AIIMS Nagpur NO- 2020
Fundamental of Nursing
Easy

Nursing care that is based on identifying and meeting the needs of a patient is called:

Appeared in: AIIMS Nagpur NO- 2020

Explanation

  • Client-oriented care, or patient-centered care, is a model where the nurse's actions and decisions are guided by the patient's unique needs, values, and preferences.
  • This approach emphasizes a partnership between the nurse and the patient, ensuring care is respectful, personalized, and holistic.
  • Nursing theorist Faye Abdellah's work on 'Patient-centered care' highlights that nurses should address 21 'nursing problems' to meet patients' physical, psychological, and social needs, personalizing the plan for each individual.
  • The core principle is that care is provided according to the client's needs, making the patient an active participant in their own healthcare journey.

Why Other Options Were Wrong

  • Option B: Goal-oriented care focuses on achieving specific outcomes or goals. While setting goals is part of the nursing process, this term describes the focus on the end result rather than the foundational philosophy of tailoring care to the individual's holistic needs.
  • Option C: Self-centred describes an attitude focused on oneself. In a professional context, this is the opposite of the required patient-focused approach and is considered unprofessional and unethical.
  • Option D: Prioritization is the critical skill of deciding which patient needs or problems require attention first. It is a dynamic process of organizing care, not the name of the care philosophy itself.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: Use the key finding related to Philosophy and Models of Nursing Care to guide bedside assessment, documentation, and the next nursing action.
  • Adopting a client-oriented approach leads to higher patient satisfaction, better adherence to treatment plans, and improved health outcomes because the care is meaningful and relevant to the patient.
  • It empowers patients to take an active role in their health, fostering a sense of control and promoting self-care activities.
  • What if a patient refuses a life-saving blood transfusion due to religious beliefs? A client-oriented nurse would not simply label the patient as 'non-compliant.' Instead, they would explore the patient's values, provide information on alternatives (if any), and facilitate a discussion with the healthcare team and family to respect the patient's autonomy while ensuring they are fully informed.
How to Approach the Question
  • First, analyze the question stem to identify the core definition being asked. The key phrase is 'based on identifying and meeting the needs of a patient.'
  • Next, evaluate each option to see which term best fits this definition.
  • Recognize that 'Client-oriented' is a direct synonym for 'patient-centered,' which perfectly matches the definition in the stem.
  • Differentiate the other options: 'Goal-oriented' is about outcomes, not the overall philosophy. 'Self-centred' is the opposite of professional care. 'Prioritization' is a skill for organizing tasks, not a model of care.
  • By process of elimination and direct definition matching, conclude that 'Client-oriented' is the correct term for this philosophy of care.
Concept Tested & Keywords
  • Concept Tested: Philosophy and Models of Nursing Care
  • Stem keywords: nursing care, identifying needs, meeting needs, patient
  • Lead-in keywords: is called

Question ID

QnZpMKuul8OaI5xZeXlf5a

Reference Book

E6 Nursing Fundamentals Potter Perry 12e Part 1 p. 67-69

E6 Nursing Fundamentals Potter Perry 12e Part 2 p. 72-74

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

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