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Part B6 of 8 Improving Safety and Quality of Care Chapter 63 of 75

Safeguarding Adults Scenario Questions

NMC CBT safeguarding adults practice: types of abuse, raising a concern, not investigating, Making Safeguarding Personal, and worked answers.

JobLabs Editorial
By JobLabs Editorial · UK healthcare reference editorial team
· · Updated · 2 min read

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

  1. 1GOV.UK — Care Act 2014: safeguardinggov.uk
  2. 2SCIE — Adult safeguardingscie.org.uk
  3. 3NMC — The Codenmc.org.uk
Key takeaway from Safeguarding Adults Scenario Questions

Frequently asked questions

What are the main types of adult abuse?
They include physical, sexual, psychological, financial, and discriminatory abuse, neglect and acts of omission, organisational abuse, domestic abuse, modern slavery, and self-neglect. Recognising these categories helps you spot when an adult at risk may be being harmed.
Should I investigate a safeguarding concern myself?
No. Your role is to recognise and raise the concern promptly through the safeguarding process, and to keep the person safe. Investigation is carried out by the appropriate agencies. Trying to investigate, or confronting an alleged abuser yourself, can put the person at more risk.
What if the adult does not want anything done?
You involve them and respect their wishes as far as possible, which is Making Safeguarding Personal. But you still raise a concern where there is a risk of serious harm or others are at risk, especially if the person may lack capacity. Their wish does not automatically end the duty.

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. 1

    You notice unexplained bruising on an adult at risk and suspect abuse. What should you do?

  2. 2

    An adult at risk discloses that a relative is taking their money without consent. Which type of abuse is this?

  3. 3

    A capacitous adult at risk asks you not to take a safeguarding concern further. What is the right approach?

  4. 4

    Whose role is it to investigate a safeguarding concern once you have raised it?

  5. 5

    An older patient is being left in soiled clothing for long periods by their carer at home. What does this represent?

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