Safeguarding Adults Scenario Questions
NMC CBT safeguarding adults practice: types of abuse, raising a concern, not investigating, Making Safeguarding Personal, and worked answers.
Safeguarding adults is about protecting people who, because of their needs, may be less able to protect themselves from abuse or neglect. The CBT tests whether you can recognise abuse and, crucially, what you do and do not do about it.
Recognising abuse
Abuse takes many forms, and knowing the categories helps you spot it: physical, sexual, psychological, financial, and discriminatory abuse, neglect and acts of omission, organisational abuse, domestic abuse, modern slavery, and self-neglect. Questions often describe a situation, unexplained bruising, a relative taking someone’s money, a person left in soiled clothing, and ask you to name the abuse or decide what to do. Financial abuse and neglect come up frequently, and both are genuine safeguarding concerns, not private matters.
Raise, do not investigate
The most tested principle is what your role is. You recognise the concern and raise it promptly through the safeguarding process, and you help keep the person safe. What you do not do is investigate it yourself or confront the alleged abuser. Confrontation can put the person at greater risk, and investigation is the job of the appropriate agencies. You report suspicion; you do not wait for proof, because waiting leaves the person exposed.
Involve the person
Modern safeguarding is built around the person, an approach called Making Safeguarding Personal. You involve them, listen to what they want, and respect their wishes as far as possible. But their wish does not automatically end the duty. Where there is a risk of serious harm, where others are at risk, or where the person may lack capacity, a concern is still raised. Balancing respect for the person’s autonomy with the duty to protect is exactly the judgement these questions test.
The thread throughout: notice, report promptly, keep the person safe, involve them, and leave the investigating to those whose job it is. Next: safeguarding children. Five safeguarding adults scenarios first.
Sources & further reading
Frequently asked questions
What are the main types of adult abuse?
Should I investigate a safeguarding concern myself?
What if the adult does not want anything done?
Check your understanding
Quick quiz: Safeguarding Adults Scenario Questions
5questions. Click an answer to see the explanation. Your score is saved on this device only.
- 1
You notice unexplained bruising on an adult at risk and suspect abuse. What should you do?
- 2
An adult at risk discloses that a relative is taking their money without consent. Which type of abuse is this?
- 3
A capacitous adult at risk asks you not to take a safeguarding concern further. What is the right approach?
- 4
Whose role is it to investigate a safeguarding concern once you have raised it?
- 5
An older patient is being left in soiled clothing for long periods by their carer at home. What does this represent?
Keep reading
Safeguarding Children Scenario Questions
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