NMC Basic 4

Question 1

For patient consent to be legally valid, which three elements must all be present?

Accepted Answer

Capacity, voluntariness, and sufficient information

Answer

Valid consent requires the patient to have mental capacity, receive adequate information about the procedure, and decide freely without coercion.

Question 2

The Mental Capacity Act 2005 establishes which default presumption?

Accepted Answer

Every adult is presumed to have capacity unless there is evidence to the contrary

Answer

The Act's first principle is that capacity must always be presumed; the burden of proof lies with those asserting incapacity.

Question 3

A competent adult patient refuses a recommended blood transfusion on religious grounds. The nurse should:

Accepted Answer

Respect and document the refusal, ensuring the patient understood the consequences

Answer

A competent adult's refusal of treatment is legally and ethically binding, regardless of the clinical consequences, and must be respected and clearly documented.

Question 4

Under NMC guidance, nursing documentation should be:

Accepted Answer

Accurate, factual, and recorded as soon as possible after events

Answer

The NMC requires records to be clear, accurate, and contemporaneous so they can be relied upon for continuity of care and legal scrutiny.

Question 5

NMC guidance on social media use states that:

Accepted Answer

Professional standards and conduct obligations apply in online settings

Answer

The NMC makes clear that professional standards do not switch off online — behaviour on social media can bring the profession into disrepute and trigger fitness-to-practise proceedings.

(NMC) Nursing Midwifery Council Practice Test

(NMC) Nursing Midwifery Council Practice Test

NMC Basic 4