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Case Management Nclex Question and Answer Updated 2026

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Case Management Nclex Question and Answer Updated 2026

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Case Management Nclex Question
and Answer Updated 2026
The nurse is helping in discharge planning for a diabetic client who needs extensive rehabilitation
and is on a complicated medication schedule. The client and spouse currently live with their eldest
son and the family is very involved in the client's care. The nurse would want to coordinate the
client's care by including which individual(s) in this client's plan?

Select all that apply.

A) Pharmacist

B) Client's children

C) Physician

D) Social worker

E) Client's spouse - AnswerB, E) Effective discharge planning necessitates health team conferences
and family conferences and gives the client, family, and healthcare professionals the opportunity to
plan care and set goals. Involving the client's spouse and children would be important in this
situation because of the complexity of the client's situation. The physician, pharmacist, and social
worker may also be included, but by their own decision, not necessarily by the nurse's invitation, as
is the case with coordination.



The nurse is caring for a 4-year-old female client who suffered brain damage following a car accident.
The client has a tracheostomy and is ventilator-dependent. The client is ready for discharge from the
hospital. The family wants to care for the child at home but does not have the resources for 24-hour
care. The case manager intervenes by:

A) Making multiple referrals to a variety of community-based agencies that can meet the family's
needs.

B) Telling the family that it is impossible to provide care at home.

C) Arranging for the child to be sent to a long-term healthcare facility.

D) Contacting local nurses in the community to provide the assistance that the family needs to
provide care for the client. - AnswerA) The referral process is a systematic problem-solving approach
that helps clients to use resources that meet their healthcare needs. The process involves knowledge
of community resources and an ability to solve problems, set priorities, coordinate, and collaborate.
The family's wishes for post-hospital care should be respected if other possibilities exist, which, in
this case, they do. The nurse would not be responsible for a fundraiser. Contacting local nurses would
not be an efficient way to coordinate care for the client.



A nurse is caring for a client who had a total hip replacement 14 days ago. The client is preparing for
discharge in a few days. The nurse facilitates a care conference with the physician, occupational
therapist, physical therapist, and the client and family to develop a plan of care for the client prior to
discharge. Which of the following roles is the nurse demonstrating?

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