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Safeguarding domestic abuse — DGM MCQ

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ModerateEthics and lawSafeguarding domestic abuseDGM

A 78-year-old woman attends with recurrent bruises and seems nervous when her husband answers for her. She is cognitively intact and asks to speak privately when he leaves. There are no fractures. Current medicines include no regular medicines. What is the most appropriate assessment?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Private enquiry about safety and safeguarding needs

Bruising with controlling behaviour warrants private enquiry about abuse and safety, respecting the patient's wishes and risk. Questioning through the possible perpetrator, ignoring concern, writing to him and focusing solely on osteoporosis are unsafe. Safeguarding practice includes creating a safe opportunity to disclose.

Reference: NICE NG189; domestic abuse guidance