Very inappropriate = take the boy to the play area and continue with your task

Inappropriate but not awful = Ask someone else to deal with the boy

Appropriate but not ideal = ask other patients where the boys mother is (not biggest concern)

Very appropriate = assist the boy and comfort him

95
Q

How appropriate is it to tell a friend whom has failed an exam that they are likely to find the exams easier next time?

A

Inappropriate but not awful (doesn’t deal with the situation and is not supportive)

96
Q

As a medical student you are in a public place and there is a medical emergency but no one else is responding. When deciding to help, how important is it to consider…

  1. That a doctor may respond?
  2. That people around are getting anxious?
  3. That as a medical student she may not be able to help?
A
  1. Of minor importance
  2. Of minor importance
  3. Of minor importance
97
Q

If a patient is complaining about a nurse, how appropriate is it to…

  1. Ask the patient to explain?
  2. Ask the nurse to leave?
A
  1. Very appropriate

2. Very inappropriate

98
Q

A student receives negative feedback. How appropriate is it to ask others if they also got negative feedback?

A

Inappropriate but not awful

99
Q

When deciding to do a task (e.g. talking to a patient) after a long shift, being tired is…

A

Of minor importance

100
Q

Learning from feedback is…

A

Very important

101
Q

If you are not in a state to perform a procedure, the fact that the patient’s procedure will have to be postponed is…

A

Of minor importance

102
Q

As a medical student, if you do not know how to do a procedure how appropriate is it to…

  1. Ask your superior to provide instructions and supervise
  2. Ask if your superior could show you how to do the procedure
  3. Ask if a fellow student would like to do the procedure
A
  1. Appropriate but not ideal
  2. Appropriate but not ideal
  3. Inappropriate but not awful
103
Q

As a medical student you are on placement in a hospital with a fellow student. The doctor supervising you asks the other student to make sure something is done. The next day the doctor asks you why it was not done. How appropriate is it to…

  1. Tell them that it wasn’t you they had asked to do it
  2. Inform the doctor you will do it straight away
  3. Speak to the other student about why they didn’t do it
A
  1. Appropriate but not ideal
  2. Very appropriate
  3. Appropriate but not ideal (there may be a reason why)
104
Q

Colleague has a drug problem, you advise them to get help and they ignore it, they then come into work under the influence:

A

Very appropriate response = report them to a senior

Appropriate but not ideal response = refer them to a counselling service without their consent

Inappropriate but not awful = advise them to get help again (was ineffective first time so probably won’t help), ask another colleague what to do (could come across as gossiping), advise them to take a day off (won’t solve the problem)

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