In the UK, a patient with a learning disability arrives with an unexplained injury, and a carer gives inconsistent explanations. What should the nurse do first?
Correct answer: B. Separate the patient where possible and assess immediate safety
- A. Accept the carer’s explanation and complete routine observations
- B. Separate the patient where possible and assess immediate safety
- C. Question the patient repeatedly until the full story is clear
- D. Ask the carer to investigate how the injury occurred
Explanation
Possible abuse requires attention to immediate safety and a sensitive assessment in a setting that supports communication. The nurse should avoid leading or repeated questioning, document objective findings, and escalate the safeguarding concern according to local policy.
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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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