I thought I'll add a bit of UMAT Section 2 questions to help complete the UMAT Section 1 Test-Run previously. These questions should be simple and easy with the solutions at the end of all the questions. There's a total of 8 questions SO SCROLL SLOWLY WHEN REACH QUESTION 8 otherwise you may see the answers from question 1 onwards. We'll start talking about Logic Games and similar attributes later this week.
Question: 1
You are a nurse working on a general ward. One of your patients, a middle-aged man in a shared room, requires regular oral administration of medication, as instructed by his doctor. You have privately been informed by one of the other patients, that as soon as you leave the room the man spits out the pills you have given him. What should you tell him?
Choices:
a) You inform the patient that you will tell the doctor that he spits out the tablets he should be taking.
b) You confront the patient with the information you have and explain carefully to him that it is in his best interest to take the medication prescribed by his doctor.
c) The next time you have given the patient his medication you unobtrusively observe his actions. If the allegations made are true you speak to him concerning the need to follow his treatment plan carefully and that it is in his best interest to follow the doctor’s orders.
d) You tell the patient that you suspect that he is not taking his medication and that you shall have to report him to the doctor, as this may have very serious repercussions for his recovery.
e) You explain to the patient the importance of taking the prescribed medication and then decide to stay with the patient until you have seen him swallow all the tablets prescribed and give instructions to the other nursing staff to do the same.
Question: 2
You are the nurse looking after a patient in the emergency department. He is yet to be seen by a doctor. He tells you that he has to go outside for a cigarette. You understand his impatience but the doctor may well come to see him while he is outside. What do you tell him?
Choices:
a) You tell him that he is not allowed to go for a cigarette while at the hospital, and that he will simple have to wait or leave.
b) You tell him that smoking is bad for his health and prohibit him from going outside.
c) You explain to him that while he has been waiting for a while, a doctor may well come along to see him any moment and it would be unfortunate if he were not present at the time.
d) You tell him that the doctor will be in to see in five minutes, knowing full well that the wait may be longer.
e) You sternly tell him to exercise some control and discipline.
Question: 3
You are a male nurse in an orthopaedic ward. You have a young man in your care who has undergone an operation to remove a bone cancer from his right hip, and has had extensive reconstructive surgery. The patient’s catheter has recently been removed, but he is still to be confined to his bed in order to rest his hip. He refuses to use the bed pan, however, and insists on walking to the bathroom. The patient tells you he has to go to the toilet now and tries to get out of bed. What do you tell him?
Choices:
a) You firmly tell the patient that he may not get up and that he has to use the bedpan.
b) You arrange for an orderly to help aid the young man to the bathroom and to stay there with him.
c) You tell the patient that you need the doctor’s consent on the issue and will speak to him in the morning, when he does his rounds.
d) You tell the young man not to be difficult and to stay in bed, or else you will break his good leg.
e) You tell the patient that he may use the bathroom, but that he may get dizzy and nauseous when getting up, and that he may severely injure his operated hip if he has a fall.
Question: 4
You are a young nurse working for a pathology laboratory. It is your duty to draw blood on a regular basis from patients who are unable to get to the appropriate medical centres. Most of your patients are either bed-ridden or elderly people who have trouble getting around. Every month you have to visit an old man, who is very querulous and difficult. Whenever you attempt to get a blood sample from him, the old man jerks his arm away, inflicting injury upon himself. He then blames you for being inefficient and incompetent. Every visit is an ordeal for you. What should you do?
Choices:
a) You tell the old man to keep quiet and to keep still whilst you are trying to take blood.
b) You explain to the old man why you have to take blood from him, that you do not wish to hurt him and that if he holds completely still it will make your job a lot easier.
c) You complain to your superior and refuse to see the old man again.
d) You explain to the old man, that you are an experienced nurse and that you will make this procedure very painful if he does not keep still.
e) You apologise to the old man and tell him that you are trying to do your best.
Question: 5
You are a home-care nurse, working for the Blue Nursing Service, a non-profit, Christian-based organisation offering its services to the community. One of your elderly patients who needs regular care lives alone and is very lonely. It is obvious that she looks forward to your visits tremendously and tries to draw them out under any pretext. While you do not mind spending some extra time with this lady, she does however make you regularly late for other home-care visits. What should you do?
Choices:
a) You tell the lady that you are in a hurry and have to go.
b) You stay with the lady for a while and explain to her that you enjoy seeing her, but that you have a very busy schedule and have many other patients to attend to and thus cannot be with her for too long.
c) You stay with this lady and make yourself late for other appointments.
d) You tell the lady that you might have some more time on your next visit.
e) You arrange for another nurse to care for the old lady.
Question: 6
You are a receptionist working at a Medical Centre. It is late afternoon and past closing time. You have been run off your feet all day and are very tired. The doctor still has two patients waiting to see him. He is at the moment consulting with a young female patient. She has taken up a lot of his time already and the other two patients are becoming very impatient. What should you do?
Choices:
a) You buzz the doctor and tell him that he is running very late.
b) You apologise to the patients and tell them that the doctor has been fully booked all day, with several emergencies cropping up in between, but should not be much longer.
c) You tell the two remaining patients that it may be best for them to come back another time.
d) You ignore the two waiting patients and hope that they will not complain to you.
e) You remark to the two remaining patients, that you would also like to go home and that
this particular doctor is usually running late.
