Question: 1
You are a young general practitioner working in a coastal town. Many of your patients are holiday-makers, who use your services only when on holiday. A young man who lives on the coast and has been a patient of yours for a couple of years, makes an urgent appointment to see you. He has a severe stomach upset and requires medication. He brings with him to the consultation two of his friends, both holiday-makers who have the same symptoms of stomach upset. The two friends have no appointment to see you. You have a full list of patients, all of which have made appointments. What do you do?
Choices:
a) You consult the patient who has made the appointment and then tell his friends that you have a waiting room full of patients. The best you can do is to try and fit them in at the end of the day.
b) As they have all come in to see you together, you say nothing about the other patients who are waiting to see you. You examine your regular patient first and then examine his friends briefly and give them each a prescription for their condition.
c) You tell the patients friends to speak to the receptionist, who does all the bookings, to ask her to fit them in as soon as possible and tell them that they may have to wait a while.
d) You tell the friends to see another doctor as you are really fully booked and cannot inconvenience your regular patients for patients who see you when they are on holiday.
e) You tell your receptionist to tell the youngsters that they should seek help from another doctor as you are too busy.
Question: 2
You are a hospital physiotherapist treating a football player who has had a knee reconstruction.You have to see this gentleman on a daily basis to put him through a schedule of routine exercises, which will aid his recovery. Every time you come to see him he has visitors from his football team who distract your patient from concentrating on his movements with loud comments and jeers. What should you do?
Choices:
a) You politely ask the visitors to leave the room while you are attending to the patient.
b) You politely explain to the visitors that it is obvious that the patient is distracted from his exercises while they are present and to please either wait outside or not disturb him.
c) You ignore the rowdy visitors and try your best to work with your patient.
d) You joke along with the man’s friends, realising that your patient is not getting the most out of his physiotherapy, but at least he is being kept in good spirits.
e) You tell the patient to ask his friends to leave while you are treating him.
Question: 3
You are a nurse in a hospital ward. One of your patients an elderly lady has lost her glasses. She only uses them to read and is getting very bored. For some time she has been badgering the staff to find her glasses. She accosts you and asks you to also help locate them. You are extremely busy. What do you say to her?
Choices:
a) You tell her that you will keep your eyes open for her glasses.
b) You tell her that you are extremely busy right now, but that you will keep your eyes open for her glasses.
c) You tell her that you are certain that the glasses will be found in due course.
d) You tell her that the staff are all very busy and that she should stop badgering them.
e) You ask her why she doesn’t have a spare pair of glasses, which she could have used until
the lost ones were found.
Question: 4
You are a nurse working in a medical ward at night. One patient is constantly pressing his buzzer, asking for glasses of water, an extra pillow, and making other small requests. You are just about adjust the height of one end of the bed for him so that he can see the television easily, when the patient in the bed next to him starts complaining of a mild backache and asks you to arrange some pain medication. Who you attend to first and what do you say?
Choices:
a) Your first priority is to the man in pain and you tell the patient who makes constant requests to be patient while you call the doctor.
b) Your first priority is to the man you were attending to and you let the man with the backache wait, as the pain is not severe.
c) You explain to the patient who wanted his bed adjusted that you would like to arrange pain relief for the other patient, but that you will return to adjust his bed as soon as you can.
d) You explain to the patient who wanted his bed adjusted that you would like to arrange pain relief for the other patient and that he will have to wait, as his request is obviously not that important.
e) You explain to the patient who has the backache that you would like to arrange pain relief for him, but that you are already attending to the other patient and that he should wait.
Question: 5
A patient with depression comes to see you, her GP. You have diagnosed her depression some time ago and essentially she has come to get another prescription for her medication. You have a child waiting in the consulting room next door, who is in a lot of pain and who needs your attention. The lady who is with you is telling you at length about her sister who seems to be suffering from depression also. She rambles on and on and you know that you need to cut her visit short to attend to the child. What do you say to her?
Choices:
a) You interrupt her, excuse yourself and say that you have a very urgent case next door which requires your immediate attention.
b) You interrupt her to write out her prescription, then excuse yourself and say that you have an urgent case to attend to next door.
c) You interrupt her and tell her that you cannot spend more time with her as you have an urgent case to attend to.
d) You listen to all her problems until she is finished and simply let the child wait.
e) You ask her if she can wait for half an hour or more, as there is an urgent case you need to attend to first and that you will finish your talk with her later.
