In which situations is total client care an appropriate delivery system?

Total client care is particularly appropriate in situations such as sepsis and graft surgery due to the complex and intensive nature of these conditions. In cases of sepsis, clients often require close monitoring and immediate interventions due to the life-threatening nature of the illness. This includes constant assessment of vital signs, administration of antibiotics and fluids, and support for organ function. In graft surgery, patients need comprehensive nursing care that includes pre- and post-operative management, pain control, and monitoring for complications.

In such high-acuity scenarios, a total client care approach ensures that one nurse is responsible for the entirety of the patient's care, allowing for consistent and uninterrupted attention, which is essential for both the efficiency of care and the safety of the patient. This model allows the nurse to develop a deep understanding of the client's needs, leading to better outcomes during critical treatment phases.

In contrast, other options listed—like diabetes and hypertension or routine check-ups—typically involve less acute situations where the care can be more distributed among multiple healthcare providers. For patients with manageable chronic conditions like diabetes or hypertension, a team-based approach often suffices. Similarly, routine check-ups and wellness visits usually only require brief assessments that do not demand extensive nursing interventions, making total client care less suitable in