A newly licensed RN is beginning a job search. This nurse would ...

[sammy]

A newly licensed RN is beginning a job search. This nurse would be best served by working in an organization that provides which nursing care delivery system?
 
  1. Primary nursing
  2. Total nursing care
  3. Functional nursing
  4. Practice partnerships

Question 2

The hospital administration is considering adopting primary nursing as its model of nursing care delivery. Disadvantages of this method are that Note: Credit will be given only if all correct choices and no incorrect choices are selected.
 
  Standard Text: Select all that apply. 1. The client may have multiple primary nurses if transfers within the facility are necessary.
  2. Physician satisfaction is decreased.
  3. Staff nurses cannot be held legally liable for care provided outside their work hours.
  4. It requires a knowledge-based nursing practice model.
  5. All persons caring for the client must have excellent communication skills.

[johnpizzaz]

Answer to Question 1

4
Rationale 1: The nurse providing primary nursing must be very autonomous. This is not the best environment for a newly licensed RN.
Rationale 2: The nurse providing total nursing care must be very autonomous. This is not the best environment for a newly licensed RN.
Rationale 3: In functional nursing, the RN leads the team. The newly licensed RN does not have sufficient experience for this role.
Rationale 4: Practice partnerships allow for two personnel to work together in giving client care. Ideally, a senior RN can be paired with a novice RN.
Global Rationale:

Answer to Question 2

1,3,5
Rationale 1: If a client requires transfer between units, a new primary nurse will be assigned in each unit. In some cases, this could result in multiple primary care nurses during one hospitalization.
Rationale 2: Physician, nurse, and client satisfaction is generally increased with primary care.
Rationale 3: The premise of primary nursing is that the nurse holds 24-hour-a-day accountability for client care. Legally, nurses cannot be accountable for care provided outside their work hours.
Rationale 4: Requiring a knowledge-based nursing practice model is seen as an advantage of primary nursing.
Rationale 5: Excellent communication must exist between the primary nurse and associate nurse. This is often difficult.
Global Rationale:

[sammy]

TYSM

[kjohnson]

Excellent