UCAT Situational Judgement Test #6

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Noemi, a junior doctor, is employed on a hospital ward that is unusually crowded today since a staff member is unwell. After lunch, she gets a call from the surgical team informing her that the day's surgeries are running behind schedule. They clarify that she must inform Harrold, the final patient on their list, that his procedure will be postponed until tomorrow and that they will put him first on the list for that day. Harrold's security is unaffected by this. Noemi is aware that Harrold has been quite nervous about the surgery and that this procedure is to remove a tumor. Harold is informed by her that his surgery will not take place today as she has been instructed to do so.
How appropriate are Noemi's subsequent responses in this circumstance?

To inform Harrold of the reasons why his surgery has been postponed until tomorrow, ask another medical student on the ward.

Correct! Wrong!

Explanation:
Noemi is aware that Harrold has been quite nervous and that he will have confided in her to some extent. It is extremely wrong to ask a medical student to explain to Harrold.

Noemi, a junior doctor, is employed on a hospital ward that is unusually crowded today since a staff member is unwell. After lunch, she gets a call from the surgical team informing her that the day's surgeries are running behind schedule. They clarify that she must inform Harrold, the final patient on their list, that his procedure will be postponed until tomorrow and that they will put him first on the list for that day. Harrold's security is unaffected by this. Noemi is aware that Harrold has been quite nervous about the surgery and that this procedure is to remove a tumor. Harold is informed by her that his surgery will not take place today as she has been instructed to do so.
How appropriate are Noemi's subsequent responses in this circumstance?

Make a commitment to Harrold that she would find a way to make sure this procedure takes place today as originally scheduled.

Correct! Wrong!

Explanation:
It is highly wrong to assure Harrold that his surgery will go place today in some way. Noemi has already been informed by the surgical team that this won't be the case, and if it isn't, Harrold will stop having faith in her. He might start to wonder if the treatment will even take place tomorrow, which could make his anxiousness worse.

Noemi, a junior doctor, is employed on a hospital ward that is unusually crowded today since a staff member is unwell. After lunch, she gets a call from the surgical team informing her that the day's surgeries are running behind schedule. They clarify that she must inform Harrold, the final patient on their list, that his procedure will be postponed until tomorrow and that they will put him first on the list for that day. Harrold's security is unaffected by this. Noemi is aware that Harrold has been quite nervous about the surgery and that this procedure is to remove a tumor. Harold is informed by her that his surgery will not take place today as she has been instructed to do so.
How appropriate are Noemi's subsequent responses in this circumstance?

Inform Harrold that having the procedure delayed until tomorrow won't compromise his safety.

Correct! Wrong!

Explanation:
Harrold must fully comprehend that postponing the treatment till tomorrow won't compromise his safety, especially given how concerned he has been. This is the exact right course of action.

Dental student Jeremy is participating in a clinical placement alongside Mark and Annie. They all get along. One morning, Annie tells Mark what Jeremy perceives to be an inappropriate joke. Even while Mark stays silent, he seems upset.
How suitable are Jeremy's responses to the following questions in this circumstance?

Apologize to Mark right away on Annie's behalf.

Correct! Wrong!

Explanation:
Jeremy might feel compelled to apologize on Annies' behalf after observing Mark's distress. Although this is a suitable course of action, it is not the best one. Although Annie is to blame, it ought to be Annie who apologizes. The underlying cause of the issue is not addressed.

Dental student Jeremy is participating in a clinical placement alongside Mark and Annie. They all get along. One morning, Annie tells Mark what Jeremy perceives to be an inappropriate joke. Even while Mark stays silent, he seems upset.
How suitable are Jeremy's responses to the following questions in this circumstance?

Later that day, discreetly discuss with Annie how her joke seemed to annoy Mark.

Correct! Wrong!

