NMC CBT Safeguarding Vulnerable Adults and Children 2

Question 1

Under the Children Act 1989 and 2004, what is the overriding principle for decisions about a child's welfare?

Accepted Answer

The child's welfare is the paramount consideration

Answer

Parents' wishes are paramount

Answer

Financial cost of intervention comes first

Answer

Local authority resources determine intervention level

Question 2

A nurse suspects elderly patient neglect in a care home. Which signs most strongly indicate neglect?

Accepted Answer

Unexplained weight loss, untreated pressure ulcers, poor hygiene, soiled clothing

Answer

Asking for more food at mealtimes

Answer

Preferring to spend time alone

Answer

Mild confusion consistent with age

Question 3

What is the role of a Designated Safeguarding Lead (DSL) in an NHS organisation?

Accepted Answer

Provide expert advice, ensure policies are followed, act as point of contact, and liaise with external agencies

Answer

Investigate all concerns independently

Answer

Decide whether to report to police

Answer

Manage all safeguarding training

Question 4

A child presents with injuries inconsistent with the explanation given. Which injuries raise the highest suspicion of non-accidental injury?

Accepted Answer

Multiple bruises of different ages on a non-mobile infant, particularly on non-bony prominences

Answer

A shin bruise on a walking toddler

Answer

A playground graze on the knee

Answer

A forehead bruise on a 4-year-old who fell off a bicycle

Question 5

Under the Domestic Violence, Crime and Victims Act 2004, what offence was created?

Accepted Answer

Causing or allowing the death of a child or vulnerable adult

Answer

Failing to report domestic violence to police

Answer

Financial exploitation of a vulnerable person

Answer

Verbal abuse towards a vulnerable person

Question 6

A 14-year-old discloses a sexual relationship with a 25-year-old. What is the nurse's obligation?

Accepted Answer

Recognise this as child sexual abuse, make an immediate safeguarding referral, and inform the DSL

Answer

Respect confidentiality and take no action

Answer

Advise ending the relationship and provide contraception

Answer

Contact parents before taking other action