PRN 1032 Client-Centered Care I: EXAM 1
FOUNDATIONS MASTERY | Patient-Centered Practice
Principles | 550+ Therapeutic Scenario Applications |
2026/2027 Edition
This exam consists of 40 questions based on the 2026/2027 PRN 1032 curriculum. It
tests your understanding of the core principles of client-centered care, including
communication, culture, advocacy, and basic nursing interventions. Select the nurse's
most appropriate, patient-centered action.
1. A newly admitted client looks down and answers only "yes" or "no" when the
nurse asks about hobbies.
A. Continue with the admission checklist and return later if time allows.
*B. Sit at eye level, use an open-ended question such as "What activities make
you feel most like yourself?" and wait quietly for a response.
C. Chart "client is non-verbal" and move to the next room.
D. Say, "Most people like music or TV—should I put that on your board?"
Rationale: 1) B demonstrates active listening and invites the client to define their
own identity, supporting therapeutic relationship-building. 2) A prioritizes task
completion over engagement. 3) C labels the client and abandons the interaction.
4) D assumes preferences without exploration.
2. During morning hygiene, the client says, "I hate how I look with this surgery scar."
A. Reassure quickly: "It will fade—mine did."
*B. Acknowledge feelings: "It sounds like the scar is affecting how you feel about
yourself. Would you like to talk about it or look at it together?"
C. Change the subject: "Let’s get you washed up so we can remove the dressing
sooner."
D. Offer general advice: "Everyone has scars—what matters is you're alive."
Rationale: 1) B validates emotions and offers collaborative support, respecting
psychosocial needs. 2) A deflects with personal anecdote. 3) C shifts to task. 4)
D minimizes the client’s unique experience.
3. The nurse notices the client’s spouse answering every question for the client.
A. Allow the spouse to continue to save time.
, *B. Gently redirect: "I’d like to hear from Mr. Lee himself to be sure I understand
his experience—Mr. Lee, how are you feeling today?"
C. Tell the spouse to wait outside during the interview.
D. Document "client appears tired; spouse reliable historian."
Rationale: 1) B upholds client autonomy and ensures accurate assessment. 2) A
sidelines the client. 3) C may alienate support person without negotiation. 4) D
makes an assumption without client input.
4. A client refuses the prescribed bedtime sedative, stating, "I don’t take pills at
home."
A. Explain that the doctor ordered it and chart "refused."
B. Insist the pill will help everyone get rest.
*C. Explore the concern: "Can you tell me more about your hesitation? We can
discuss other ways to promote sleep if you prefer."
D. Suggest half a pill without an order.
Rationale: 1) C invites shared decision-making and respects self-management
values. 2) A uses authority. 3) B appeals to staff convenience. 4) D alters dosage
without authorization.
5. While obtaining a health history, the client begins to cry when mentioning a
recent divorce.
A. Continue with the checklist to finish on time.
B. Say, "Don’t worry—many people go through this."
*C. Offer presence: "I can see this is painful. Would you like a moment, or should
we talk about how your divorce is affecting you right now?"
D. Hand over tissues and wait silently without eye contact.
Rationale: 1) C acknowledges emotion and offers control over pacing. 2) A
ignores distress. 3) B minimizes. 4) D is non-engaging.
6. The client, a retired teacher, asks detailed questions about electrolyte shifts
during diuretic therapy.
A. Provide the standard brochure and defer to the physician.
B. Say, "That’s pretty complex—just focus on taking the pill."
*C. Adjust teaching: "You seem to like in-depth information. Let me explain using
a whiteboard and then check your understanding."
D. Give a one-sentence answer and leave.
Rationale: 1) C individualizes education to learning style, respecting intellectual
identity. 2) A underutilizes nurse expertise. 3) B belittles curiosity. 4) D is
dismissive.
