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suggested answers of which I am sure you can expand yourself. In any answer
please be sure to state the most obvious things and do not just assume that the
interviewers know it, unless you say it you will not get a mark for it...for example
stating that you will wear gloves and aprons when tending to a patient's personal
hygiene needs is necessary and not to be assumed as given or stating when an
incident happens that you will document everything is also essential. We all
know that we will do these things and that they are obvious but unless stated in
an interview the interviewers cannot score you for it.
You must try to give as much detail as possible and answer the questions step by
step as if you were at work in that situation
---Welcome, Can you please tell us about yourself (back ground, interests, reason
for career choice).
Which area of nursing interest u the most? Which area of nurse are u most
interesting in
What is your understanding of the responsibilities of registered nurse? (NMC has
presage on his web site)
Please give a brief run through your career history to date and what brings you
to being here today.
What skills do you have that you feel contributes to an efficient nursing team?
What do you feel are your strengths? (Pronuncia Strenz)
What would you consider to be your limitations?
Should it be reported, or you see, any concerning behaviours by a member of
staff or relative towards a patient, what would you do?
What would you consider to be inappropriate behaviour?
You are doing the medication and notice a dose for the previous round has not
been signed for. What steps would you then take?
A patient admitted for depression approached you the next morning; they are
very anxious and want to leave the hospital. What would you do?
You are working on an acute ward and suspect that some in-patients are using
substances. What would you do?
If successful, what anxieties do you have about working in the UK?
If you receive a complaint from a patient or relative what will you do? POSIBLE
ANSWERS:
o Talk to the patient/family about the situation and assess if you can
deal with the complaint yourself.
o Do this in a private environment and listen without interrupting be
aware of their body language and try to resolve the complaint at
this stage.
o If necessary involve the nurse in charge/sister.
o Be familiar with the complaints procedure and adhere to the policy
and inform the patient/relative of the procedure and give them a
complaint information form.
o If this is a nursing care complaint, it should be discussed at
meetings and action must be taken to ensure it does not happen
again and that care is carried out based on evidence based practice.
Training and staff education should be considered if necessary.
o Ensure that it is documented in the patients notes and complete an
incident form as necessary.
How can you reduce the risk of complaints? (Compleniz pronuncia)
o
o
o
o
The ward you are working on has failed its infection prevention audit. What
would your role be in ensuring that it did not fail again? How would you get staff
support?
o Ensure all staff that may enter the patient's room is aware of
infection status.
o Follow policy instructions for prevention of spreading infection.
o Ensure use of equipment to prevent the spread of infection i.e.
gowns, gloves, infected linen skips, patients own clinical observation
equipment act
o Ensure the infection control team is aware of patients infection
status.
o Ensure the patient is receiving the eradication therapy as per the
hospital the doctor prescribes infection policy.
o Use of appropriate hand washing technique and appropriate
decontamination substance e.g. when a patient has CDIF alcohol gel
is not seen to be effective and soap must be used.
o Ensure patient and family are aware of infection status and what
that means to them e.g. hand washing for those with CDIF or alcohol
gel may be used for those with MRSA.
o Provide patient/family with an information leaflet on infection.
o Ensure a proper deep clean of the patients room is carried out after
discharge.
How would you deal with conflict in the workplace?
o Speak to the person/persons concerned individually in a private
area.
o Allow each to discuss the issue with you and be nonjudgmental.
o Be aware of own body language when dealing with complaints.
o Invite the persons concerned to speak with each other in a
private area to discuss and iron out problems, if the problem
cannot be resolved inform the nurse in charge as conflict not
managed appropriately will result in ineffective teamwork
therefore detrimental to patient care.
o The manager may need to be informed and further action taken,
which could lead to a disciplinary or further training.
o Conflict when managed properly can lead to improved patient
care highlighting new practices and ideas.
You arrive on shift to find you are the only qualified nurse with 1 hca (health care
assistant) and 24 patients to care forhow will you deal with this situation?
o
o
o
o
You are asked to undertake a task/duty you are not familiar with what will you
do?
o Explain to the person allocating the duty that you are not competent
and that you will not undertake the task until you have received
training and feel confident to do so in the interest of patient safety
and by doing so are adhering to the NMC code of professional
conduct.
o Ask to observe the procedure and when confident, undertake the
task with supervision provided by a preceptor.
o If the person insists you undertake the duty refuse regardless of
rank and speak to your line manager.
