MSRA Safety and Compliance 2

Question 1

A patient hands you a list of 10 medications and asks you to refill all of them. You notice one drug is from a different prescriber and may duplicate therapy. What is the most appropriate first action?

Accepted Answer

Contact the other prescriber to clarify the medication's indication before prescribing

Answer

Contacting the other prescriber clarifies intent and prevents therapeutic duplication without unilaterally altering another clinician's treatment plan.

Question 2

During a ward round, you realize you administered the wrong dose of an anticoagulant to a patient two hours ago. The patient appears clinically stable. What should you do?

Accepted Answer

Inform the nurse in charge, document the incident, complete a clinical incident form, and inform the patient

Answer

Medication errors require immediate disclosure to the clinical team, honest communication with the patient, and formal incident reporting under duty of candour.

Question 3

You suspect a consultant colleague is practicing while impaired by alcohol. You have observed slurred speech and unsteady gait on two separate occasions. What is the most appropriate action?

Accepted Answer

Report your concerns to the medical director or responsible officer

Answer

Concerns about a colleague's fitness to practice due to substance impairment must be escalated to the responsible officer or medical director to protect patient safety.

Question 4

A patient with capacity refuses a blood transfusion on religious grounds despite being told it is life-saving. How should you proceed?

Accepted Answer

Respect the refusal, document it thoroughly, and explore alternative treatments

Answer

A capacitous adult's informed refusal of treatment must be respected regardless of clinical consequences, and the decision should be documented.

Question 5

Which of the following best describes the concept of 'duty of candour' in clinical practice?

Accepted Answer

The professional and statutory obligation to be open and honest with patients when things go wrong

Answer

Duty of candour is a statutory and professional requirement to be open with patients when a safety incident causes harm, including offering an apology.

(MSRA) Multi-Specialty Recruitment Assessment Practice Test

(MSRA) Multi-Specialty Recruitment Assessment Practice Test

MSRA Safety and Compliance 2