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Nursing · NCLEX-RN

Nursing Case Management and Discharge Planning

Discharge planning, case management roles, and interdisciplinary care coordination concepts tested on NCLEX-RN.

29 cards · basic cards · AI-written, checked twice. Edit anything.

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When should discharge planning ideally begin during a hospital stay?
At the time of admission
What is the primary goal of nursing case management?
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?
The case manager
In discharge planning, what does the social worker primarily address?
Psychosocial needs, financial resources, and placement options
What does utilization review evaluate?
The necessity and appropriateness of admission, treatment, and length of stay
What federal requirement obligates hospitals to have a discharge planning process?
Medicare Conditions of Participation
What is the teach-back method?
Having the patient repeat instructions in their own words to confirm understanding
What is health literacy?
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?
A 3-day qualifying inpatient stay
What two criteria must be met for a patient to qualify for home health services?
The patient must be homebound and require skilled care
What is durable medical equipment (DME)?
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)?
The risks of leaving before treatment is complete
Name three common risk factors for hospital readmission.
Multiple comorbidities, poor health literacy, and lack of social support
What is continuity of care?
A seamless transition of patient care across settings and providers
What is the first step of the case management process?
Assessment of patient needs

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