In the UK, a patient discloses possible neglect but cannot recall the exact date. Which documentation is most appropriate?
Correct answer: A. Record the patient's exact words and observed facts
- A. Record the patient's exact words and observed facts
- B. Record that the family probably caused the neglect
- C. Wait until the patient remembers the exact date
- D. Ask the family to confirm what the patient reported
Explanation
The nurse records contemporaneous, factual information, including the patient's own words, observations and actions taken. The NMC Code requires clear, accurate records and does not support speculation or asking a potential source of harm to validate a disclosure.
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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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