Author Question: An LPN is newly recruited to the hospital. As a part of the orientation program, the nurse is ... (Read 54 times)

penza · **on:** Jul 22, 2018

An LPN is newly recruited to the hospital. As a part of the orientation program, the nurse is informed that the nursing staff follows the primary nursing approach of the nursing model.

Which of the following nursing models describes primary care nursing? A) The nursing staff is headed by a team leader.
B) A single nurse plans and provides nursing care.
C) A head nurse assigns tasks to other members.
D) A nurse manager plans the nursing care of clients.

Question 2

A client admitted for hernioplasty is discharged 2 days later than the calculated time due to postoperative complications. The client is insured through a capitation scheme. In the event of late discharge of the client, who is at loss?

A) The client
B) The hospital
C) The insurers
D) The physicians

bblaney · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Feedback:
Primary nursing is an approach of the nursing model wherein a single nurse plans and provides client care and evaluates the client's progress. This is unlike team nursing, where the team leader plans and evaluates nursing care. In team nursing, there is a team of nursing staff that plans and provides care together. The nursing model where the head nurse assigns specific tasks to each nurse is called the functional nursing model. Primary nursing is also different from nurse-managed care, where nursing care is based on predicted outcomes under the nursing care of a nurse manager.

Answer to Question 2

B
Feedback:
The hospital is at loss if the client is discharged late from the hospital. The client is insured through a capitation scheme, which provides a preset fee per member to the health care provider, regardless of whether the member requires services. If a client is discharged earlier, the hospital keeps the difference; if the client is discharged late, the hospital is at loss. The client is not at loss because he pays a fixed amount to the provider whether he utilizes the care or not. The doctors and the health care workers are not affected.