UCAT Situational Judgement Practice Questions with Complete Verified Solutions 2024/2025, Exams of Health sciences

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UCAT Situational Judgement Practice

Questions with Complete Verified Solutions

2024/

What acronym outlines the 5 principles of ethical situations? My doctor can comfort patients What does my doctor can comfort patients mean? Mistake acknowledgement Documentation Clinical Response Colleague communication Patient communication How should mistake acknowledgement be handled in all situations? Acknowledge to colleague themselves and ensure it does not happen again It is important to remember that the publics view of the doctor health profession is not equal to what? the doctor patient relationship In situations where the doctor/professional only tells patients not to worry should be considered what? Appropriate but not ideal as the person has done nothing to help the patients worries and their concerns havent been followed up In clinical appointments with children, if the child is very upset, what is normally a very approporiate response? Rescheduling appointment if child cannot be calmed down In clinical appointments with a child, asking th parent to calm the child down is considered what? Appropriate, but not ideal In situations where someone may see a lost patient, what is considered the most appropriate response? check with patient first and then get a porter to transport patient elsewhere In cases of public breaches of patient confidentiality, discussing with patients directly in the situation is considered what?

Very appropriate In situations where a medical student may have made a small error, apologising on behalf of the student would be considered what? Very innappropriate because an evaluator will normally be present and students are expected to make mistakes In situations where bad/offensive language has been used, how appropriate is it to either consult with the person directly who said the statement or to consult another supervisor? Consult person directly = very appropriate Consult supervisor = appropriate In situations where a student is practising a minor/basic medical procedure on themselves is considered what? Very innappropriate In situations where a students relative is ill and is about to carry out a procedure on a patient, how important is the health of the relative in the situation? Important as it may impact the student's ability to focus, but not very important as doesn't directly affect the patient's health In situations where a medical professional/student must leave, potentially for a family emergency, how important is it to ensure there is cover for the person? Important In situations where a patient is complaining of stomach pain but a student's assessment finds nothing wrong, how important is it to want to appear as a competent doctor Not important at all Where a patient is complaining of stomach pain but a student's assessment finds nothing wrong, how important is it to consider the insistence of pain? Very important where a patient is complaining of stomach pain but a student's assessment finds nothing wrong, how important is it to considerthe senior doctor's opinion? Very important In situations where a student asks another student to sign an attendance record for them, how important is the consideration that the student said they will make up for the time? Of minor importance In situations where a student asks another student to sign an attendance record for them, how important is the consideration that the student didn't tell the tutor beforehand? Very important as it is evidence of unprofessional conduct an gross misconduct In situations where a doctor/student says to make a complaint to a patient after something has happened, how appropriate is this response? Thisis very appropriate respons as propagates the situation through formal channels

In situations where something bad has happened in a hospital, the medical professional attempts to comfor the patient is how much of an appropriate response? Inappropiate but not awful, because it does not make the situations any better but does not make it any worse In teamwork situations, going straight to the tutor about a team member is how much of an approriate response? very innapropriate as it does not resolve the issue locally If a doctor told a patient to find their own medication after they have disregarded their medication initially given to them, how much of an appropriate response is this? very innappropriate In teamworking scenarios, always looks for... LOCAL resolutions Subtle ways to solve issue without angering people Discussing work practise in front of a patient is always what? very innappropriate How should issues with work practise be resolved? talk to staff member afterwards without patient, or talk to senior staff in order to discuss how to negotiate situation When a patient does not listen to a senior doctor's advice, e.g just wants to go home ignoring what doctor said, what is the most appropriate response? Reiterating the doctor's advice to the patient Essentially doing nothing in any relevent situations is always what? Very innappropriate GMC's good medical practise outlines which four main points regarding medical patient confidentiality?

1. Keep all patient records and personal information secure
2. Treat all patient information as confidential
3. Ensure nothing confidential is revealed publicly (including on social media)
4. Follow all relevant guidance in co-operation with formal enquiries In the UCAT5, you should assume what about confidentiality? It always applies unless told otherwise When is a breach of confidentiality appropriate? When the patient has given consent (and has been deemed to have the capacity to do so) or when the law obliges doctors to breach confidentiality if there is a potential greater risk to society How appropriate is it for a doctor to make the DVLA aware of a patient suffering from seizures who has not personally reported them?