Question: 6
You are a doctor working in the psychiatric ward in a public hospital. The ward has an open plan and patients often just wander about in the common area. You are about to see a patient for a planned consultation before another staff meeting. You are accosted by a patient in the corridor, who proceeds to tell you at length about a last suicide attempt. You are running late and would like to complete your sceduled consultation before the staff meeting. What do you say to this patient?
Choices:
a) You excuse yourself, tell the patient that you have a consultation, but promise to speak to her later.
b) You listen to the patient for a short time and then excuse yourself.
c) You tell her that you are in a great hurry and cannot speak with her right now.
d) You mention to her that she has told you all this before and that you are in a hurry.
e) You tell her that you have an appointment and then a staff meeting and have no time to listen to her story again.
Question: 7
You are a busy surgeon running a clinic at a public hospital. it is already late in the afternoon and your clinic is running overtime by two or more hours. One of the patients waiting to see you is someone you operated on a year ago. You know that this patient has travelled by bus for a couple of hours to come and see you. He still has to catch the bus back that evening, but will miss the last bus if you do not see him immediately. The man approaches you between consultations and asks if you can see him soon. Several other patients overhear his request. What do you tell him?
Choices:
a) You ask him to enter your treatment room and attend to him immediately.
b) You tell the other patients, that this man has travelled very far to see you and cannot afford to miss his bus. You apologise to them and explain that you would like to see him next.
c) You ask the man wait until it is his turn, as this is only fair, and hope that he still makes it to the bus in time.
d) You lie and tell the other patients that this man is seriously ill and needs to be seen immediately.
e) You tell the other patients that this man has travelled very far to see you and cannot afford to miss his bus. You explain that since this makes him more important, you will see him next.
Question: 8
You are a busy nurse attending to a patient who constantly makes demands on your time for trivial things. You are about to go off on your meal-break, when this patient rings for you again. You know that if you agree to do what she wants, you may be stuck with her for your entire tea break. What do you tell her?
Choices:
a) You tell her that you are going on your meal-break now, but shall ask another staff member to attend to her needs.
b) You tell her that this is your meal-break, but in spite of that you will quickly help her anyway.
c) You find out what she needs, attend to it and then go on your meal-break.
d) You tell her that you are going on your break now and that you will see her when you come back.
e) You tell her that you are going on your meal-break now.
Question: 9
You are a young nurse working on a ward, where the clinical nurse consultant (CNC) is very draconian, strict and widely feared amongst the nursing staff. You are just attending to a patient, who is telling you about how she lost her husband tragically a couple of weeks ago. While the patient is tearfully relating this to you, another nurse approaches you and tells you that the CNC wants to see you in her office right NOW. What do you do?
Choices:
a) You immediately break off the conversation, leave the patient in her tearful state and go to see the CNC.
b) You excuse yourself and say you must go to see the CNC as she expects the nurses to “jump” when she calls.
c) You calm the patient down as best you can and when she seems to be under control of her emotions again, you excuse yourself.
d) You tell the other nurse to tell the CNC that your patient is obviously more important and that she will just have to wait.
e) You tell the other nurse to stay with the patient and then rush off to see the CNC.
Question: 10
You are a nurse working on a surgical ward. You are attending to a patient who can not walk yet, after having had recent surgery. You are helping this patient to the bathroom. As you pass by one of the beds, the occupant complains to you that she has asked to be given a bed pan and is getting very annoyed about having to wait. She wants something to be done about it right now. What do you do?
Choices;
a) You tell the patient waiting for the bed pan that you are quickly taking this patient to the
bathroom and will then come to help her.
b) You tell the patient waiting for the bed pan that you are busy with someone else.
c) You ignore the patient in the bed, as you can only do one thing at a time.
d) You take the first patient back to her bed and decide to get the bed pan first.
e) You apologise to the patient waiting for the bed pan and quickly use the buzzer by her
bed to ring for a nurse, then proceed to take the other patient to the bathroom.
How long did it take you to do all these questions? Shouldn't take long at all! Rather than giving the answers from now on put forth your answers and opinions in the comment section below and I'll post the solution thereafter!
Thanks so much for this website! :)
Is it a, b, b, a, e, a, b, d, c, e?
Agreed, this site is great.
c,a,a,c,b,a,b,c,c,e?????
Answer:1
The preferred answer is (c).
Discussion:
In a medical practice, unexpected situations often arise. In this case, the two others who have come along with their friend are not really critically ill, and can afford to wait until the receptionist can fit them into the doctor’s schedule, without inconveniencing too many patients. Therefore (c) is the preferred answer. Other patients may feel unfairly treated if you see all three together as in choice (b). However you do have a duty of care to these patients, and should not have to refer them to someone else or ask them to come back unless there is absolutely no other option. Thus choices (a), (d) and (e) are not the preferred answer.
