In which model is a nurse responsible for all of a client's nursing needs?

In which model is a nurse responsible for all of a client's nursing needs?

• A. Primary care nurse
• B. Functional nursing
• C. Modular nursing
• D. Team nursing

Answer: (A)

The idea being tested is continuity and accountability in nursing care. In the primary nursing model, one nurse is designated as the primary caregiver for a patient during a shift and is responsible for planning, coordinating, and delivering all of that patient’s nursing care. This means the nurse conducts the assessment, develops the care plan, implements interventions, and evaluates outcomes, serving as the main point of accountability for the patient’s nursing needs. This approach promotes a holistic view of the patient and a strong caregiver–patient relationship. Other models distribute responsibilities differently. Functional nursing assigns care tasks to different staff members based on specific functions (for example, one nurse handles medications, another handles dressing changes), so no single nurse manages all needs. Team nursing uses a team to care for patients with a designated team leader, sharing duties among team members. Modular nursing reorganizes care into smaller modules with staff assigned to each module, again with distributed tasks rather than one nurse owning all aspects of care. Because the question asks for one nurse to be responsible for all nursing needs, the primary nursing model is the best fit.

The idea being tested is continuity and accountability in nursing care. In the primary nursing model, one nurse is designated as the primary caregiver for a patient during a shift and is responsible for planning, coordinating, and delivering all of that patient’s nursing care. This means the nurse conducts the assessment, develops the care plan, implements interventions, and evaluates outcomes, serving as the main point of accountability for the patient’s nursing needs. This approach promotes a holistic view of the patient and a strong caregiver–patient relationship.

Other models distribute responsibilities differently. Functional nursing assigns care tasks to different staff members based on specific functions (for example, one nurse handles medications, another handles dressing changes), so no single nurse manages all needs. Team nursing uses a team to care for patients with a designated team leader, sharing duties among team members. Modular nursing reorganizes care into smaller modules with staff assigned to each module, again with distributed tasks rather than one nurse owning all aspects of care. Because the question asks for one nurse to be responsible for all nursing needs, the primary nursing model is the best fit.