Multiple Choice Questionnaire

Name

Date

A person with dementia refuses personal care. They appear uncertain and distracted but not distressed. What is the MOST appropriate response?*

Respect the refusal and document it clearlyContinue with care due to potential risksDelay, offer reassurance, and revisit the decision shortlySeek immediate advice from a senior before acting

A medication decision is required for a person who lacks capacity. There is no immediate risk if delayed. What is the BEST course of action?*

Follow the care plan as writtenDelay and complete a best interests decision with appropriate inputAsk the most experienced staff member to decideOmit and record the medication

You suspect financial abuse, but the person has capacity and expresses trust in the individual involved, though appears hesitant. What should you do?*

Respect their decision and take no actionMonitor the situation and revisit laterEncourage them to report it themselvesRaise a safeguarding concern while recording their views

You observe a colleague being abrupt and slightly forceful during care. No injury is evident. What is the BEST immediate response?*

Address the behaviour at the time if safe to do soRecord and report at the end of the shiftWait to confirm a patternDiscuss concerns informally with colleagues first

A person consistently refuses support with hygiene, increasing risk over time. What is the MOST appropriate approach?*

Respect their choice and reduce attemptsContinue offering care without changeExplore reasons, adapt your approach, and escalate for review if neededArrange for a different carer to attempt care

During care, a person becomes distressed due to how support is being delivered. What is the BEST response?*

Pause briefly and continue once they settleStop, address concerns, and adapt before continuing if appropriateComplete essential tasks quicklyRecord and review later

A person with capacity declines to use recommended equipment despite known risks. What is the MOST appropriate response?*

Respect the decision without further actionInsist on equipment useEscalate immediately to managementProvide clear information, support their choice, and document

You discover equipment is not functioning properly, and no immediate alternative is available. What should you do?*

Use it carefully to complete the taskAdapt the task manuallyStop, report, and seek a safe alternative before proceedingAsk the person whether they are happy to continue

You are running behind between visits. What should guide your decision-making?*

Completing all visits within scheduled timeInforming the office after finishing visitsMaintaining infection control procedures even if delays occurReducing PPE use where risk appears low

A person with capacity declines certain infection control measures. What is the MOST appropriate response?*

Enforce complianceRespect refusal without further discussionWithdraw care until compliance is achievedExplain risks, encourage safer practice, and adjust your own approach

You notice concerns suggesting possible neglect due to gaps in care delivery. What is your responsibility?*

Raise a safeguarding concern and follow proceduresMonitor the situation furtherAddress it informally within the teamWait until harm occurs

You observe practice below expected standards but no harm has occurred. What is the BEST response?*

Record for future referenceReport through appropriate channels to prevent harmWait until it becomes a patternDiscuss informally with colleagues

A person’s preferences conflict with service delivery arrangements. What is the MOST appropriate approach?*

Prioritise efficiencyAsk the person to adjust expectationsBalance preferences with safe care and escalate if neededFully comply regardless of impact

A colleague makes a subtle discriminatory remark. What is the BEST response?*

Ignore to maintain relationshipsRaise it informally laterChallenge appropriately and report if requiredEscalate immediately without discussion

A person lacking capacity resists essential care, increasing risk. What is the MOST appropriate approach?*

Deliver care using restriction immediatelyWithdraw and escalateWait for reassessmentUse a least restrictive approach, attempt again, and involve others if needed