MSRA Professional Dilemmas 5

Question 1

A patient tells you in confidence that they intend to seriously harm another named person. What is the most appropriate action?

Accepted Answer

Consider breaching confidentiality to protect the third party and seek senior advice

Answer

A serious risk of harm to an identifiable person can justify breaching confidentiality, and senior advice should be sought.

Question 2

You discover that a widely used ward protocol appears to be outdated and potentially unsafe. What is the best action?

Accepted Answer

Raise it with the relevant senior or governance lead with supporting evidence

Answer

Concerns about an unsafe protocol should be escalated with evidence so it can be reviewed and updated formally.

Question 3

A patient does not speak English well and you are unsure they understood the consent discussion. What should you do?

Accepted Answer

Arrange a professional interpreter before proceeding

Answer

Valid consent requires genuine understanding, so a professional interpreter should be used.

Question 4

You are offered a place at a conference funded by a pharmaceutical company that makes a drug you prescribe. What is the most appropriate response?

Accepted Answer

Declare the potential conflict of interest and follow trust policy

Answer

Industry-funded opportunities create potential conflicts of interest that should be declared and managed transparently.

Question 5

During a busy shift you realise you cannot safely complete all your tasks alone. What is the most appropriate action?

Accepted Answer

Prioritise by clinical urgency and ask a senior for help

Answer

Prioritising by urgency and seeking help ensures the most important patient needs are met safely.

MSRA Exam (Multi-Specialty Recruitment Assessment) Practice Test