MSRA Professional Dilemmas 3

Question 1

A relative of a patient asks you for confidential details about the patient's condition, but the patient has not given consent. What should you do?

Accepted Answer

Explain you cannot share details without the patient's consent

Answer

Patient confidentiality must be maintained unless the patient consents to disclosure.

Question 2

You are asked to cover an additional ward at short notice, leaving your own patients with reduced cover. What is the most appropriate action?

Accepted Answer

Discuss the staffing concern with the senior on call before agreeing

Answer

Raising the safety implications with a senior allows a balanced decision about safe cover for all patients.

Question 3

A patient with capacity refuses a treatment you strongly believe they need. What is the most appropriate response?

Accepted Answer

Respect their decision after ensuring they understand the consequences

Answer

A patient with capacity has the right to refuse treatment once properly informed of the risks.

Question 4

You smell alcohol on a colleague who is about to start a clinical shift. What is the most appropriate first action?

Accepted Answer

Speak to them privately and raise it with a senior to ensure patient safety

Answer

Patient safety requires the colleague to be removed from clinical duties and the concern escalated appropriately.

Question 5

A patient offers you an expensive gift after a successful operation. What is the most appropriate response?

Accepted Answer

Politely decline or follow the trust's policy on accepting gifts

Answer

Accepting valuable gifts can compromise professional boundaries, so trust policy should guide the response.

MSRA Exam (Multi-Specialty Recruitment Assessment) Practice Test