Candidate card · Nursing

You are the nurse

A change of nurse and a repeated history

Setting: A community clinic

A patient is frustrated after several staff changes and does not want to repeat a sensitive history. The current nurse can review the existing record with the patient and clarify relevant changes.

Task

  • Explore the concern behind the opening: "I have told this story three times. Do I really have to start from the beginning again?"
  • Clarify the specific barrier and acknowledge its effect on the patient.
  • Explain the supplied next steps and respond to this possible question: "If something in the notes is wrong, will you believe the page instead of me?"
  • Check the patient can distinguish what is agreed from what needs confirmation.
A change of nurse and a repeated history supplied plan
  • A patient is frustrated after several staff changes and does not want to repeat a sensitive history. The current nurse can review the existing record with the patient and clarify relevant changes.
  • The nurse can review the relevant existing record before asking focused questions about unclear points or changes.
  • The patient can correct the summary, request a pause and identify what they want today's conversation to address.
  • Do not promise that no clarification will ever be needed or that every previous detail is accurately recorded.
  • I can read the relevant account first and then summarise what I have understood for you to check. We can focus questions on changes or gaps rather than ask you to repeat everything.
  • If the summary is wrong, please correct it. You can also ask for a pause and tell me what you most need from today's appointment; the record should support that conversation.

Fictional exam scenario only. Supplied arrangements are not medical guidance for a real patient..