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AIIMS Delhi NO-2016
Fundamental of Nursing
Easy

One nurse is responsible for the complete care of the patient. This is known as:

Appeared in: AIIMS Delhi NO-2016

Explanation

  • Primary Nursing is a care delivery model where a single Registered Nurse (RN) holds 24-hour accountability for a patient's care from admission to discharge.
  • The primary nurse develops and maintains the plan of care, ensuring consistency and a holistic approach.
  • Even when the primary nurse is off-duty, associate nurses follow the established care plan, maintaining continuity.
  • This model fosters a strong nurse-patient relationship and increases the nurse's autonomy and job satisfaction.

Why Other Options Were Wrong

  • Option B: Functional nursing is a task-oriented model where different nurses perform specific tasks (e.g., administering medications, changing dressings) for all patients, leading to fragmented care. No single nurse is responsible for one patient's complete care.
  • Option C: A 'duty nurse' is a general term for a nurse on shift. It describes a work schedule status, not a specific model of patient care delivery or level of responsibility.
  • Option D: An 'in charge nurse' (or Charge Nurse) has a supervisory role for a specific shift, managing the unit, staff assignments, and patient flow. They are not responsible for the complete, continuous care of a single patient from admission to discharge.

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 nursing care delivery models is crucial for nurses to know their specific roles, responsibilities, and lines of communication within their healthcare facility.
  • The model of care impacts continuity, staff satisfaction, and patient outcomes. Primary nursing, for example, is associated with high patient satisfaction and nurse autonomy.
  • What if? If the question stated, 'One nurse is responsible for the complete care of the patient for an entire shift,' the correct answer would be the Case Method or Total Patient Care model, not Primary Nursing, as the responsibility does not extend beyond the shift.
How to Approach the Question
  • First, identify the key phrase in the question: 'One nurse is responsible for the complete care of the patient.'
  • Analyze the keywords 'one nurse' and 'complete care.' This implies a continuous, holistic responsibility, not just for a single shift or a single task.
  • Evaluate the options to differentiate between specific care delivery models and general nursing roles.
  • Recognize that 'Functional nurse' refers to a task-based model, which is the opposite of 'complete care' by a single nurse.
  • Identify 'Duty nurse' and 'In charge nurse' as roles related to shift work or supervision, not comprehensive patient management models.
  • Conclude that 'Primary nurse' best fits the description of a model where one nurse has overarching responsibility for a patient's entire plan of care.
Concept Tested & Keywords
  • Concept Tested: Nursing Care Delivery Models
  • Stem keywords: one nurse, responsible, complete care, patient
  • Lead-in keywords: is known as

Question ID

QmrSHJKle1i9weSXZUwmvZ

Reference Book

E6 Textbook of Nursing Management and Leadership I. Clemen — Subpart B (pp 328-654 of 982) p. 23-25

E6 Principles and Practice of NURSING Management Leadership for BSc Nursing 3rd Edi Jogindra Vati — Subpart A (pp 26-339 of 1017) pp. 269-271, 267-269

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