Clinical Nurse Leader Practice Exam

What type of care delivery system involves a nurse assuming 24-hour responsibility for a patient's care?

1. Primary nursing

2. Functional nursing

3. Case management

4. Total patient care

The correct answer is: Primary nursing

Primary nursing is characterized by a model in which one nurse is designated as the primary provider of care for a patient throughout their hospitalization or treatment period. This nurse is responsible for overseeing all aspects of a patient's care, ensuring continuity and consistency, and coordinating with other health care professionals as needed. This 24-hour responsibility facilitates a holistic approach since the primary nurse develops a comprehensive understanding of the patient’s needs, preferences, and progress, which can significantly enhance patient satisfaction and outcomes. In functional nursing, care responsibilities are divided among various team members who specialize in specific tasks rather than focusing on the overall needs of the patient. Case management involves coordinating care across multiple providers and settings, while total patient care is a model where nurses provide all aspects of care but may not be solely responsible for the patient over an extended period. Therefore, primary nursing is distinct in its emphasis on a single nurse's accountability for the patient’s care continuum.