Which of the following best represents patient-centered care in the scenario?

• A. Group decisions exclude client input
• B. Collaborative planning with client and family
• C. Decisions made solely by the nurse
• D. Relying on standard protocol without discussion

Answer: (B)

Patient-centered care means actively involving the patient in decisions about their health care, taking into account their values, preferences, cultural background, and social context. Collaborative planning with the client and family demonstrates shared decision making, where the patient leads or approves the plan and the team supports it with information and options. This approach respects autonomy, builds trust, improves adherence, and usually leads to care that fits the individual's life and goals. It also helps address barriers such as family dynamics or support needs.

Excluding client input dismisses the patient’s right to participate and can result in care that doesn’t align with what matters to them. Decisions made solely by the nurse remove the patient’s voice from planning, and relying on standard protocol without discussion can be too rigid, overlooking unique needs or values. Together, collaborating with the patient and family best reflects patient-centered care.