In the UK, a patient with capacity says they have witnessed another resident being beaten in a care home. They ask the nurse to keep it secret. What should the nurse do?
Correct answer: B. Explain confidentiality limits and report the concern through safeguarding procedures
- A. Promise confidentiality and take no further action
- B. Explain confidentiality limits and report the concern through safeguarding procedures
- C. Ask the patient to confront the suspected person directly
- D. Wait for the other resident to make a complaint themselves
Explanation
The nurse should explain that information may need to be shared to protect someone from abuse, then report the concern through the safeguarding process. The Care Act principles and the NMC Code require concerns about abuse to be acted on, while sharing should remain relevant and proportionate.
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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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