Question: 7
You are a male nurse looking after four patients in an orthopaedic ward. One of your patients, a middle-aged man, is constantly pressing his call button for extra attention. He has had a small procedure done on his foot, and should not be in too much discomfort. He does however constantly seek extra attention and pampering from all nursing staff, complaining about everything, from the pillows in his bed, the air-conditioning, the food, the other patients in the room etc. What do you say to this patient?
Choices:
a) You tell him to stop bothering you and that you will attend to him later on.
b) You perform all his requests and hope that he stops harassing you.
c) You explain to the patient that his wellbeing and comfort are your prime concern. However, you feel that he is not in any discomfort and is taking up time that you should be spending with other patients.
d) You explain to the patient that his wellbeing and comfort are your prime concern. However, you have many duties to perform and he should try to be reasonable when pressing the call-button.
e) You have a maintenance engineer disconnect his call button.
Question: 8
You are a young doctor working on a surgical ward. Two of your patients have undergone
surgery. Both of these patients are still in recovery and need to stay there for some time. The families of both patients are anxiously waiting to speak to you when you leave the operating theatre. The first family rush towards you with questions about the well-being of their son, taking up much time with questions. The other patient’s father and wife are nervously standing by, obviously in a great hurry to speak to you, the father mumbling that he urgently needs to get back to work. What do you do?
Choices:
a) You briefly explain the outcome of the operation to the first family, then excuse yourself for a moment to speak to the father and wife of the other patient. You then return to the first family and answer any questions.
b) You briefly explain the outcome of the operation to the first family, then excuse yourself and speak to the father and wife of the other patient for a long time before leaving the ward.
c) You ask the relatives of the second patient to phone the surgeon for information later that day.
d) You abruptly end your conversation with the first family and speak to the father and wife who are waiting for you.
e) You call both families together and explain the results of both procedures to all of them.
YOU HAVE FINISHED. HOW LONG IT TOOK YOU TO ANSWER CONFIDENTLY?
ANSWERS BELOW
Answer:1
The preferred answer is (e).
Discussion:
This scenario deals with appropriate communication and action in a difficult situation. As a nurse it is your duty to ensure that all instructions by the doctor are meticulously and conscientiously carried out. By implying to the patient, that you are aware of what is going on regarding his intake of medication and then explaining the importance of accepting the appropriate treatment protocol, as well as making sure that the doctors orders are properly carried out, the situation may be resolved. Thus the most accurate answer is (e).
Answer:2
The preferred answer is (c).
Discussion:
This question deals with communicating with the patient in order to explain a situation or a reason for directing their action. Smoking is bad for one’s health (b) and not smoking does require some control (e), but these are not the main reasons for stopping the patient in this instance. Responses (a) and (d) are inaccurate. Response (c) explains the situation and is likely to gain his understanding.
Answer:3
The preferred answer is (c)
Discussion:
You may sometimes have to deal with patients who wish to take matters into their own hands, unaware of the possibly harmful consequences. It is up to you to explain to the patient why their behaviour might cause them harm, as reasoning with them will certainly give a better result than simply giving them orders (a) or being inappropriate (d). Choice (b) may still not be the safest option and choice (c) wins by default.
Answer:4
The preferred answer is (b).
Discussion:
You may often have to deal with patients who are difficult and querulous, and who may be quite demanding or even rude to you. It is important to always communicate appropriately with these patients, explain why you are doing a procedure and how they can help you, as this will make it easier for both the carer and the patient. Choice (a) is inappropriately and rude, choice (d) is diabolical and certainly incorrect, while in choice (e) there is no further information or explanation given to the patient.
Answer:5
The preferred answer is (b).
Discussion:
This situation requires compassion and empathy from you. Answer (b) is the correct answer because it addresses the problem in a polite and friendly manner, explaining that you have many other patients, who also look forward to your visits and who need care and attention. Certain situations have to be dealt with in a manner as not to compromise the patient’s emotional well-being. Choices (a), (c), (d) and (e) do not deal with the needs of all patients under your care.
Answer:6
The preferred answer is (b).
Discussion:
This situation requires good communication and some reassurance. It is your duty not to discredit the doctor in any way. By explaining the situation to the two waiting patients, as in choice (b), you are communicating effectively and avoiding an embarrassing confrontation. Responses (a), (c) and (e) are may be viewed as being unprofessional, while (d) does not deal with the issue at all.
Answer:7
The preferred answer is (d)
Discussion:
This scenario deals with the issue of communicating appropriately and effectively with a patient who is unreasonably demanding. By telling the patient that you have his wellbeing at heart, but that there are others requiring your serious attention, you may gain his understanding and cooperation regarding your position. Choice (d) is therefore the preferred answer. Choices (a) and (e) are professionally inappropriate, while choice (b) does not resolve the issue at hand. Choice (c) is incorrect, as making an unfounded judgement about the patient’s wellbeing is not appropriate.
Answer:8
The preferred answer is (a).
Discussion:
As a health care practitioner you need to be able to communicate with patient’s families, often under distressing circumstances. It is always important to be calm and reassuring. Illness and suffering affect not only the patient, but also the families involved. The preferred choice (a) gives you time to talk to both parties and allows the father to leave after hearing the news in brief. Choices (b) and (d) imply that the needs of the second family are being put above those of the first, which is not correct.
Answer (c) ignores the immediate needs of the second patient’s family, while answer (e) violates the rights of each family to discuss this news with you in private.
awesum explinations!! Thank you so much for this, and for the whole site!!!! so helpful :)
Omg it is really helpful even the WHOLE site is and the explanations for each of them. Oh and some of these actions I see them in real life Thank you really appreciated
I got all them correct :)