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

The Children Act 1989 established the paramountcy principle: the child's welfare is the paramount consideration.

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

Multiple signs including weight loss, untreated conditions, poor hygiene, and soiled clothing indicate failure to meet basic care needs.

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

The DSL provides expertise, coordination, liaison with external agencies, and guidance to staff on safeguarding matters.

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

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.

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

Section 5 created the offence of causing or allowing death (amended 2012 to include serious physical harm) of a child or vulnerable adult.

(NMC CBT) Nursing and Midwifery Council Computer-Based Test Practice Test

(NMC CBT) Nursing and Midwifery Council Computer-Based Test Practice Test

NMC CBT Safeguarding Vulnerable Adults and Children 2