NMC-CBT Safeguarding Vulnerable Adults and Children Flashcards
6 cards from real NMC CBT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 NMC-CBT Safeguarding Vulnerable Adults and Children flashcards as text
You are caring for an 85-year-old man who appears unkempt, has lost weight, and whose son, his primary carer, seems dismissive of your concerns. What type of abuse should you be most alert to?
Answer: Neglect
Poor personal hygiene, unexplained weight loss, and an unkempt appearance are classic signs of neglect. This occurs when a carer fails to provide the necessary care, food, or medical attention for a vulnerable person.
Which of the following is a core principle of the Mental Capacity Act (MCA) 2005?
Answer: A person must be assumed to have capacity unless it is established that they lack capacity.
The first principle of the MCA states that a person must be assumed to have capacity unless it is established that they lack it. The burden of proof is on the person assessing capacity to show that the individual lacks it, not the other way around.
A Deprivation of Liberty Safeguards (DoLS) authorisation is required in which of the following situations?
Answer: A patient with dementia who lacks capacity is continuously monitored and not allowed to leave the ward.
DoLS applies when a person who lacks the mental capacity to consent to their care arrangements is under continuous supervision and control and is not free to leave the care setting. This constitutes a deprivation of liberty which must be legally authorised to be lawful.
As a nurse, if you have a concern that a child may be at risk of harm or neglect, what is your immediate professional responsibility?
Answer: Document your concerns and discuss them with the designated safeguarding lead.
Your professional duty is to act on any safeguarding concerns. This involves following your local safeguarding policy, which typically requires you to discuss your concerns with and report them to the designated safeguarding lead or children's social care.
The term 'Gillick competence' refers to what concept in healthcare?
Answer: The ability of a child under 16 to consent to medical treatment if they have sufficient understanding.
Gillick competence is a legal principle that allows a child under 16 to consent to their own medical treatment, without parental consent, if they are deemed to have sufficient intelligence, maturity, and understanding to fully appreciate what is involved.
An adult patient discloses to you that they are being physically abused at home. What is your most appropriate immediate response?
Answer: Listen, reassure them, and explain what you will do next to help.
The immediate priority is to listen without judgment, reassure the person that they were right to tell someone, and ensure their immediate safety. You should not promise to keep it a secret, as you have a duty to report this through the correct safeguarding channels.