NMC CBT Professional Values 1 — Questions and Answers
Question 1: You are caring for a patient who has refused a prescribed medication. What should you do first?
- Persuade the patient to take the medication.
- Document the refusal and inform the prescriber. (Correct answer)
- Administer the medication without the patient’s knowledge.
- Report the patient’s behavior to your manager.
Correct answer: Document the refusal and inform the prescriber.
When a patient refuses prescribed medication, it is crucial to respect their autonomy while ensuring their safety. The nurse's first action should be to accurately document the refusal, including the patient's reasons if provided, and then promptly inform the prescriber. This allows the medical team to reassess the treatment plan and discuss alternatives with the patient, ensuring continuity of care and adherence to ethical guidelines.
Question 2: A patient confides in you that they are experiencing emotional distress but asks you not to tell anyone. What is your responsibility?
- Keep the information confidential, as requested.
- Inform the multidisciplinary team without the patient’s consent.
- Encourage the patient to seek help and explain the need to share information if safety is at risk. (Correct answer)
- Ignore the patient's concern as it is not within your role.
Correct answer: Encourage the patient to seek help and explain the need to share information if safety is at risk.
Nurses have a professional duty to maintain patient confidentiality. However, this duty is overridden when there is a risk of harm to the patient or others. Encouraging the patient to seek help while explaining the limits of confidentiality in situations of risk upholds both patient autonomy and the nurse's safeguarding responsibilities, aligning with ethical guidelines like the NMC Code.
Question 3: You notice a colleague frequently arrives late for duty and appears unfit to practice. What should you do?
- Ignore the behavior, as it does not directly affect you.
- Report your concerns to your manager. (Correct answer)
- Confront the colleague and demand an explanation.
- Share your observations with other colleagues to confirm your suspicions.
Correct answer: Report your concerns to your manager.
As a registered professional, you have a duty to ensure patient safety and uphold professional standards. A colleague appearing unfit to practice poses a potential risk to patients and the quality of care. Reporting your concerns to your manager is the appropriate action to ensure the situation is addressed formally and safely, protecting both patients and the colleague.
Question 4: A patient from a minority ethnic background expresses concerns about discrimination during their hospital stay. What should you do?
- Reassure them there is no discrimination in the hospital.
- Acknowledge their concerns and report them to the relevant department. (Correct answer)
- Advise them to speak directly to the hospital management.
- Ignore their concerns unless a formal complaint is made.
Correct answer: Acknowledge their concerns and report them to the relevant department.
Nurses are advocates for their patients and must ensure they receive equitable care free from discrimination. Acknowledging the patient's concerns validates their experience and demonstrates empathy. Reporting these concerns to the relevant department ensures that the issue can be formally investigated and addressed, upholding the hospital's commitment to inclusive and respectful care.
Question 5: During a busy shift, a patient asks for assistance, but you are attending to an emergency. What should you do?
- Ask a colleague to assist the patient while you manage the emergency. (Correct answer)
- Inform the patient you are too busy and will come back later.
- Ignore the patient until you complete the emergency task.
- Stop attending to the emergency and help the patient immediately.
Correct answer: Ask a colleague to assist the patient while you manage the emergency.
During an emergency, the nurse's primary focus is on the immediate life-threatening situation to ensure patient safety. However, other patients' needs should not be neglected. Delegating the non-emergency task to a colleague ensures that all patients receive timely care while the emergency is effectively managed, demonstrating good teamwork and prioritization skills.
NMC CBT Professional Values 1
You are caring for a patient who has refused a prescribed medication.
What should you do first?