NMC - Nursing Midwifery Council Person-Centred Care Planning Questions and Answers

Question 1

A patient with newly diagnosed heart failure is overwhelmed by the amount of information given.
To apply a person-centred approach to their care planning, what is the nurse's most appropriate initial action?

Accepted Answer

Ask the patient, 'Of all the things we've discussed, what feels most important to you right now?' and start planning from there.

Answer

Provide a comprehensive set of leaflets and schedule a follow-up appointment for one week later.

Answer

Focus on the most critical medical instructions, such as medication adherence, to ensure immediate safety.

Answer

Develop a detailed daily care plan for the patient to follow strictly to avoid confusion.

Question 2

Which of the following statements best describes the nature of a person-centred care plan according to NMC principles?

Accepted Answer

It is a 'living document' that is regularly reviewed and updated in partnership with the individual.

Answer

It is a static document created on admission to guide all clinical tasks.

Answer

It is a medical record primarily focused on the diagnosis and treatment pathway.

Answer

It is a formal agreement designed by the multidisciplinary team for the patient to consent to.

Question 3

A nurse is planning care for a patient who has been assessed as lacking the mental capacity to make decisions about their treatment. To adhere to person-centred principles and the Mental Capacity Act 2005, the nurse must:

Accepted Answer

Act in the patient's 'best interests', considering their previously expressed wishes and involving those close to them.

Answer

Follow the standard treatment protocol for the patient's condition without further consultation.

Answer

Make a decision based solely on what the patient's family thinks is best.

Answer

Wait for the patient to regain capacity before creating any care plan.

Question 4

A nurse is caring for an older adult who repeatedly states, 'I just want to be able to tend to my garden again.' In the context of person-centred care planning, how should the nurse primarily interpret this statement?

Accepted Answer

As a key personal goal that should inform the objectives of the care plan, such as improving mobility and managing fatigue.

Answer

As a personal hobby that is secondary to their clinical needs.

Answer

As an unrealistic goal that should be gently discouraged.

Answer

As a sign that the patient needs a referral to a social prescribing service.

Question 5

To facilitate effective person-centred care planning with a patient who is deaf and communicates using British Sign Language (BSL), what is the most appropriate action for a nurse to take?

Accepted Answer

Arrange for a qualified and impartial BSL interpreter to be present.

Answer

Use written notes to communicate complex information.

Answer

Ask a family member who can sign to interpret the discussion.

Answer

Speak slowly and clearly so the patient can lip-read.

Question 6

Which of the following is a core principle of 'shared decision-making' within person-centred care, as promoted by the NMC?

Accepted Answer

The nurse and patient work together, sharing information and expertise to jointly agree on a plan of care.

Answer

The nurse presents the single best treatment option and persuades the patient to agree.

Answer

The patient makes the final decision, and the nurse's role is solely to implement it.

Answer

The multidisciplinary team decides on the best course of action and then informs the patient.