A nurse is completing a case management advocacy activity which corresponds to the implementation phase of the nursing process. Which activity would the nurse most likely use?

• A. Asking the client what is most important
• B. Seeking appropriate referrals for the client
• C. Assuring the client that his wishes will be supported
• D. Determining the order in which actions will occur

Answer: (C)

In case management, advocacy shows up during implementation as you put the plan into action while ensuring the patient’s goals and preferences guide what you do. Assuring the client that his wishes will be supported embodies this advocacy in practice—it's about translating the agreed-upon plan into care that respects and honors what the client wants, and reassuring him that those preferences will shape ongoing decisions and actions.

Asking the client what is most important is something you check during the assessment stage to identify priorities. Seeking appropriate referrals is part of coordinating resources, a logistical step often linked to planning and execution, but it doesn’t by itself express the client’s wishes being honored. Determining the order of actions is a planning activity, not a direct reflection of carrying out or advocating for the client’s preferences during implementation.