Very appropriate because the driver poses a potential greater risk to society and the law obliges the doctor to inform the DVLA in such circumstances What are the top priorities when dealing with confidentiality breaches? Stop the breach ASAP Be discrete Prevent recurrence How important is it to inform the patient of the breach of confidentiality? Very important How appropriate is it to apologise to the patient after a breach of confidentiality and report any mistake with notes? Very appropriate How appropriate is it to resolve any confidentiality problems locally without escalation and/or suggest to the breacher that they speak to their academic tutor about the issue? Very appropriate How appropriate is it to explain why confidentiality is important and ask the patient whether they mind discussing their situation with another person? Very appropriate How appropriate is it to distract people's attention away from the subject in breach of confidentiality issues? Appropriate but not ideal How appropriate is it to directly confront the patient with a breach of their confidentiality? Appropriate but not ideal as it solves the problem in a very direct and potentially aggressive manner. Talking in a calmer manner and in a quiet room is best How appropriate is to return the patients notes, that have been left out, at a later time after the breach? Appropriate but not ideal as you want to ensure the breach is solved ASAP, even if the notes are currently safe How appropriate is it to ignore breaches in confidentiality and wait to see if the person does it again? Very inappropriate If any question mentions university or hospital policy it is considered what in terms of importance? Very important In cases of breaches of patient confidentiality on a private forum for med professionals, for example, how important is the consideration that only medical students/professionals could see the breach? Of minor importance as damage to the public's trust in the medical profession is limited

If, in breaches of patient confidentiality, a doctor shouts loudly at other doctors who are talking loudly about patients. How appropriate is the above response? Inappropriate but not awful as it still does stop the breach How appropriate is it to interrupt doctors' conversations when breaching confidentiality and point out they are creating a crowd? Appropriate but not ideal as it does not directly tell the doctors why they are in the wrong Any situation that allows a public breach of confidentiality for a permanent or even purposefully temporary amount of time should be considered what? Very innappropriate How appropriate is it to showcase, in any way, to the public a doctor's breach of confidentiality, even by saying this is not normally how doctor's behave? Very inappropriate as it compromises the public's trust in the medical profession How important is it to consider tiredness/mental state when trying to fix breaches of confidentiality, for example at home? Important as it may affect their ability to physically do what he needs to do to fix the issue, e.g. drive How important is it to consider whether there are any other patient files that have been taken with someone, out of a secure facility? Very important How important is the consideration of when a student accidentally takes one patient's files home and there is only some of the patient's notes with him and not all of them? Of minor importance as it is not completely irrelevant from the patient safety standpoint In general misconduct scenarios, what is, generally, the most appropriate Speak to the person, explain the situation and try to make the person understand their mistake and apologise to the people whose feelings have been hurt. ` How appropriate is it to apologise for someone else's mistake or unprofessionalism? Appropriate, but not ideal as you can apologise by saying 'I'm sorry you went through that' How appropriate is to create a scene by being rude yourself in unprofessionalism situations? Very inappropriate or inappropriate but not ideal, as it creates even more problems/issues and potentially escalates the issue even further. Explaining why a joke/comment may be considered offensive is considered how appropriate? Very appropriate What are several important factors when dealing with unprofessional scenarios? That patients may be watching, patient safety, the trust patients have in the medical professionsm and the medical school policy that med students must remain professional What are some unimportant factors when dealing with unprofessional situiations?

reputation of being a doctor, whether the other student has done something like this before, the person at fault is your friend or you might not know them very well. There are others who could talk to them, there are places available on a course or no-one will find out if you did not attend class In cases where an offensive comment is made about a patient that they are not aware of, but other medical professionals are, how appropriate are each of the following responses? Immediately apologise to the other staff on the other student's behalf Ignore the comment As to speak to the student who made the comment privately Yell at the student in front of the other staff Continue to watch the student to see if he does it again Appropriate but not ideal Very inappropriate as the comment is not made any less offensive if the patient is asleep and it speaks to the students professionalism and attitude Very appropriate Very inappropriate Inappropriate but not awful as it is inappropriate not to respond and hope to avoid it by keeping by an eye on the student. However the action does not make the situation worse In situations where someone is able to skip class/work without signing off or getting caught, decide how important each of the following considerations are?

**- they may use the time for revision

• The medical school/hospital expects all students to attend for the full duration of the placement
• No one will find out if he doesn't attend** Of minor importance - not not important at all because he is considering how best to use his time Very important - Policy always very important Not important at all **In situations where a student has two meetings/tutorials to attend on the same day, consider how important the following considerations are for them?
• Explain the problem to her supervisor and ask to reschedule
• Forget about the tutorial and attend a meeting
• Email to cancel one thing
• Go to the next tutorial/session and hope there are free places
• Forget about one and go to the other** Very app. Very inapp. App, but not ideal

