NMC OSCE Professional Values and Evidence-Based Practice 2

Question 1

What are the 6Cs of nursing, introduced by the Chief Nursing Officer for England?

Accepted Answer

Care, compassion, competence, communication, courage, commitment

Answer

Clinical, competent, careful, courteous, clean, certified

Answer

Cure, contain, control, comply, check, complete

Answer

Caring, capable, calm, cautious, consistent, conscientious

Question 2

A nurse witnesses a colleague speaking disrespectfully to a vulnerable elderly patient. According to NMC safeguarding requirements, what action must the nurse take?

Accepted Answer

Challenge the behaviour immediately if safe to do so, report to the nurse in charge, and document the incident; if it constitutes abuse, follow the local safeguarding adults policy

Answer

Ignore it as it is not their patient

Answer

Discuss it with the colleague at the end of the shift

Answer

Wait for a formal supervision session to raise the concern

Question 3

What is the significance of the Equality Act 2010 for nursing practice in the UK?

Accepted Answer

It protects patients and staff from discrimination based on nine protected characteristics and requires reasonable adjustments to ensure equal access to healthcare

Answer

It only applies to employment and has no relevance to patient care

Answer

It applies only to race and gender discrimination

Answer

It was replaced by the NMC Code and is no longer relevant

Question 4

A nurse wants to implement a new evidence-based catheter care protocol on their ward. What framework can guide the implementation of evidence into practice?

Accepted Answer

The PARIHS framework (Promoting Action on Research Implementation in Health Services) — considers evidence, context, and facilitation

Answer

Simply tell staff to follow the new protocol from Monday

Answer

Wait for national NICE guidance before making any changes

Answer

Only implement changes suggested by medical staff

Question 5

What is the purpose of clinical supervision in nursing, and how does it differ from managerial supervision?

Accepted Answer

Clinical supervision is a reflective practice support process focused on professional development and clinical effectiveness, whereas managerial supervision addresses performance management and operational issues

Answer

They are the same thing with different names

Answer

Clinical supervision is only for student nurses

Answer

Clinical supervision is a disciplinary process for underperforming nurses

Question 6

A nurse is caring for a patient whose religious beliefs mean they refuse a blood transfusion despite it being clinically indicated. What ethical principles are in tension and how should the nurse respond?

Accepted Answer

Autonomy (patient's right to refuse) versus beneficence (duty to act in the patient's best interests); the nurse must respect the competent patient's informed refusal while ensuring alternatives are explored

Answer

The nurse should override the refusal as saving life takes priority

Answer

The nurse should discharge the patient for non-compliance

Answer

Religious beliefs are irrelevant in a clinical setting