Importance Scale in SJT

I know this is an inconvenient time to ask this considering application statuses, but I do need a bit of help.

Basically, for SJT, I've sort of figured out a method to work around the appropriateness scale questions, but I simply can't crack the importance scale questions. Like I just don't get how important something is in a situation for the given scenarios. I already sort of know the patterns and question types that could come up from practice, but whenever I try to implement medical ethics/GMC or just patterns I've picked up I can never get the question right still!

Im pretty frustrated because it should be almost common sense but no matter how much practice I do I can't get it- I've tried looking for other techniques online but to no avail. Any advice would be immensely helpful.