App, but not ideal Very inapp. Tips for teamwork in the situational judgement section Work collaboratively Treat all colleagues fairly Treat all colleagues respectfully Be aware of your own influence How should you always approach teamworking scenarios in SJT? Always try to reduce tension, present reasonable solutions, be fair and support more marginalised members of the group. Escalating a teamworking scenario would to a tutor or supervisor is typically considered what, in terms of appropriateness? Inappropriate but not awful Examples of things that are appropriate in teamworking scenarios in SJT? Being polite, diplomatic and encouraging others to share opinions. Be discrete in problem solving, be accommodating where possible and compromise. Examples of things that are inappropriate in teamworking scenarios in the SJT? Ignoring concerns, being inflammatory, being non-neutral, not co-operative, not working, reassigning tasks without prior agreement, assigning too much work, unequal weighting of opinions, unnecessary escalation, pressing anyone to do anything they aren't comfortable with, excluding people. Examples of most appropriate to very inappropriate responses with teamworking scenarios in the SJT Ask to speak to person in private to see if they are struggling with something Pull them to one side and explain to them they are not doing enough to help the team Confront them in front of the group about not doing enough work Pointedly yell some people clearly don't care enough about the project Examples of important considerations with teamworking scenarios in the SJT? Patients might be at risk The project needs to be completed by a certain date One team member has concerns/has not had a chance to share their opinion Examples of less important considerations in teamworking scenarios in SJT? Peoples' experience and background for the role and their own personal opinion is often considered 'of minor importance' but this is more context dependent as it could also affect the working relationship of the team In teamworking scenarios, when a member is unable to get their opinion across, how appropriate is it to suggest that before finishing the project, that everyone gets top put forward at least one idea to give fair contribution?

Very appropriate In sports team scenarios, how appropriate is it to: Immediately sub one sulking team member into the group if he has disbelief in himself Explain to the sulking team member they are running drills and he will play soon in the next match Inapp, but not awful - because it may be unfair for the rest of the team Very appropriate - he is treated respectfully and offered a valid solution to play in the next match In situations where a colleague is either often late or leaves work early, how important is it to consider the reasons behind the misconduct? Important - but not very important because there is no actual evidence at the moment whereas right now there may be clear risks with patient risks What must medical professionals be when they are dealing with patients? Polite, considerate, remember that patients are people Don't treat anyone differently because of their beliefs Work in partnerhsip with patients If you are unsure if you are able to carry out a medical procedure competently, what should you do? Ask for help from a more experienced colleague, only attempt practical procedures if you have been trained to do so and only under supervision that is appropriate to your level of competence If you believe you are not being properly supervised on a placement, what should you do? Stop the work you are ding and raise your concerns with the placement provider and your med school If you are faced with a conflict of interest, what must you do? Be open about the conflict, declaring your interest formally and you should be prepared to remove yourself from the case/situation What does the GMC say you should do about accepting gifts from patients? You must not accept gift from patients, colleagues or others, as it may affect the way you precribe for, treat or refer patiets or commission service for patients. You can accept gifts as long as it does not clash with an of these principles If you are in doubt that there is a conflict of interest in a situation, what should you do? Act as though there is Common 'dealing with patient' scenarios with the SJT? Angry patients Distressed patient Confused patient General consultation Gifts and money As a medical student, what are your limits within a hospital setting?

You do not have a medical licese so are not allowed to offer medicacl advice, perform unsupervised procedures What is it very appropriate to do when dealing with patient scenarios? Listen to all concerns Avoid blame Clarify the problem and your role in solving it Prioritise Be honest Consider your limitations Give all the information you can/are allowed to do Find out information you don't know Keep policy in mind Respect informd consent Be respectful In dealing with patient scenarios, what is it very inappropriate to do? Be unprofessional Be rude Wasting time Doing more than you can Ignoring patients Pressure a distressed patient Make false promises or ones you might not be able to keep Considerations that enable you to act appropriatley and professionally and resolve the situation are considered what, in terms of importance? Important In a situation where a person in a hospital is stood in a corridor and is looking at a map, how appropriate are the following responses?

**- As them if they are okay or alert a nurse

• approach them and give directions to the help desk**

1. Very appropriate/appropriate depending on the context
2. Inappropriae How appropriate is it to explain to a patient that they are not allowed to accept gifts due to hospital policy? Very app. **In situations where a patient is angry and accusing someone of making a mistake, most often a receptionist how approopriate are the following responses?
3. Berate the person being accused of a mistake**

