NMC Safeguarding Vulnerable People 2 — Questions and Answers
Question 1: Which type of abuse involves controlling a person's access to financial resources?
- Emotional abuse
- Physical abuse
- Financial abuse (Correct answer)
- Neglect
Correct answer: Financial abuse
Financial abuse includes theft, fraud, and controlling or withholding access to a person's money or property.
Question 2: A nurse notices a patient has unexplained bruising in various stages of healing. What is the FIRST action?
- Confront the patient's family member
- Wait to see if more bruising appears
- Document findings and refer to the safeguarding lead (Correct answer)
- Contact the police immediately
Correct answer: Document findings and refer to the safeguarding lead
The first step is to document objective findings and refer to the designated safeguarding lead for further assessment.
Question 3: Which of the following is an example of institutional abuse?
- A nurse forgetting to document care
- A family member occasionally raising their voice
- A resident refusing to eat
- A care home routinely denying residents the right to make choices (Correct answer)
Correct answer: A care home routinely denying residents the right to make choices
Institutional abuse involves systematic poor practice or neglect of individuals within an organization, such as stripping residents of autonomy.
Question 4: Under UK law, healthcare professionals have a mandatory duty to report FGM performed on girls of what age?
- Under 18 years (Correct answer)
- Under 16 years
- Under 21 years
- Any age, regardless of the woman's wishes
Correct answer: Under 18 years
The FGM Act 2003 (amended 2015) created a mandatory reporting duty for regulated professionals who identify FGM in girls under 18.
Question 5: Which behavior is a potential indicator of sexual abuse in an adult patient?
- Requesting a female nurse for personal care
- Suddenly becoming withdrawn and reluctant to be physically examined (Correct answer)
- Asking detailed questions about their medication
- Expressing concern about their diagnosis
Correct answer: Suddenly becoming withdrawn and reluctant to be physically examined
Sudden withdrawal, reluctance to undress, or fear of physical contact can be indicators of sexual abuse and should prompt safeguarding consideration.
Question 6: Coercive control within a relationship is legally classified as which type of abuse?
- Physical abuse
- Sexual abuse
- Financial abuse
- Domestic abuse (Correct answer)
Correct answer: Domestic abuse
The Serious Crime Act 2015 made coercive and controlling behavior in intimate or family relationships a specific criminal offence under domestic abuse law.
Question 7: A patient discloses they are being harmed at home. Which is the most appropriate nursing response?
- Immediately call the police without informing the patient
- Listen, reassure, and follow the organization's safeguarding procedures (Correct answer)
- Promise complete confidentiality before the patient gives further details
- Advise the patient to report directly to social services themselves
Correct answer: Listen, reassure, and follow the organization's safeguarding procedures
The nurse should listen without judgment, reassure the patient they did the right thing, and follow local safeguarding referral procedures.
NMC Safeguarding Vulnerable People 2
Which type of abuse involves controlling a person's access to financial resources?