In the UK, an adult who lacks capacity has unexplained bruising and may be experiencing physical abuse in a care home. What should the nurse do first?
Correct answer: B. Make a safeguarding referral through the local procedure
- A. Accept the care home's explanation without further action
- B. Make a safeguarding referral through the local procedure
- C. Wait for the adult to regain capacity before acting
- D. Ask the suspected perpetrator to investigate the bruising
Explanation
A safeguarding concern involving an adult at risk should be reported through the local safeguarding procedure, even when the person cannot consent. The Mental Capacity Act supports protective action in the person's best interests, and the suspected perpetrator must not lead the investigation.
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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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