**2. Explain to the angry patient that mistakes sometimes happen

3. Tell the angry patient that the doctor won'tsee hime unless he doesn't cam down
4. Ask the anrgy patient to explain what happened
5. Promise the angry patient the doctor will see him immediately** Very inapp. Inapp, but not awful - as it can be interpreted that blame is being placed on te receptionist Very inapp. - as we cannot guarantee the doctor is able to see them Very app. - not taking sides and getting. Much info as possible Very inapp. - a promise that cannot be kept IN a situation with a distressed child, consider how appropriate the following responses are? Ignore the child's distress and continue with the procedure Put away the procedure equipment and ask to re-arrange the appointment Put down the equipment and try to reassure the child ask the child's. Parents whether they want him to continue Ask the hild's parents to try and keep the child calm Very inapp - will make the situation worse Very inapp - Should do all he can to make sure they receive the procedure that day V app App, but not ideal - important to keep parent's involved in prcedure but the child comes first V inapp - as the parents may not be calm themselves and the medical professional should not leave the task just to the parents **In situations where a medical professional/student finds a patient alone, and is unsure if they are confused, consider how appropriate the folliwng scenarios are?
6. escort the patient back to a ward
7. Ask a nurse to help patient
8. Ignore the patient as the student/professional has never dealt with them before
9. Speak to the patient and ask if they are okay
10. tell the patient they need to go and get back into bed**
11. V inapp. - as we don't know they situation or where they came from
12. App, but not ideal - it is better to first speak to the patient
13. Very inapp. - always very inapp. To ignore patient
14. Very app. - best response as he s getting as much info as possible
15. Very inapp. - likely to make patient more confused and very unprofessional **In a situation where a patient's procedure is repeatedly delayed, considr how appropriate the following responses are?
16. Explain the reasons for the pstponement to the patient
17. Promise the patiet that they will have their procedure today**

3 .Apoogise for the delay

**4. Not mention the situation to the patient until the end of the day

5. Tell the patient that it is hoped they will have their procedure today**
6. Very app - allows patient to understan the situation
7. Very inapp. - making a promise they might not be able to keep
8. Very app - apologising can make the patient feel more comfortable and happier - but i think app, but not ideal as patient may not fully understand situation and become irritated
9. Very inapp - the patient is not being updated about her procedure and mmay make them angry and fustrated
10. Very app - they are not giving false hope to the patient, but saying they would like to perform it today and so the patient knows they are doing everything they can to ensure they get their procedure today **In situations where a patient has bought a doctor a gift, to say thank you, but the doctor is not sure how expensive it is, consider how appropriate the following responses are? 1.How much the gift costs 2.How thhe patient may feel if the doctor rejects the gift
11. Whether or not the doctor likes the gift
12. What others in the local area might think if he accepts the gift
13. Whether or not the doctor has accepted gifts before**
14. Of minor importance - doctors can accept smaller gifts like chocoloates etc
15. Important - could affect the relationship between the doctor and patient but is not the most important onsideration
16. Not important at all - The doctor should not accept/decline gifts based on their personal opinion
17. very important - most important in rural area, word can spread fast. Patients coudl lose trust in the doctor 5.Not important at all - not important because the doctor could have previously acceptee smaller gifts therefore,, this hould not sway their choice to aaccept a gift or not According to the GMC, what is te best way to deal withh mistakes in medical practise annd any other way to deal would go against this principle and be unethical/unprofessional? Be open and honest with patients if things go wrong. If harm has been done:

• put mattes right, if possible
• Offer an apology
• Explain fully and promptly hat has happened and the likely short term and long terms effects
• always report near misses too What are the two most common scenarios, where mistakes have been made? Where you have (almost) made a mistake Where someone else has (almost) made a mistake, often a senior What are important factors when dealing with scenarios where a mistake has been made?

Patient safety Patient's right to know Hospital policy What are unimportant factors when dealing with scenarios where a mistake has been made? No one noticing Responsible party unavailable rank that the insitgator is your supervisor Someone else might fis it Scale of the mistake When a doctor has made a mistake, how important is it to consider that it was an honest mistake? Not important at all In cases where a potential mistake has been made in prescribing drugs for treatment, and the consultant who has made the mistake is not available, how appropriate are the folowing responses?

**- The junior doctor prescribes the medication they think is correct

• Ask the consultant in the morning his reasons for choosing the medication
• Suggest to the consultant they switch the treatment
• Tell the patient they think the consultant's line of treatment is wrong
• Speak to another consultant on duty about the iline of treatment**

1. Very inapp. 2.App, but not ideal - want a quicker solution incase medication is wrong
2. Inapp, but not awful - could cause a strain in relationship by undermining him
3. Very inapp - patient will lose trust in the consultant
4. Very app In a situation where a medical student has made a harmless mistake when performing a procedure, how appropriate is it to offer to take over from the procedure? very inappropriate because there is no reason to stop If a situation involves a scenario where a medical student has made a small, harmless error when conducting a physical examination, how appropriate is it to apologise on behalf of the student, as a current medical student? Very inappropriate as students expected to make mistakes and an evaluator will be present in the room so there is no need In situations where bad/offensive language has been overheard or said, how appropriate is it to: Confront the person themselves, afterwards, and explain why the comment could be perceived as offensive Consult with the supervisor of the person who made the comment/joke

Very app. App. but not ideal Practising any simole basic procedure on oneself, such as blood taking, as a student is how appropriate? Very Inapp.