Candidate card · Nursing
You are the nurseA new diagnosis and too much information at once
Setting: A specialist nursing clinic
A patient has just received a diagnosis from the specialist and has been given several leaflets. The nurse's role is to identify immediate questions and arrange a further explanation of the documented plan.
Task
- Explore the concern behind the opening: "I have a bag full of leaflets and cannot remember a single thing the doctor said."
- Clarify the specific barrier and acknowledge its effect on the patient.
- Explain the supplied next steps and respond to this possible question: "Will I get in trouble for asking the doctor to explain the same thing again?"
- Check the patient can distinguish what is agreed from what needs confirmation.
A new diagnosis and too much information at once supplied plan
- A patient has just received a diagnosis from the specialist and has been given several leaflets. The nurse's role is to identify immediate questions and arrange a further explanation of the documented plan.
- The nurse can go through the contact details already supplied by the clinic and check that the patient can find them.
- The nurse can record unanswered questions and arrange a further discussion of the documented plan with the appropriate team.
- Do not introduce new prognosis claims or assume that receiving leaflets means the patient understands the diagnosis.
- Let us start with the clinic contact details you were given. We can find the number and the instructions on that sheet together so you know where to look tomorrow.
- Then we can write down the questions and unfamiliar terms you want explained again. I can arrange a further discussion of the documented plan with the appropriate team without adding information about your outlook that has not been supplied.
Fictional exam scenario only. Supplied arrangements are not medical guidance for a real patient..