Practice before you choose.

Question 1

A patient agrees to assessment but declines one proposed test. What should the clinician do?

1. Seek a relative's permission instead
2. Respect refusal and discuss alternatives
3. Proceed under the general assessment consent
4. End all care without exploring options

Question 2

A colleague asks to view a chart out of curiosity. What is appropriate?

1. Permit access because the requester is staff
2. Decline unauthorized chart access
3. Allow access if no copy is retained
4. Share after removing the patient's name

Question 3

A note contains an incorrect treatment date. How should it be corrected?

1. Ask the patient to change their copy only
2. Replace the original entry silently
3. Retain the known error without annotation
4. Make a traceable correction

Returning to overhead work

A 44-year-old painter with persistent shoulder symptoms wants to return to full overhead shifts. They report improvement in daily activities but have not tested sustained overhead work. Their employer requests a letter declaring unrestricted fitness.

Practise answering aloud. Allow up to 15 minutes for the complete case, then compare your reasoning with the review points.

1. Explain your assessment and how you would establish work capacity.
2. Explain how you would protect the patient from an inappropriate return while supporting their goals.
3. Explain how you would respond to the employer’s request and document your recommendation.