Person-Centred Care Planning Flashcards
7 cards from real NMC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Person-Centred Care Planning flashcards as text
Under the Mental Capacity Act 2005, which principle states that a patient must not be treated as lacking capacity unless all practicable steps to help them decide have been taken?
Answer: The supported decision-making principle
Principle 2 of the MCA requires that all practicable support must be provided before concluding a person lacks decision-making capacity.
An advance care plan (ACP) specifies that a patient does not want resuscitation. What is the nurse's legal and ethical obligation?
Answer: Respect and follow the legally valid ACP while communicating it clearly to the team
A valid advance care plan is legally binding and must be respected; nurses must ensure the entire team is aware of it.
Which ethical principle is most directly upheld when a nurse ensures a patient has all the information needed to make a decision about their care?
Answer: Autonomy
Providing full information to enable informed decision-making directly upholds the principle of patient autonomy.
A patient's religious beliefs conflict with a recommended medical treatment. How should a nurse handle this in the care plan?
Answer: Document the patient's religious preference and incorporate it into the care plan with alternative options
NMC standards require nurses to respect and document religious and cultural preferences as integral parts of person-centred care planning.
What is a Lasting Power of Attorney (LPA) for health and welfare, and why is it relevant to care planning?
Answer: A legal document authorising a named person to make health decisions if the patient loses capacity
An LPA for health and welfare legally empowers a named attorney to make healthcare decisions when the patient lacks capacity.
Which action by a nurse would constitute a violation of patient autonomy in the care planning process?
Answer: Making a care decision for a capacitated patient without their consent
Making unilateral decisions for a capacitated patient without their consent directly violates their right to autonomy.
When reviewing a care plan for a patient with dementia, the nurse should prioritise which source of information about the patient's preferences?
Answer: A combination of the patient's expressed wishes, advance statements, and information from those who know them well
For patients with dementia, preferences should be gathered from advance statements, current expressions, and input from those who know the patient well.