NMC CBT Professional Values 2 — Questions and Answers
Question 1: The NMC Code (2018) has four key themes. Which correctly lists all four?
- Diagnose, Treat, Document, Discharge
- Prioritise People, Practise Effectively, Preserve Safety, Promote Professionalism and Trust (Correct answer)
- Assess, Plan, Implement, Evaluate
- Care, Compassion, Competence, Communication
Correct answer: Prioritise People, Practise Effectively, Preserve Safety, Promote Professionalism and Trust
The four themes: Prioritise People, Practise Effectively, Preserve Safety, Promote Professionalism and Trust.
NMC Code (2018): (1) Prioritise People — treat as individuals, listen, meet needs, maintain dignity, respect confidentiality; (2) Practise Effectively — evidence-based care, clear communication, cooperation, accurate records, accountability; (3) Preserve Safety — work within competence, be open when things go wrong, raise concerns; (4) Promote Professionalism and Trust — uphold reputation, act with integrity, cooperate with investigations.
Question 2: A patient asks to see their medical records. Under the Data Protection Act 2018, what is their right?
- Patients have no right to access records
- Patients have a legal right through a Subject Access Request (Correct answer)
- Only if a doctor approves
- Only records over 5 years old
Correct answer: Patients have a legal right through a Subject Access Request
Under UK GDPR, patients can make a Subject Access Request, which must be responded to within one month, free of charge.
Data Protection Act 2018 (UK GDPR): Subject Access Request — access all personal data within one month (extendable for complex requests); generally free; records in accessible format. Exemptions: if disclosure would cause serious harm or includes another identifiable person without consent. Other rights: rectification, erasure (in certain circumstances), data portability.
Question 3: What is the purpose of NMC revalidation?
- To test clinical knowledge through an exam
- To confirm nurses continue meeting NMC standards, remain fit to practise, and engage in ongoing development (Correct answer)
- To reduce the number of registered nurses
- To ensure payment of registration fees
Correct answer: To confirm nurses continue meeting NMC standards, remain fit to practise, and engage in ongoing development
Revalidation is a three-yearly process demonstrating continued competence, CPD engagement, and reflective practice.
Every 3 years: 450 practice hours; 35 hours CPD (20 participatory); 5 pieces of feedback; 5 reflective accounts linked to the Code; reflective discussion with another NMC registrant; health and character declaration; professional indemnity; confirmation. It demonstrates ongoing engagement with development and reflective practice, not a clinical exam.
Question 4: A patient's cultural beliefs conflict with recommended treatment. How should the nurse approach this?
- Insist on the medical treatment
- Respect beliefs, provide information, support informed decisions, and document choices (Correct answer)
- Refer to a nurse who shares their culture
- Ignore cultural beliefs as medically irrelevant
Correct answer: Respect beliefs, provide information, support informed decisions, and document choices
Respect values and beliefs, provide unbiased information, support autonomy in decision-making, and document the discussion.
NMC Code Section 1: treat as individuals, respect diversity. Approach: respect beliefs; provide clear, unbiased information; ensure informed consent; support their decision even if you disagree (if they have capacity); explore culturally acceptable alternatives; involve cultural/religious advisors if the patient wishes; document everything. Upholds autonomy, dignity, and non-discrimination.
Question 5: What is the difference between accountability and responsibility in nursing?
- They are the same thing
- Responsibility is the obligation to perform a task (can be delegated); accountability is being answerable for decisions (cannot be delegated) (Correct answer)
- Accountability applies only to senior nurses
- Responsibility is legal; accountability is only professional
Correct answer: Responsibility is the obligation to perform a task (can be delegated); accountability is being answerable for decisions (cannot be delegated)
Responsibility (duty to perform) can be delegated. Accountability (answerable for outcomes) cannot be delegated.
Responsibility: duty to perform a task, CAN be delegated. Accountability: answerable for decisions, actions, omissions — CANNOT be delegated. Nurses are accountable to: NMC (professional), employer (contractual), the law (legal), the patient (ethical). Example: a nurse delegates wound care to a student; the student is responsible for performing it, but the nurse remains accountable for the delegation decision.
Question 6: Which values form the 6Cs of nursing?
- Clinical, Competence, Communication, Coordination, Compliance, Certification
- Care, Compassion, Competence, Communication, Courage, Commitment (Correct answer)
- Caring, Cleaning, Cooking, Comforting, Counselling, Curing
- Consent, Confidentiality, Capacity, Competence, Communication, Collaboration
Correct answer: Care, Compassion, Competence, Communication, Courage, Commitment
The 6Cs: Care, Compassion, Competence, Communication, Courage, Commitment.
Introduced 2012 by Jane Cummings (CNO) as part of 'Compassion in Practice' (partly responding to the Francis Report): (1) Care; (2) Compassion; (3) Competence; (4) Communication; (5) Courage (speak up, do the right thing); (6) Commitment. Apply to all healthcare staff. Widely referenced in job descriptions, appraisals, quality frameworks.
NMC CBT Professional Values 2
The NMC Code (2018) has four key themes.
Which correctly lists all four?