A seasoned RN is especially competent in knowledge of the computerized charting system in a facility and is able to assume the team leader role on a regular basis. In which type of care delivery system is this nurse most likely providing care?

Question

1. Primary nursing
2. Team nursing
3. Differentiated practice
4. Case method

Answer 1

Correct Answer: 1
Rationale 1: Primary nursing is a system in which one nurse is responsible for total care of a number of clients, 24 hours a day, 7 days a week. It is a method of providing comprehensive, individualized, and consistent care. Primary nursing uses the nurse's technical knowledge and management skills in assessing and prioritizing each client's needs, implementing the plan of care, and evaluating the plan's effectiveness.
Rationale 2: Team nursing is the delivery of individualized nursing care to clients by a team led by a professional nurse and consisting of RNs, LPNs, and UAPs. This is not the model described in the scenario.
Rationale 3: Differentiated practice is a system in which the best possible use of nursing personnel is based on their education preparation and resultant skill sets. This is not the model described in the scenario.
Rationale 4: The case method is also referred to as total care, in which one nurse is assigned to and is responsible for the comprehensive care of a group of clients during an 8- or 12-hour shift. This is not the model described in the scenario.