Which care delivery method has the greatest potential for ...

[SGallaher96]

Which care delivery method has the greatest potential for fragmenting patient care?
 
  a. Primary nursing
  b. Case method
  c. Functional method
  d. Patient-focused care

Question 2

The case method of care delivery is used on the surgical unit. The LPN/LVN asks what this means regarding work assignments. The best answer would be
 
  a. You will be assigned to provide care for two or three relatively stable patients with predictable care outcomes.
  b. You will be assigned to perform specific nursing tasks for a number of patients, such as taking vital signs, doing simple dressings, and so on.
  c. You will be assigned to provide daily total care for several patients from admission to discharge.
  d. You will receive cross-training to be assigned as unit secretary, venipuncturist, or to nursing duties.

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Answer to Question 1

ANS: C
The functional method of care delivery assigns various nursing team members to provide specific aspects of care to the patient. The RN might give medications and provide health teaching, the unlicensed assistive personnel (UAP) might provide hygiene, the LPN/LVN might take vital signs and change a dressing, lab personnel might draw blood specimens, and so on. Primary nursing provides the least fragmentation. With the case method, one nurse is responsible for most of the patient care. Patient-focused care attempts to limit fragmentation by using cross-trained personnel.

Answer to Question 2

ANS: A
Case method calls for a nurse to provide complete care to several patients. Stable patients are generally assigned to LPN/LVNs. Performance of specific nursing tasks for a number of patients, such as taking vital signs, doing simple dressings, and so on, describes the team method of care delivery. Provision of daily total care for several patients from admission to discharge describes primary care nursing that utilizes only RN staff. Cross-training to be assigned as unit secretary, venipuncturist, or to nursing duties describes patient-focused nursing.

[SGallaher96]

Excellent

[jordangronback]

TYSM