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UCAT SJT questions with correct answers
Typology: Exams
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what to do- breach of confidentiality CORRECT ANSWER -stop breach ASAP -be discreet -prevent recurrence make sure person understands it is a breach reporting it to VERY higher ups is app if they have done it repeatedly most important tips CORRECT ANSWER -never undermine public confidence in medicine -address problems immediately -seek LOCAL help first (de-escalate) -seek advice from seniors -recognise your limits/competence -informed consent -patient welfare comes first patient welfare CORRECT ANSWER is ALWAYS important, the most important thing -if at risk, allowed to escalate the matter confidentiality CORRECT ANSWER -don't assume family/friends are allowed to know -patients have the right to be informed of any breaches -always do things in PRIVATE confidentiality app but not ideal CORRECT ANSWER when you stop the breach but the person doesn't know why confidentiality inapp CORRECT ANSWER not stopping the breach ASAP (e.g waiting to see if they do it again or making any delays)
apologising on someone elses behalf CORRECT ANSWER usually app but not ideal (bcs the person doesn't understand their mistake) but it DEPENDS on context confidentiality unimportant factors CORRECT ANSWER -the breachers intention -the breachers rank usefulness of notes are of minor importance confidentiality important factors CORRECT ANSWER -uni/hospital policy -patients right to confidentiality -patient welfare if a patient is at risk CORRECT ANSWER allowed to escalate the matter (raise concern w seniors only- to not spread rumours and tell unnecessary people) dealing w unprofessional behaviour CORRECT ANSWER -stop situation -prevent recurrence -make sure person understands why and they realise their mistake be discreet -IMP that supervisors are made aware of this teamwork CORRECT ANSWER -treat colleagues fairly + w respect -work in collaboration teamwork tips CORRECT ANSWER -make sure no one is left out -avoid conflict/de-escalate -fairness -meeting deadlines are super important
drug misuse what to do CORRECT ANSWER -confront them (IN PRIV- to make sure they are actually drinking) -report them (do this once you're sure that they are drinking) don't get unnecessary people involved CORRECT ANSWER drug misuse unimportant factor CORRECT ANSWER -they are your boss -this is their first time doing this -how much they have drank (bcs its always wrong... but context) -they are trying to hide it med students procedures that you aren't sure about CORRECT ANSWER ask help from a more experienced colleague med students only attempt procedures CORRECT ANSWER if you have been trained and are under appropriate supervision for your competency + informed consent med students not being properly supervised on placement CORRECT ANSWER stop the work -raise concerns w placement provider and med school (responsible student :) ) med students are expected to CORRECT ANSWER take prompt action if patients are at risk doctors accepting gifts (bias) CORRECT ANSWER -don't accept anything which could affect the way patients are treated (financial...) doctors conflict of interest CORRECT ANSWER -be open and declare this -be prepared to become excluded in the decision making process
sponsored doctors CORRECT ANSWER be honest in financial and commercial dealing w patients doctors accepting things CORRECT ANSWER -you can accept them if they have no impact on treatment of patients/relationship always appropriate to explain why you cant accept the gift but thank them bluntly refusing is inapp unimportant abt gifts CORRECT ANSWER -cost ????? but value is imp CONTEXT -past gifts patient autonomy CORRECT ANSWER make sure it is informed consent -provide the correct info they will need to make decisions abt their care patient appears confused CORRECT ANSWER don't assume things -not appropriate to send them to the help desk if you don't actually know if they are lost or not -but you can always ask dealing w patients app CORRECT ANSWER -AVOID BLAME w/o sufficient evidence -listen to concerns -give all info you can and try to find out more -recognise your limits -be respectful -keep policy in mind dealing w patients inapp CORRECT ANSWER -making false promises -doing more than you can
always CORRECT ANSWER be polite respectful and professional -empathy and consider patients concerns cheating CORRECT ANSWER v big concern-not acceptable -discourage cheating -refuse offers to cheat -report cheating if you learn of cheating CORRECT ANSWER -responsible to do something (report to med school) if placed in position to cheat CORRECT ANSWER -dont -warn med school abt security risk (report) cheating inapp CORRECT ANSWER not doing anything/ignoring cheating unimportant CORRECT ANSWER -reputation -when it happened if your health could negatively impact patients CORRECT ANSWER -you must consult a suitably qualified colleague in the case where you cant even focus on patients, stop, let a senior colleague know important considerations ... CORRECT ANSWER affect the decision making process whereas unimportant are irrelevant to this process
if others are being affected by someones behaviour CORRECT ANSWER it is unimportant if they don't want to talk bcs others are being impacted coping w pressure CORRECT ANSWER -look after your own and your colleagues health -seek help if in trouble -support others in trouble -not acceptable to excuse ppls behaviour bcs of pressure they are feeling coping w pressure unimp CORRECT ANSWER -rep -what supervisors/others will think ur health comes first! in team settings where ur health is at risk then who cares what others think coping w pressure app CORRECT ANSWER -recognising the problem -offering/seeking help -talking about it -help where you can (for others) -compromise -arrange alternatives w staff coping w pressure inapp CORRECT ANSWER -ignoring it/responsibilities/the person if it is someone else aka leaving them alone -not talking abt it -overburdening others -reminding others of their commitments !!!!!!! -offer help but if they aren't willing to accept it thenn ..:/ e.g they don't want to talk to uni but you set them an appointment INAPP
-but sneaking around and setting up an appointment is very inapp telling things to the press CORRECT ANSWER need hospital permission first it is good practice to CORRECT ANSWER raise issue w the problem individual before reporting to a higher up but it DEPENDS patient - doctor relationship CORRECT ANSWER inapp (intimate relationship) even w a family member of a patient avoid giving care to CORRECT ANSWER family members/urself (but in emergencies u can) patients needs are not being met CORRECT ANSWER tell senior colleague who saw the patient before (bad explanation given) CORRECT ANSWER of minor importance but ofc, depends :) all team members CORRECT ANSWER valued and listened to regardless of their ability/role rushing thru appointments CORRECT ANSWER inapp discussing working practice in front of patients CORRECT ANSWER inapp received unfair feedback? CORRECT ANSWER inapp to report bcs it might not be unfair CONTEXT -asking for feed back is good
important- if there is a change in care CORRECT ANSWER inform the team looking after patient confrontation when it is inapp CORRECT ANSWER in the middle of a ward if you know the patient CORRECT ANSWER tell someone before continuing