NMC OSCE Safeguarding Adults & Children

Question 1

Under the Care Act 2014, which of the following is NOT one of the six principles of adult safeguarding?

Accepted Answer

Prosecution

Answer

The six principles of adult safeguarding under the Care Act 2014 are: Empowerment, Prevention, Proportionality, Protection, Partnership, and Accountability. 'Prosecution' is not one of the principles — it is a potential outcome, not a principle of safeguarding.

Question 2

A patient discloses that their family member has been physically abusing them at home. What is the nurse's immediate safeguarding obligation?

Accepted Answer

Report to the local authority's adult safeguarding team and document accurately

Answer

When a safeguarding concern is disclosed, the nurse must report it to the appropriate safeguarding authority (local authority adult safeguarding team) and document the disclosure accurately in the patient's own words. Confidentiality can be overridden when there is a risk of serious harm.

Question 3

Which piece of legislation provides the legal framework for safeguarding adults in England?

Accepted Answer

Care Act 2014

Answer

The Care Act 2014 introduced statutory adult safeguarding duties in England, placing obligations on local authorities, NHS, and other organisations. It defines who is an adult at risk and outlines the Section 42 safeguarding enquiry process.

Question 4

What is a Safeguarding Adults Review (SAR)?

Accepted Answer

A review conducted when a vulnerable adult dies or suffers serious harm linked to abuse

Answer

A Safeguarding Adults Review is conducted by a Safeguarding Adults Board when an adult with care and support needs dies or suffers serious abuse or neglect, and there is concern that agencies could have worked together more effectively to prevent this.

Question 5

A nurse suspects a child is being abused but has no definitive proof. What should they do?

Accepted Answer

Share concerns with the designated safeguarding lead and make a referral to children's services

Answer

Safeguarding children requires acting on reasonable suspicion — proof is not required. The nurse should share concerns with the designated safeguarding lead and make a referral to children's social care if appropriate. Delay can put children at further risk.

NMC OSCE Practice Test

NMC OSCE Practice Test

NMC OSCE Safeguarding Adults & Children