SituationalIntermediateMMI station, Traditional one-on-one
You notice a physician's orders seem incorrect for a patient. How do you handle this?
Situational: A practical problem in school, clinic or work. What do you do next?
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Sample answer outline
- Don't carry out an order you believe is unsafe. Pause first.
- Check yourself: the chart, the medication reference, any recent changes in the patient's condition.
- Call the prescriber with a structured message (situation, background, assessment, recommendation) and ask directly.
- If you're still concerned, go up the chain: charge nurse, supervisor.
- Document the conversation and the outcome.
What makes it work
- Shows the nurse's role as a safety check, done respectfully.
- A clear escalation path, not a confrontation.
How to approach situational questions
- Start with safety: is anyone at risk right now?
- Gather information before judging anyone involved.
- Act in proportion: a private conversation first, escalation when needed.
- Close the loop: follow up, document and reflect.
What it tests
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