MSRA Communication and Documentation 5

Question 1

A patient tells you they intend to harm a named third party when they leave hospital. What is the most appropriate action?

Accepted Answer

Document the disclosure and inform appropriate authorities to prevent harm

Answer

When a patient discloses a credible intent to harm a named third party, the duty to protect overrides confidentiality and requires disclosure to authorities.

Question 2

Which of the following best demonstrates closed-loop communication during a resuscitation?

Accepted Answer

A team member receives a task, confirms understanding, and reports back when completed

Answer

Closed-loop communication requires the receiver to confirm the message and report task completion, reducing errors in high-pressure situations.

Question 3

A patient refuses a blood transfusion on religious grounds despite life-threatening anaemia. How should you document this?

Accepted Answer

Document the decision as informed refusal after risks were explained, with the patient's capacity confirmed

Answer

A capacitous adult's informed refusal must be documented fully, including capacity assessment and the discussion of risks, even if it results in death.

Question 4

What is the recommended approach when a patient's advocate disagrees with the documented care plan?

Accepted Answer

Listen to the advocate's concerns, review documentation, and engage them in the care planning process

Answer

Advocates play an important role in representing patient interests; their concerns should be heard, reviewed against documentation, and incorporated where appropriate.

Question 5

A junior doctor realises they signed a prescription for a medication they are not familiar with. What is the most appropriate immediate action?

Accepted Answer

Contact the prescribing senior, review the prescription, and correct it if needed

Answer

Prescribing carries personal responsibility; when uncertain, always verify with the prescribing senior and correct any errors before the medication is administered.

(MSRA) Multi-Specialty Recruitment Assessment Practice Test

(MSRA) Multi-Specialty Recruitment Assessment Practice Test

MSRA Communication and Documentation 5