How would you recognise poor standards in the clinical area?
o
o
o
o
o
o
o
o
o
o
o
Patient/relative complaints.
Dirty, untidy environment.
Stores not kept up to date.
Increase in infection rates.
Poor staff morale.
Increase in sickness and absenteeism.
Signs and symptoms of stress evident in staff.
Lack of motivation/lethargy.
Poor standard of patient care delivered.
Poor record keeping/communication.
Poor audit outcomes.
If you were a patient in hospital what would quality care feel like to you?
o When nurses take the time to speak to me, (polite, smiling, clean
and presentable, compassionate and make me feel if only for a
minute that I am the only one they have to care for). When they
have time and are not always rushing on to the next job.
o The ward is exceptionally clean (clean bedding, floors, toilets ect)
o The food is warm and nutritious and I have a choice, fresh water
regularly.
o The aim is to improve my health and get me home asap as I do not
wish to stay in hospital!
o Take the time to sit down and discuss this with them and try to
reduce their anxieties.
o Ask why they are worrying about this, is it something you can
rationalise to them.
o Advise them of your wards high standards of care and the Infection
Control procedures in place to help prevent such things happening.
o Move patient to a side room if they are very anxious if possible.
o Advise the patient it is their right to ask all people who come to
them to wash their hands before touching them.
o Advise all staff of this patients concerns and document.
If you have administered the incorrect drug/wrong dosage what will you do?
o
o
o
o
o
o
o
o
o
o
o
o
You are administering medication to a 57 year old lady and her heart rate is
below 40. Her medications are paracetamol, warfarin, digoxin, and amoxicillin.
What action would you take and why?
o
o
o
o
o
o
o
o
Preceptorship/clinical supervision.
Induction programme in new areas to gain competence in practice.
Peer support/role models.
Continuing education specific to areas through courses, journals,
online, study days, conferences.
Through association membership.
Reflective practice, portfolio keeping, action learning groups,
research.
Critical incident analysis, ward meetings.
Adhere to up to date guidelines and policies.
o Intervene
If you are giving out the medications and a patient refuses to take the medicine,
what would you do?
I would try to find out why they do not wish to take them and answer any
questions they may have about the medication
I would explain the importance of taking them and what might happen if
they don't (without scaring them!)
I would ask another nurse to try and ask the patient
I would try a little later on to see if they might take them
If they still would not take them, I would consider phoning a family
member who might be able to speak to them over the phone and
persuade them to take them.
Failing everything I would ensure I document it correctly in their medicine
prescription kardex and in the patients notes.
If this continued to happen I would speak to the GP to advise of the
situation and discuss alternatives
What qualities do you think are important for a Nurse in care of the elderly?
I believe that all nurses regardless of who they look after should be kind,
caring, patient, be trustworthy, motivated, honest, reliable, punctual,
sympathetic and be able to prioritise the care needs of all their patients.
In relation to caring for elderly I believe you need to have a bit more
patience as the elderly can be very slow at daily tasks eg eating, washing,
dressing ect..but it is part of our job to promote independence wherever
possible and to be patient during each task.
We also need good understanding of dementia and the best ways in which
to deal with its symptoms, this usually entails getting to know patients on
an individual basis and what may be a good intervention or one patient
may not work for the next.
Taking time to get to know my patients is therefore essential to a good
working relationship.
You have a patient with non insulin diabetes and their BM is between 3 & 4. What
would you do?
Check what the patients normal range is for this time of day
Ask if they have eaten, or are they about to eat?
Ask how they feel?
Review plan in place for patients diabetes treatment and treat as per plan.
If there is no plan in place and the BM is low for them I will ensure I give
them something to eat (biscuits, glass of milk or coke)
Recheck BM after 30 mins and again if seen necessary
If it continues to be low/lower consider using glucogel
Contact GP if still concerned
Advise patient to call for nurse should they feel in anyway different
(increased heart rate, perspiration, agitated, blurred vision...)
