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 Safeguarding Vulnerable Adults and Children flashcards as text
Under the Children Act 1989 and 2004, what is the overriding principle for decisions about a child's welfare?
Answer: The child's welfare is the paramount consideration
The Children Act 1989 established the paramountcy principle: the child's welfare is the paramount consideration.
A nurse suspects elderly patient neglect in a care home. Which signs most strongly indicate neglect?
Answer: Unexplained weight loss, untreated pressure ulcers, poor hygiene, soiled clothing
Multiple signs including weight loss, untreated conditions, poor hygiene, and soiled clothing indicate failure to meet basic care needs.
What is the role of a Designated Safeguarding Lead (DSL) in an NHS organisation?
Answer: Provide expert advice, ensure policies are followed, act as point of contact, and liaise with external agencies
The DSL provides expertise, coordination, liaison with external agencies, and guidance to staff on safeguarding matters.
A child presents with injuries inconsistent with the explanation given. Which injuries raise the highest suspicion of non-accidental injury?
Answer: Multiple bruises of different ages on a non-mobile infant, particularly on non-bony prominences
Bruises on a non-mobile infant are highly suspicious. 'Those who don't cruise rarely bruise.' Non-bony prominences (ears, neck, buttocks, trunk) are particularly concerning.
Under the Domestic Violence, Crime and Victims Act 2004, what offence was created?
Answer: Causing or allowing the death of a child or vulnerable adult
Section 5 created the offence of causing or allowing death (amended 2012 to include serious physical harm) of a child or vulnerable adult.
A 14-year-old discloses a sexual relationship with a 25-year-old. What is the nurse's obligation?
Answer: Recognise this as child sexual abuse, make an immediate safeguarding referral, and inform the DSL
Sexual activity with a child under 16 is a criminal offence. The age difference raises exploitation concerns. Make an immediate safeguarding referral.