Clinical Nurse Leader Practice Exam

To reduce readmission rates, what intervention should the CNL implement?

1. Keep patients one extra day in the hospital

2. Arrange for visiting nursing post-discharge

3. Review discharge instructions with patients and families

4. Begin discharge planning on the day of admission

The correct answer is: Begin discharge planning on the day of admission

Beginning discharge planning on the day of admission is a key intervention that can significantly reduce readmission rates. This approach ensures that both the healthcare team and the patient are actively engaged in the discharge process from the very start of the patient's hospital stay. By initiating discharge planning early, the CNL can facilitate a smoother transition to the home environment, addressing potential barriers to discharge, and ensuring that appropriate support and resources are in place prior to the patient's actual discharge. This proactive strategy allows for a comprehensive assessment of the patient's needs, including medication management, follow-up appointments, and any necessary home care services. It also provides a framework for educating patients and their families about the care plan, ensuring that they understand how to manage their health after leaving the hospital. This thorough preparation plays a vital role in preventing complications and the likelihood of readmission. The other interventions, while beneficial, do not have the same impact as starting discharge planning on admission. Keeping patients an extra day in the hospital could lead to other issues, such as increased hospital stay costs and potential hospital-acquired infections. Arranging for visiting nursing post-discharge is helpful for some patients but is a reactive measure rather than a proactive one. Reviewing discharge instructions is beneficial, but starting the process on admission allows for