MA05_4300

A patient managing heart failure reports following medical advice but seems withdrawn and expresses little interest in daily activities. The care team notes all vitals are stable. What key wellness factor may be going unaddressed?

• Nutritional intake

• Medication adherence

• Sense of purpose and emotional engagement

• Frequency of checkups

A woman undergoing chemotherapy continues working full-time despite intense fatigue, fearing job loss. She is quiet during visits and avoids discussing side effects. Which patient-centered principle should prompt a change in the provider’s approach?

• Disease monitoring

• Creating space for emotional and socioeconomic concerns to emerge safely

• Referral to a specialist

• Documenting non-disclosure

A physician responds to a patient’s hesitancy about surgery by stating, “This is the best clinical option, and there’s no reason to delay.” The patient later cancels the appointment. What was missing from this interaction?

• Risk analysis

• Procedural consent

• Engagement with the patient’s fears, values, and understanding

• Use of plain language

A veteran with chronic pain is assigned a standard treatment plan but frequently misses appointments. When asked, he says the clinic reminds him of past trauma. What’s the most appropriate interpretation of his needs?

• He lacks motivation

• He requires pain psychology

• His wellness requires recognizing and adapting to trauma-informed care

• His behavior reflects non-compliance

A mother caring for a child with disabilities says, “I’m fine,” but avoids eye contact and quickly changes the subject. What should a patient-centered response prioritize?

• Assuming her needs are met

• Creating a safe, non-judgmental space to explore hidden distress

• Moving on to the child’s care plan

• Repeating medical questions

An elderly patient says she feels “well” because she gardens every day, despite a chronic illness. Her bloodwork shows abnormal results. How should the provider understand wellness in this context?

• As a measure of lab values

• As denial of health risks

• As her ability to maintain purpose and independence

• As non-compliance

A patient chooses a less effective treatment because it aligns with their spiritual beliefs. What is the most ethical and patient-centered response?

• Redirect them toward the more effective option

• Require additional consent

• Respect the choice and support the patient while ensuring understanding of all outcomes

• Discharge the patient to avoid liability

A clinic redesigns intake forms to include space for patients to share preferred names, pronouns, cultural affiliations, and caregiving roles. What does this change reflect?

• Data gathering

• Recognition that identity and context are essential to wellness and care

• Effort to reduce paperwork errors

• Policy compliance

A teenage patient with diabetes explains that managing their condition feels "like a full-time job" and that they're tired of being treated "like a checklist." What patient-centered practice is being challenged?

• Risk management

• Insulin administration timing

• Seeing the patient as a whole person with competing priorities

• Referral efficiency

After a hospital stay, a patient says they felt safe and respected even though they faced a long recovery. Which statement best explains this in terms of patient-centered care?

• The discharge plan was fast

• The diagnosis was accurate

• The patient experienced dignity, inclusion, and trust throughout care

• The treatment avoided readmission