In the UK, a patient says a neighbour who provides informal care has threatened to stop visiting unless the patient gives them money. The patient has capacity and wants help but is afraid of losing support. What should the nurse do first?
Correct answer: A. Explore the patient’s safety and support needs in private
- A. Explore the patient’s safety and support needs in private
- B. Tell the patient to stop giving the neighbour any money
- C. Promise that the neighbour will not be told about the concern
- D. Refer the matter to police without discussing it further
Explanation
The nurse should first assess immediate safety, coercion, dependence and available support in a private conversation. This allows a proportionate safeguarding response that respects the patient’s autonomy. Giving a direct instruction or making promises about confidentiality may not address the patient’s wider risks.
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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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