ATI LPN
NCLEX Questions Patient Centered Care Questions
Question 1 of 5
A nurse is caring for a client who has urinary leakage due to nerve damage following a spinal cord injury. The nurse should identify that the client is experiencing which of the following types of urinary incontinence?
Correct Answer: A
Rationale: Reflex incontinence occurs due to involuntary bladder contractions from nerve damage, such as after a spinal cord injury, causing the bladder to empty without the client's control. Stress incontinence (B) involves leakage from physical pressure, urge incontinence (C) involves a sudden need to urinate, and overflow incontinence (D) results from incomplete emptying, none of which align with nerve damage-related involuntary emptying.
Question 2 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 3 of 5
Which statement best describes the process of nursing case management?
Correct Answer: B
Rationale: Nursing case management is a collaborative process to assess, plan, and coordinate care for quality and cost-effective outcomes. Options A, C, and D are narrower and less comprehensive.
Question 4 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 5 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.