Monitor situation, do they take oral medication for their diabetes, does it
need reviewed
There are several major types of abuse: physical abuse, sexual abuse,
substance abuse, elder abuse, and psychological abuse.
If you are the nurse in charge and a nurse called in sick, what would you do?
Ask the sick nurse to keep us up to date of when she will return
Look at the staff roster and try to make changes by asking other staff to
swap shifts or do extra
Cover any immediate shift myself if I an unable to get cover
Follow the policy in place for emergency cover eg: phone nursing agency if
possible
Advise the manager of the situation when they return
A resident has a history of chronic heart failure, with a low bp, poor oral intake
over 24 hours also taking diuretic, what action would you take?
I appreciate the resident has heart failure however I would hold the
diuretic until I had the patient assessed by a doctor.
I would ask the resident to remain on bed rest with their legs raised to try
and increase the b/p
I would ask why they have not been drinking and treat any problems in
relation to this and advise the importance of drinking
I would assist with drinking needs
I would carry out anything ordered by the doctor e.g.; IV Fluids, monitoring
of input and output, regular monitoring of clinical observations (bp, pulse,
resp ect)
Ensure the patient is comfortable and has the nurse call bell to hand.
Advise patient not to mobilise alone until we get the bp at satisfactory
level, in case they should feel light headed and faint.
Advise all staff on shift of the situation
Document everything
What action would you take if you find a resident on the floor complaining of leg
pain?
Get help
Assess the situation and approach if safe to do so
Ensure the patient is as comfortable as possible whilst you assess them
Assess the patient -how did it happen, did the fall, where is the pain, what
type of pain is it, is the pain constant
Check the clinical observations - temp, pulse, bp ect...
Look at the leg for signs of a break, did they hear a crack
Speak with the doctor or phone for an ambulance dependent on the
assessment
Only mobilise if certain there is no break otherwise await the doctor or
ambulance and make patient as comfortable as possible
You find a resident who is non responsive, what action would you take?
If you are the nurse on day shift and two residents develop vomiting and
diarrhoea, what action would you take?
Limit visitors to the residents and ensure they are aware of hygiene
procedures.
Inform kitchen staff and discuss the last 24 hours menu, ???could it be
food poisoning???
Possibly stop visitors entering home if more residents develop symptoms
How would you ensure your patient/residents would have a happy life?
Non compliance from the patient - e.g.: with taking medications, eating,
allowing assistance with personal hygiene needs.
Patient forgetting things (e.g. who they are, where they live, how to do
things.....)
Possible aggression.
Depression.
Inappropriate behaviours
If you had a patient has problems with falling a lot, how would you manage this?
What do you think some of the causes would be?
Speak with the patient and find out why they think it is happening.
Try to find out the cause and manage it appropriately (eg: what
is their diet like, have they got pains,
Assess patient safety and commence any protocol seen necessary to
prevent further falling
Ensure nurse call bell is to hand at all times
You are the nurse in charge and a patient comes to you to say, no one has taken
me to the toilet today and my pad is wet. What would you do?
Take the patient to the bathroom and tend to their skin care needs
immediately.
Reassure the patient this matter will be dealt with, ask if this happens
regularly or if this is the first time.
Relieve the patients anxieties.
Offer a complaints form to the patient.
Investigate why this happened and deal with it appropriately...eg; speak
with the care assistants and the nurse in charge if seen necessary.
Monitor this situation and ensure other staff are made aware of what
happened and that it should never happen again.
The mealtime experience in the home is very important, everyone will help,
Nurses & Care Staff. . What things do you think are important to help the
residents have a positive experience?
Ensure residents are allowed a choice of food and drink (aware of likes and
dislikes)
Those who wish to eat in their rooms alone are able to do so or likewise
those who wish to be with others are brought to the dining room.
Assistance is given where necessary and time is taken (patience)
Clean, (clutter and obstacle) free environment to eat in. Nice environment,
calm, nice music
Food is warm, fresh and nutritious.
There are no drugs given and no visitors or any distractions.