Final answer:
The registered nurse has the primary responsibility for the initial admission nursing history, physical assessment, and development of the care plan based on nursing diagnoses for a new patient in a long-term care facility.
Step-by-step explanation:
The primary responsibility for a patient's initial admission nursing history, physical assessment, and development of the care plan based on the nursing diagnoses identified falls on a registered nurse (c). In a long-term care facility, registered nurses operate under direct supervision and are tasked with duties that include reviewing patient history, assessing current conditions, developing care plans based on diagnoses, and ensuring that treatments like dialysis are administered properly. They work collaboratively with physicians and other health professionals to create a comprehensive plan of care, but the initial assessment and care planning are typically within the registered nurse's scope of practice.
While a nursing assistant may partake in basic patient care activities, the responsibilities of conducting thorough assessments and formulating nursing diagnoses and care plans are beyond their typical scope of practice. Physicians may contribute to the medical diagnosis and treatment plan but do not generally perform nursing-specific assessments or develop nursing care plans. Nurse practitioners or nurse clinicians may have the authority to carry out these tasks, but in many settings, the initial comprehensive nursing assessment is chiefly the role of the registered nurse.