Discharge planning, case management roles, and interdisciplinary care coordination concepts tested on NCLEX-RN.
29 cards · basic cards · AI-written, checked twice. Edit anything.
- When should discharge planning ideally begin during a hospital stay?
Show answer
At the time of admission- What is the primary goal of nursing case management?
Show answer
To coordinate care and resources so the patient achieves optimal, cost-effective outcomes- Who typically coordinates the interdisciplinary team and resources across a patient's care continuum?
Show answer
The case manager- In discharge planning, what does the social worker primarily address?
Show answer
Psychosocial needs, financial resources, and placement options- What does utilization review evaluate?
Show answer
The necessity and appropriateness of admission, treatment, and length of stay- What federal requirement obligates hospitals to have a discharge planning process?
Show answer
Medicare Conditions of Participation- What is the teach-back method?
Show answer
Having the patient repeat instructions in their own words to confirm understanding- What is health literacy?
Show answer
A patient's ability to understand and use health information to make decisions- Under traditional Medicare rules, what inpatient hospital stay is required to qualify for skilled nursing facility coverage?
Show answer
A 3-day qualifying inpatient stay- What two criteria must be met for a patient to qualify for home health services?
Show answer
The patient must be homebound and require skilled care- What is durable medical equipment (DME)?
Show answer
Reusable medical equipment ordered for home use, such as a wheelchair or walker- What must a patient be informed of before leaving against medical advice (AMA)?
Show answer
The risks of leaving before treatment is complete- Name three common risk factors for hospital readmission.
Show answer
Multiple comorbidities, poor health literacy, and lack of social support- What is continuity of care?
Show answer
A seamless transition of patient care across settings and providers- What is the first step of the case management process?
Show answer
Assessment of patient needs
FlashKeepers