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Financial abuse safeguarding — DGM MCQ

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ModerateEthics and lawFinancial abuse safeguardingDGM

An 84-year-old woman with capacity says her son controls her pension and prevents carers entering the house. She appears malnourished but asks the GP not to confront him because she fears losing contact with grandchildren. What is the most appropriate referral?

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

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Correct answer: C — Adult safeguarding referral with the patient's involvement where possible

Financial abuse and coercive control concerns require safeguarding action, ideally with the capacitous adult's involvement and attention to immediate risk. Doing nothing because disclosure is difficult may leave serious harm unaddressed. Making Safeguarding Personal emphasises outcomes that matter to the adult while managing risk.

Reference: Care Act 2014 statutory guidance; NICE NG189