In the UK, a 9-year-old tells a nurse that a parent hits them at home and asks the nurse not to tell anyone. What should the nurse do first?
Correct answer: B. Listen calmly, explain that the concern must be shared, and report it
- A. Promise to keep the disclosure completely confidential
- B. Listen calmly, explain that the concern must be shared, and report it
- C. Ask the child to provide detailed proof before reporting it
- D. Contact the parent immediately to discuss the allegation
Explanation
The nurse should listen without leading questions, explain the limits of confidentiality, record the child’s words, and follow the safeguarding procedure. A promise of secrecy is unsafe, and the nurse should not investigate or confront the parent.
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About Safeguarding and Duty of Candour
Safeguarding covers recognising signs of abuse, neglect, exploitation and domestic violence in children and adults, responding to disclosure, recording facts, sharing information lawfully and escalating to the safeguarding lead or relevant authority. Duty of candour requires openness, apology, explanation and reporting after qualifying harm, and is distinct from investigating blame or proving negligence.
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50 free Safeguarding and Duty of Candour MCQs from International Nursing Practice, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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