Explanation:
It is completely proper to wait until later to speak with Annie since it gives both sides time to cool off after the incident and acknowledges that there is a problem that needs to be addressed. Compared to being confronted at the time, Annie is also less likely to react defensively to the circumstance.

A medical student named Danica is now doing a rotation at the emergency room. She is preparing to lead her next client into the consultation room. This client has a sprained ankle. Then she sees a tiny child, maybe three years old, pleading with his mother. He is obviously afraid and lost. There is no sign of his mother.
Which of the following reactions by Danica is most suitable in this circumstance?

Bring the boy to the playground, divert him with toys, and lead him there before returning to respond to the sprained ankle patient.

Correct! Wrong!

Explanation:
While diverting the boy's attention can help him forget about losing his mother, this does not try to find a solution. Danica is also prevented from keeping an eye on the boy's situation and attempting to locate his mother by departing to attend to the sprained ankle. This course of conduct is completely incorrect.

A medical student named Danica is now doing a rotation at the emergency room. She is preparing to lead her next client into the consultation room. This client has a sprained ankle. Then she sees a tiny child, maybe three years old, pleading with his mother. He is obviously afraid and lost. There is no sign of his mother.
Which of the following reactions by Danica is most suitable in this circumstance?

Request that the front desk clerk take care of the lost boy so that Danica can attend to the patient with the sprained ankle.

Correct! Wrong!

Explanation:
Danica can carry on with her work by asking the front desk clerk. However, since the receptionist isn't responsible for this, they will be unable to give their jobs their whole focus. Although not terrible, this is not the right path of action.

A medical student named Danica is now doing a rotation at the emergency room. She is preparing to lead her next client into the consultation room. This client has a sprained ankle. Then she sees a tiny child, maybe three years old, pleading with his mother. He is obviously afraid and lost. There is no sign of his mother.
Which of the following reactions by Danica is most suitable in this circumstance?

Once she has helped the missing boy, tell the patient with the sprained ankle that she will return to him as soon as possible.

Correct! Wrong!

Explanation:
No imminent danger exists for the patient with the sprained ankle. The patient should be kindly asked to wait while the mother of the lost boy is located, even if it might be a minor inconvenience.

A medical student named Danica is now doing a rotation at the emergency room. She is preparing to lead her next client into the consultation room. This client has a sprained ankle. Then she sees a tiny child, maybe three years old, pleading with his mother. He is obviously afraid and lost. There is no sign of his mother.
Which of the following reactions by Danica is most suitable in this circumstance?

Reassure the boy that his mother will be found and comfort him.

Correct! Wrong!

Explanation:
The boy appears to be in distress, and his mother is not around. Danica's decision to console him for a minute is therefore totally appropriate, especially considering his young age.

A medical student named Danica is now doing a rotation at the emergency room. She is preparing to lead her next client into the consultation room. This client has a sprained ankle. Then she sees a tiny child, maybe three years old, pleading with his mother. He is obviously afraid and lost. There is no sign of his mother.
Which of the following reactions by Danica is most suitable in this circumstance?

Ask of the patients if they have seen the boy's mother in the waiting area.

Correct! Wrong!

Explanation:
While it may be helpful to ask the other patients in the waiting room whether they have seen the youngster's mother, it would be more appropriate to the first console and reassure the anxious boy.

Gerald, a student, is having a conversation with Nancy, a classmate. Gerald informs Nancy that a physician has given him unfavorable comments regarding his interpersonal abilities, specifically his dealings with patients. He feels that the criticism is unfair, and it is obvious that he is unhappy.
How suitable, in your opinion, are Nancy's responses to the questions below?

Tell Gerald to ask the other students to see if they've heard anything bad about this clinician.

Correct! Wrong!

Explanation:
This could seem like a sensible course of action, but Gerald needs to keep in mind that getting bad feedback is common throughout the feedback process. While training, nobody will always meet expectations. Therefore, the opinions expressed by others are irrelevant. While not terrible, this is the wrong course of action.

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