In the UK, an adult patient with capacity says that their relative is taking their money but refuses consent for a safeguarding referral. There is no immediate risk of serious harm. What should the nurse do?
Correct answer: B. Respect the refusal, offer support, and document the concern
- A. Make the referral without discussing the patient’s wishes
- B. Respect the refusal, offer support, and document the concern
- C. Ask the relative to explain the financial transactions
- D. Discharge the patient to prevent further family conflict
Explanation
An adult with capacity is generally entitled to make an informed decision about sharing safeguarding information. The nurse should explore the concern, explain available support, respect the decision unless an overriding legal or public interest applies, and document the discussion.
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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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