RN Nursing · Case Management and Care Coordination · Practice question
A newly hired nurse manager is shadowing a nurse leader. What action should the nurse manager expect the nurse leader to take as the primary role in discharge planning for a client?
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Ensure the client understands their medications and follow-up care
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Have the client leave as soon as possible
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Arrange transportation for the client to home or long-term care facility
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Call the pharmacy to refill prescriptions
Answer & explanation
Correct: Ensure the client understands their medications and follow-up care
The primary role of a nurse leader in discharge planning is to ensure that the client fully understands their medications, follow-up care appointments, activity restrictions, warning signs, and any other instructions needed to safely transition home or to another level of care. This reflects the nurse leader's responsibility for client education, safety, and continuity of care — all core elements of effective case management and discharge planning. Ensuring understanding promotes patient safety, reduces hospital readmissions, and supports informed decision-making. Having the client leave as soon as possible reflects a task-oriented and potentially unsafe approach that dismisses the complexity of discharge needs and could lead to adverse outcomes. Arranging transportation is a logistical task that may be delegated to social workers, case managers, or other support staff — it is not the nurse leader's primary role. Calling the pharmacy to refill prescriptions is similarly a support function that does not represent the nurse leader's primary contribution to discharge planning. Effective discharge planning centers on education and comprehension, which only the nurse or advanced care team member can fully lead.
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