7. A client with mild cognitive impairment repeatedly asks, "When is lunch?"
A. Ignore repetition to avoid reinforcement.
B. Reply sharply, "I already told you—12 o’clock."
FOUNDATIONS MASTERY | Patient-Centered Practice
Principles | 550+ Therapeutic Scenario Applications |
2026/2027 Edition
This exam consists of 40 questions based on the 2026/2027 PRN 1032 curriculum. It
tests your understanding of the core principles of client-centered care, including
communication, culture, advocacy, and basic nursing interventions. Select the nurse's
most appropriate, patient-centered action.
1. A newly admitted client looks down and answers only "yes" or "no" when the
nurse asks about hobbies.
A. Continue with the admission checklist and return later if time allows.
*B. Sit at eye level, use an open-ended question such as "What activities make
you feel most like yourself?" and wait quietly for a response.
C. Chart "client is non-verbal" and move to the next room.
D. Say, "Most people like music or TV—should I put that on your board?"
Rationale: 1) B demonstrates active listening and invites the client to define their
own identity, supporting therapeutic relationship-building. 2) A prioritizes task
completion over engagement. 3) C labels the client and abandons the interaction.
4) D assumes preferences without exploration.
2. During morning hygiene, the client says, "I hate how I look with this surgery scar."
A. Reassure quickly: "It will fade—mine did."
*B. Acknowledge feelings: "It sounds like the scar is affecting how you feel about
yourself. Would you like to talk about it or look at it together?"
C. Change the subject: "Let’s get you washed up so we can remove the dressing
sooner."
D. Offer general advice: "Everyone has scars—what matters is you're alive."
Rationale: 1) B validates emotions and offers collaborative support, respecting
psychosocial needs. 2) A deflects with personal anecdote. 3) C shifts to task. 4)
D minimizes the client’s unique experience.
3. The nurse notices the client’s spouse answering every question for the client.
A. Allow the spouse to continue to save time.
, *B. Gently redirect: "I’d like to hear from Mr. Lee himself to be sure I understand
his experience—Mr. Lee, how are you feeling today?"
C. Tell the spouse to wait outside during the interview.
D. Document "client appears tired; spouse reliable historian."
Rationale: 1) B upholds client autonomy and ensures accurate assessment. 2) A
sidelines the client. 3) C may alienate support person without negotiation. 4) D
makes an assumption without client input.
4. A client refuses the prescribed bedtime sedative, stating, "I don’t take pills at
home."
A. Explain that the doctor ordered it and chart "refused."
B. Insist the pill will help everyone get rest.
*C. Explore the concern: "Can you tell me more about your hesitation? We can
discuss other ways to promote sleep if you prefer."
D. Suggest half a pill without an order.
Rationale: 1) C invites shared decision-making and respects self-management
values. 2) A uses authority. 3) B appeals to staff convenience. 4) D alters dosage
without authorization.
5. While obtaining a health history, the client begins to cry when mentioning a
recent divorce.
A. Continue with the checklist to finish on time.
B. Say, "Don’t worry—many people go through this."
*C. Offer presence: "I can see this is painful. Would you like a moment, or should
we talk about how your divorce is affecting you right now?"
D. Hand over tissues and wait silently without eye contact.
Rationale: 1) C acknowledges emotion and offers control over pacing. 2) A
ignores distress. 3) B minimizes. 4) D is non-engaging.
6. The client, a retired teacher, asks detailed questions about electrolyte shifts
during diuretic therapy.
A. Provide the standard brochure and defer to the physician.
B. Say, "That’s pretty complex—just focus on taking the pill."
*C. Adjust teaching: "You seem to like in-depth information. Let me explain using
a whiteboard and then check your understanding."
D. Give a one-sentence answer and leave.
Rationale: 1) C individualizes education to learning style, respecting intellectual
identity. 2) A underutilizes nurse expertise. 3) B belittles curiosity. 4) D is
dismissive.
7. A client with mild cognitive impairment repeatedly asks, "When is lunch?"
A. Ignore repetition to avoid reinforcement.
B. Reply sharply, "I already told you—12 o’clock."
