The hospital administration is considering adopting primary nursing as its model of nursing care delivery. Which of the following are disadvantages of this method? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Question

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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.
2. Physician, nurse, and client satisfaction is generally increased with primary care.
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.
4. Requiring a knowledge-based nursing practice model is seen as an advantage of primary nursing.
5. Excellent communication must exist between the primary nurse and associate nurse. This is often difficult.

The Hospital Administration Is Considering Adopting Primary Nursing as Its