NMC OSCE Safeguarding Adults & Children 2

Question 1

In England, which organisation is responsible for conducting Section 42 safeguarding enquiries for adults?

Accepted Answer

The local authority

Answer

Under the Care Act 2014, the local authority (usually via its adult social services) is responsible for conducting or ensuring Section 42 enquiries when there is a reasonable cause to suspect an adult with care and support needs is experiencing or at risk of abuse or neglect.

Question 2

A nurse is concerned that an elderly patient's pressure ulcer may have developed due to neglect in their care home. Which category of abuse does this represent?

Accepted Answer

Neglect and acts of omission

Answer

Neglect and acts of omission include failing to provide adequate care, food, warmth, hygiene, or medical treatment. Preventable pressure ulcers developing due to failure of care homes to implement appropriate repositioning and skin care regimes constitute neglect.

Question 3

What is 'coercive control' in the context of domestic abuse?

Accepted Answer

A pattern of behaviour that seeks to control, isolate, and intimidate a victim

Answer

Coercive control involves a pattern of acts including isolation, degradation, monitoring, threats, and economic control that creates a climate of fear and dependence. It became a criminal offence in England and Wales under the Serious Crime Act 2015.

Question 4

A patient in A&E repeatedly presents with unexplained injuries. The patient denies abuse. What should the nurse do?

Accepted Answer

Document objectively and refer to the safeguarding team if there is reasonable cause for concern

Answer

Repeated unexplained injuries are a red flag for domestic abuse. The nurse should document objectively (using the patient's own words and factual descriptions), ensure the patient has a safe opportunity to speak privately, and refer to safeguarding if there is reasonable concern.

Question 5

Under the Mental Capacity Act 2005, when does an adult lack mental capacity?

Accepted Answer

When they are unable to make a specific decision at a specific time due to an impairment of the mind or brain

Answer

Under the MCA 2005, lack of capacity is decision-specific and time-specific. An adult lacks capacity for a particular decision if, due to an impairment of the mind or brain, they cannot understand, retain, weigh, or communicate information relevant to that decision.

NMC OSCE Practice Test

NMC OSCE Practice Test

NMC OSCE Safeguarding Adults & Children 2