Providing and directing nursing care that enhances the care delivery setting. Delegation, prioritization, ethics, advance directives, advocacy, case management, and legal responsibilities.
Focus areas for Management of Care paraphrased from the 2026 NCSBN Detailed Test Plan for NCLEX-RN. Verify against the current ncsbn.org Test Plan before your exam.
Delegation and assignment to appropriate personnel
Prioritization using Maslow, ABC, and acuity frameworks
Advance directives and informed consent
Ethical practice and patient advocacy
Case management and continuity of care
Legal rights and responsibilities
Confidentiality and information security (HIPAA)
Quality improvement and resource management
Upload your Saunders chapters, Mark Klimek lectures, or UWorld session notes. exclam.ai extracts the Management of Care content and generates flashcards automatically.
Use the 6-step Clinical Judgment Measurement Model to decide what to drill in your Qbank, then upload rationales and notes for follow-up flashcards.
Because Management of Care is 15–21% of the exam, use this page to decide how much coverage and review time it deserves in your weekly plan.
NCLEX-RN has 8 Client Needs sub-categories. Management of Care is weighted at 15–21% — here is where it sits relative to the others.
| Sub-category | Parent category | Weight |
|---|---|---|
| → Management of Care | Safe and Effective Care Environment | 15–21% |
| Safety and Infection Prevention and Control | Safe and Effective Care Environment | 10–16% |
| Health Promotion and Maintenance | Health Promotion and Maintenance | 6–12% |
| Psychosocial Integrity | Psychosocial Integrity | 6–12% |
| Basic Care and Comfort | Physiological Integrity | 6–12% |
| Pharmacological and Parenteral Therapies | Physiological Integrity | 13–19% |
| Reduction of Risk Potential | Physiological Integrity | 9–15% |
| Physiological Adaptation | Physiological Integrity | 11–17% |
Safe and Effective Care Environment
Protecting clients and healthcare personnel from health and environmental hazards. Standard precautions, medical asepsis, handling of hazardous materials, ergonomics, and emergency response.
Health Promotion and Maintenance
Providing and directing nursing care that incorporates growth and development principles through screening, education, and lifestyle choices.
Psychosocial Integrity
Promoting and supporting emotional, mental, and social well-being. Coping mechanisms, mental health concepts, crisis intervention, and therapeutic communication.
Physiological Integrity
Providing comfort and assistance in the performance of activities of daily living. Nutrition, elimination, mobility, hygiene, rest, and non-pharmacological comfort measures.
Physiological Integrity
Providing care related to administration of medications and parenteral therapies. The largest single Client Needs sub-category on NCLEX-RN.
Physiological Integrity
Reducing the likelihood that clients will develop complications or health problems related to existing conditions, treatments, or procedures.
Physiological Integrity
Managing and providing care for clients with acute, chronic, or life-threatening physical health conditions. Pathophysiology, complications, and medical emergencies.
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