Answer:2
The preferred answer is (b)
Discussion:
As a health care professional the wellbeing of your patient is your first priority. In this situation the patient cannot be effectively treated, due to constant interruption from his rowdy his friends. By communicating politely with the visitors, offering an explanation to them and giving them the choice of leaving or being quiet, you will hopefully gain their cooperation. Thus the best answer is (b). Options (c) and (d) show a lack of prioritisation of your patient’s care.
Answer:3
The preferred answer is (b).
Discussion:
This situation deals with empathy for the patient concerned. However, it also requires you to understand your duties towards all other patients under your care. It would be highly unprofessional for you to prioritise this patient’s personal needs while your other patients require medical attention. Thus the obvious choice is (b).
Answer:4
The preferred answer is (c).
THE OFFERED ANSWERS ARE SOMEWHAT SILLY AS ADJUSTING A BED TAKES AT THE MOST ABOUT 10SECS. HOWEVER C IS THE BEST ANSWER AS THE OTHERS ARE NOT REALLY PROFESSIONAL
Discussion:
In this scenario the nurse has to deal with demands by two patients and must prioritise one of them. The man who has the backache will be in more discomfort than the man who needs the bed adjusted to watch television. The preferred choice (c) involves explaining to the first patient why you are leaving and that you will be back as soon as possible, before attending to the patient in pain.
Answer:5
The preferred answer is (b).
Discussion:
Prioritising skills are important when determining where to focus immediate attention, to benefit patients under your care the most. The lady in question essentially only needs a prescription renewed, so there is no point in making her wait and to continue any further irrelevant discussion with her. The patient in serious discomfort who is waiting for your care should take priority in this situation. Thus (b) would be the most appropriate choice.
Answer:6
The preferred answer is (a).
Discussion:
This situation needs to be handled very delicately with appropriate communication, to ensure that the patient that approached you in the corridor does not feel rejected, even though you have little time at the moment. It would be more beneficial for you to organise an appropriate time for yourself and the patient to discuss her problems. By doing so you not only prove to her that you want to help, but also prioritise your attention regarding patients. Thus the preferred choice would be (a).
Answer:7
The preferred answer is (b).
Discussion:
In this scenario a particular patient has travelled far to see you. Answer (b) is the preferred answer, as you should give priority to this patient due to his circumstances. Your other patients have a right to an explanation however, hence answer (a) is incorrect. Choice (d) is dishonest and choice (e) is incorrect, as this person is not more important than your other patients.
Answer:8
The preferred answer is (a).
Discussion:
As a nurse your primary priority is to ensure the wellbeing of all patients under your care. By briefly attending to the ladies needs you are still fulfilling your duty of care towards her and are prioritising your time appropriately. The preferred option is (a), as all other choices do not encompass your duty of care towards the patient.
Answer:9
The preferred answer is (c).
Discussion:
Your patients are your priority. Your primary duty of care should take precedence over other distractions and thus answer (c) is the preferred answer. It is inappropriate to simply leave the patient with another nurse in this situation as in option (d). Option (d) is not professionally appropriate.
Answer:10
The preferred answer is (e).
A IS A MORE PRACTICAL ANSWER AS YOU WOULD NEED TO LET GO OF THE FIRST PATIENT TO RING THE BUZZER – THIS IS ONE OF THOSE CURLY QUESTIONS – CALLING FOR A SECOND NURSE IS IDEAL BUT THE PATIENT SHOULD BE RINGING THE BUZZER – NOT THE NURSE WHO IS ALREADY ATTENDING THE FIRST PATIENT
Discussion:
Often a situation might arise where your care is needed in two places simultaneously. Since you are accompanying a patient to the bathroom, it would be highly unprofessional to abandon her immediate needs for the patient making the complaint. Thus it is preferable to call for another nurse to help you. Thus the most appropriate answer is (e).
i got:
1c
2b
3b
4c
5b
6a
7b
8c
9c
10e
One is incorrect according to the above comment, but i agree otherwise
Oh which one is that!?
i think he/she is talking about q8.
1e
2e
3e
4b
5b
6b
7b
8a
1a
2b
3b
4c
5e
6a
7b
8a
9c
how closely do these questions resemble the actual questions in section 2 of UMAT? If it is pretty close, i feel most confident in this section compared to the other sections.
1c
2B
3B
4C
5E
6A
7B
8A
9C
10E
^^^^ i got what they got ^^^^