The head nurse assigns the total care of one or more clients to a nurse in the ward. This method of assignmen… - AIIMS Raipur NO- 2019 (shift 3rd)

AIIMS Raipur NO- 2019 (shift 3rd)

Fundamental of Nursing

Easy

Appeared in: AIIMS Raipur NO- 2019 (shift 3rd)

Explanation

The Case Method, also known as Total Patient Care, involves assigning one nurse to provide all aspects of care for a specific patient or group of patients for the duration of a shift.
This model promotes a holistic approach, as a single caregiver is responsible for the patient's physical, emotional, and social needs.
It ensures high continuity of care and clear accountability, as one nurse is answerable for the patient's outcomes during that shift.
This method is commonly used in critical care settings like ICUs, where continuous, comprehensive monitoring and care by a single, highly-skilled nurse is crucial.

Option B: The Functional Method divides nursing work into tasks. For example, one nurse administers all medications, while another performs all treatments. This is task-oriented, not patient-oriented, and leads to fragmented care.
Option C: Modular Nursing is a modification of Team Nursing. It organizes staff into teams that are assigned to a specific geographic location (a 'module') within a unit. It is still a team-based approach.
Option D: The Team Method involves a group of nursing personnel (e.g., an RN, LPN, and nursing assistant), led by a team leader (RN), who work together to provide care for a larger group of patients. Responsibility is shared among the team.

Clinical Relevance

Nursing practice connection: Knowing Nursing Care Delivery Models helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Understanding nursing care delivery models is crucial for nurses to know their roles, responsibilities, and lines of communication within their healthcare setting.
The Case Method fosters a strong nurse-patient relationship and high patient satisfaction due to the consistent and personalized care, but it is the most expensive model due to the high RN-to-patient ratio.
A nurse manager must choose the most appropriate model based on patient acuity, staff skill mix, budget, and the physical layout of the unit.

How to Approach the Question

First, identify the core action in the question stem. The key phrase here is 'total care of one or more clients to a nurse'.
Break down this phrase: 'Total care' implies comprehensive, holistic responsibility. 'To a nurse' (singular) implies one individual is accountable.
Next, review the definitions of the options provided.
Match the keywords from the stem to the definition of each model. 'Total care' by 'a nurse' directly corresponds to the definition of the Case Method or Total Patient Care.
Eliminate other options by recognizing their key features: Functional (task-based), Team (group-based), and Modular (geography-based team).

Concept Tested & Keywords

Concept Tested: Nursing Care Delivery Models
Stem keywords: total care, assigns, nurse, ward
Lead-in keywords: known as
Clinical cues: The care setting changes urgency, monitoring level, and the expected nursing action.

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