All are the modes of organizing patient care delivery system EXCEPT?

Appeared in: NIA - 29 January 2023

Explanation

Quality control is a component of management that focuses on monitoring, evaluating, and improving the quality of services provided.
It is not a system for organizing how nurses are assigned to patients or how care tasks are distributed.
While care delivery models are frameworks for providing care, quality control is the process of assessing that care against established benchmarks and standards.
Therefore, it is the exception in a list of patient care delivery models.

Option A: This is a valid patient care delivery model. In the case method, one nurse is responsible for the total care of a patient for a specific shift.
Option B: This is a valid patient care delivery model. Functional nursing is a task-oriented approach where specific tasks are assigned to different staff members.
Option C: This is a valid patient care delivery model. In team nursing, a registered nurse leads a team of healthcare professionals to provide care for a group of patients.

Clinical Relevance

Nursing practice connection: Use the key finding related to Modes of Patient Care Delivery Systems to guide bedside assessment, documentation, and the next nursing action.
Understanding different care delivery models is crucial for nurses as it determines their roles, responsibilities, and daily workflow in a hospital or clinic.
The model used by a facility directly impacts patient outcomes, continuity of care, and nurse satisfaction.
A nurse working in a functional nursing system might focus on medication administration for an entire ward, while a nurse in a case method system would handle all aspects of care for just a few patients.

How to Approach the Question

First, identify the negative keyword "EXCEPT". This signals that three of the options belong to a specific category, and you must find the one that does not.
Next, determine the category from the question stem: "modes of organizing patient care delivery system".
Evaluate each option against this category. Ask yourself, "Is this a method for organizing how nurses deliver care?"
Case method, functional nursing, and team nursing are all recognized systems for organizing nursing work.
Quality control is a management process for evaluating outcomes, not a system for organizing the delivery of care. It is the outlier.
Therefore, Quality control is the correct answer because it is the exception.

Concept Tested & Keywords

Concept Tested: Modes of Patient Care Delivery Systems
Stem keywords: modes, organizing, patient care delivery system
Lead-in keywords: EXCEPT
Negative lead-in flag: The question asks for the option that is NOT a mode of patient care delivery.

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E6 Textbook of Nursing Management and Leadership I. Clemen — Subpart B (pp 328-654 of 982) p. 19-21

E6 Nursing_Management_and_leadership_Johny_Kutty_JosephCbs_Publishers (pp 16-364 of 374) p. 79-81

E6 Textbook of Nursing Management and Leadership I. Clemen — Subpart A (pp 26-327 of 982) p. 256-258

Practise the full NIA - 29 January 2023

Attempt every question from this paper in a timed mock, then review the full solution for each one.