NHM MP Staff Nurse-2022
Nursing Foundation
Easy

A Same Nurse providing comprehensive individualized care throughout the tenure of patient stay refers to:

Appeared in: NHM MP Staff Nurse-2022

Explanation

  • Primary nursing is a care delivery model where a single Registered Nurse (RN) assumes 24-hour responsibility for a patient's care.
  • This responsibility extends from the patient's admission to their discharge, ensuring a high degree of continuity and individualized attention.
  • The primary nurse develops the plan of care, which is then followed by associate nurses when the primary nurse is off-duty.
  • This model's core principle is the establishment of a therapeutic relationship and single-point accountability for the patient's entire hospital stay.

Why Other Options Were Wrong

  • Option B: Team nursing involves a group of nursing staff, led by an RN, who collaboratively care for a group of patients. This contradicts the question's focus on a 'same nurse' providing care throughout the stay.
  • Option C: Home Health Care describes the setting where care is provided (i.e., the patient's residence), not a specific model for organizing nursing responsibilities and assignments.
  • Option D: Critical Care Nursing is a clinical specialty focused on caring for patients with acute, life-threatening illnesses or injuries. It is not a care delivery model but an area of practice.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: Use the key finding related to Nursing Care Delivery Models to guide bedside assessment, documentation, and the next nursing action.
  • Understanding different care delivery models is crucial for nurses to know their roles, responsibilities, and lines of communication within a healthcare team.
  • Primary nursing is known to increase patient satisfaction due to the strong continuity of care and the development of a therapeutic nurse-patient relationship.
  • While effective, the primary nursing model can be costly due to its requirement for a higher proportion of RNs, making it less common in some settings compared to team or patient-centered models.
How to Approach the Question
  • First, break down the question to identify the core concepts. The key phrases are 'same nurse,' 'comprehensive individualized care,' and 'throughout the tenure of patient stay.'
  • These phrases together emphasize continuity, singular responsibility, and a long-term assignment covering the entire hospitalization.
  • Next, evaluate each option against these criteria.
  • Primary Nursing is defined as one nurse being responsible for a patient from admission to discharge, which perfectly matches the question.
  • Team Nursing involves a group, which contradicts 'same nurse.'
  • Home Health Care is a setting, not a model of assignment. Critical Care Nursing is a specialty, not a model.
Concept Tested & Keywords
  • Concept Tested: Nursing Care Delivery Models
  • Stem keywords: Same Nurse, comprehensive individualized care, tenure of patient stay
  • Lead-in keywords: refers to

Question ID

Ql1RqpBrrtKFaGW1XfWJyh

Reference Book

E6 Nursing_Management_and_leadership_Johny_Kutty_JosephCbs_Publishers (pp 16-364 of 374) p. 80-82

E6 Nursing Fundamentals Potter Perry 12e Part 2 p. 69-71

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