NMC Person-Centred Care Planning 3 — Questions and Answers
Question 1: Shared decision-making in person-centred care planning requires the nurse to do which of the following?
- Present one recommended option to avoid confusing the patient
- Provide balanced information about all relevant options and support the patient to choose (Correct answer)
- Make the decision on the patient's behalf to save time
- Follow only the physician's recommendation without discussion
Correct answer: Provide balanced information about all relevant options and support the patient to choose
Shared decision-making requires nurses to present all relevant options with balanced information so patients can make informed choices.
Question 2: A patient from a collectivist cultural background wants family members to make care decisions. How should the nurse respond?
- Insist the patient alone must make all decisions
- Respect this preference while ensuring the patient's personal wishes are still explored privately (Correct answer)
- Exclude the family from all discussions
- Transfer care to a culturally matched nurse only
Correct answer: Respect this preference while ensuring the patient's personal wishes are still explored privately
Culturally sensitive person-centred care respects family involvement while still safeguarding the individual patient's autonomy.
Question 3: What is the primary purpose of using 'what matters to me' conversations in person-centred care planning?
- To fulfil a mandatory documentation requirement
- To uncover the patient's values, priorities, and goals that should guide their care (Correct answer)
- To assess the patient's understanding of their diagnosis
- To identify the most cost-effective treatment option
Correct answer: To uncover the patient's values, priorities, and goals that should guide their care
'What matters to me' conversations identify the patient's personal values and goals to ensure care is truly individualised.
Question 4: A patient with limited English proficiency needs to discuss their care plan. What is the NMC-recommended approach?
- Use a family member as interpreter for efficiency
- Arrange a professional qualified interpreter (Correct answer)
- Proceed with simplified English and hand gestures
- Postpone the discussion until the patient learns English
Correct answer: Arrange a professional qualified interpreter
NMC standards require professional interpreters to ensure accurate communication and preserve patient confidentiality.
Question 5: How does motivational interviewing support person-centred care planning?
- It directs patients toward the clinically preferred behaviour change
- It helps patients explore their own ambivalence and motivation for change (Correct answer)
- It provides a standardised script for lifestyle education
- It documents patient non-compliance for legal purposes
Correct answer: It helps patients explore their own ambivalence and motivation for change
Motivational interviewing is a collaborative, person-centred communication technique that helps patients identify their own motivation for change.
Question 6: A nurse notices a patient's care plan goals have not changed in two weeks despite the patient expressing new concerns. What is the most appropriate action?
- Leave the plan unchanged until the next scheduled review
- Revise the care plan immediately to reflect the patient's current concerns (Correct answer)
- Inform the patient that goals cannot change mid-admission
- Escalate to the ward manager before making any updates
Correct answer: Revise the care plan immediately to reflect the patient's current concerns
Care plans must be responsive and updated whenever the patient's needs, concerns, or priorities change.
Question 7: Which of the following best describes the concept of 'co-production' in person-centred care planning?
- Patients paying for their care services
- Patients and healthcare professionals collaboratively designing and delivering care (Correct answer)
- Producing multiple copies of care documentation
- Coordinating care between two hospitals
Correct answer: Patients and healthcare professionals collaboratively designing and delivering care
Co-production means patients are equal partners with clinicians in designing and delivering their own care plans.
NMC Person-Centred Care Planning 3
Shared decision-making in person-centred care planning requires the nurse to do which of the following?