The patient is to be discharged home from a tertiary care center later in the week; therefore, the nurse
a. Coordinates referral of patients to services provided by other disciplines.
b. Monitors the patient's progress through discharge.
c. Cares for patients after discharge.
d. Anticipates and identifies patient needs.
ANS: D
Nurses play a large role in discharge planning. To achieve continuity of care, nurses use critical thinking skills and apply the nursing process. To anticipate and identify the patient's needs, nurses work with all members of the multidisciplinary health care team. The case manager coordinates the referral of patients to services provided by other disciplines and monitors the patient's progress through discharge. In many settings, a case manager continues caring for patients after discharge from acute care facilities.
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