ATI LPN
NCLEX Questions Patient Centered Care Questions
Question 1 of 5
A client is scheduled for a mastectomy. As she is about to receive the preoperative medication, she tells the nurse that she does not want to have her breast removed but wants a lumpectomy. Which response indicates that the nurse is acting as a client advocate?
Correct Answer: B
Rationale: Calling the surgeon to explain options supports the client’s right to be informed and change her treatment plan, exemplifying advocacy. Reassurance (A), prayer (C), or a survivor visit (D) do not address her expressed desire for a different procedure.
Question 2 of 5
A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best demonstrates this concept?
Correct Answer: A
Rationale: Assessing cultural influences demonstrates client-focused care by addressing communication, culture, respect, compassion, education, and empowerment. Meeting basic needs (B), informing about tests (C), and orienting to the room (D) are important but less directly tied to the broad scope of client-centered care.
Question 3 of 5
A student nurse asks the faculty to explain best practices when communicating with a person from the lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) community. What answer by the faculty is most accurate?
Correct Answer: B
Rationale: Not making assumptions avoids bias and respects individual needs, critical given potential discrimination faced by LGBTQ individuals. Avoiding questions (A) may miss key information, assuming reluctance (C) stereotypes, and denying differences (D) ignores unique needs.
Question 4 of 5
A nurse manager wishes to ensure that the nurses on the unit are practicing at their highest levels of competency. Which areas should the manager assess to determine if the nursing staff demonstrate competency according to the Institute of Medicine (IOM) report Health Professions Education: A Bridge to Quality? ((Select ONE that does not apply.)
Correct Answer: C
Rationale: The IOM report highlights collaboration (A), evidence-based practice (B), informatics (D), and quality improvement (E) as core competencies. Family-focused care (C) is not specifically listed.
Question 5 of 5
The clinic nurse understands that problem solving is best defined as:
Correct Answer: C
Rationale: Problem solving (C) bridges the gap between current and desired states, unlike A (thinking process), B (decision-making), or D (creativity focus).