Deck 22: Telehealth Evolving Trends

Question 1

While talking with a client, a nurse determines that the client is participating in real-time telehealth based on the understanding that this involves:

A) Stored images sent for interpretation at a later time.
B) Asynchronous transmission of clinical data.
C) Affordable method for practice in rural communities.
D) Same-time interaction of the client and provider via video.

Answer 1

Same-time interaction of the client and provider via video.

Question 2

A nurse is describing telehomecare to a group of clients, incorporating the knowledge that this method of care is cost-effective because:

A) It provides care in the comfort of the client's home.
B) It promotes self-management for clients with chronic illnesses.
C) It allows early detection, reducing the need for unnecessary emergency visits.
D) It minimizes the time spent with office appointments.

Answer 2

It allows early detection, reducing the need for unnecessary emergency visits.

Question 3

In which locations would a nurse expect to find telemental health? Select all that apply.

A) Prison facilities
B) Rural areas
C) Large cities
D) War-torn areas
E) Acute care facilities

Answer 3

Prison facilities
Rural areas
War-torn areas

Question 4

A nurse is preparing a presentation about various telehealth practices for a group of nurses in the community. Which description would the nurse include about e-intensive care (e-ICU)?

A) They require minimal planning for execution.
B) Workflow typically requires redesign.
C) Enhanced communication results.
D) Involvement of other departments is limited.

Question 5

A nurse is reading a journal article about teletrauma care. Which description would the nurse most likely find?

A) Use of trauma care experts for second opinions
B) Trauma specialist guiding trauma care via video
C) Emergency care provided via robotics
D) Education of rural providers by trauma specialists

Question 6

Which information would a nurse use when describing telenursing? Select all that apply.

A) Promotes autonomous practice
B) Is practiced primarily in rural areas
C) Requires certification
D) Increases healthcare costs
E) Usually involves on-the-job learning
F) Is a new specialty

Question 7

A nursing informatics specialist is talking with a group of agency administrators about implementing telehealth services. When discussing the issue of reimbursement for such services, which aspect would be most important for the nurse specialist to include?

A) Most telehealth services are paid for by clients as out-of-pocket expenses.
B) Reimbursement is fairly consistent across the different insurers.
C) Little progress has been made in reimbursement policies.
D) Reimbursement is a large barrier to widespread adoption of telehealth.

Question 8

Technical standards for telehealth and telemedicine would include:

A) The HIPAA.
B) Research protocols.
C) Systems for network connectivity.
D) Human resource management.

Question 9

A nurse is reading an article about a surgeon who uses a combination of robotics and virtual reality along with special gloves and audio and video technology to perform surgery by manipulating surgical instruments at a remote site. The nurse is reading about:

A) Store and Forward (S&F) technology.
B) Telepresence.
C) Real-time technology.
D) Telemedicine.

Question 10

Which statement would best describe the use of portable monitoring devices used in telehealth?

A) Most require access to a wireless connection.
B) Many devices involve a touch screen for assessment.
C) E-mail is used to address client education needs.
D) There is a central device located in the client's home.

Question 11

A nurse is reading an article about the use of robotics and telehealth. Which outcome would the nurse expect research on this technology to reveal?

A) Increased response time
B) Increased length of stay
C) Improved client outcomes
D) Increased costs

Question 12

A nursing informatics specialist is conducting a program for agency staff about telehealth. Which aspect would the nurse specialist include as a benefit of this technology?

A) Increased travel time
B) Increased productivity
C) Increased face-to-face in-person client contact
D) Increased healthcare costs

Question 13

When reviewing the core standards for telemedicine operations, which example would a nurse identify as a clinical standard?

A) Nursing practice standards of care
B) Health Insurance Portability and Accountability guidelines
C) Network connectivity standards
D) Fiscal management guidelines

Question 14

Which device would most likely be used with Store and Forward (S&F) technology?

A) Telephone
B) Digital camera
C) Videoconferencing
D) Satellite system

Question 15

A nursing informatics specialist is conducting a presentation on using telehealth to educate clients. Applying best practices, the nurse specialist would include which action? Select all that apply.

A) Setting up impromptu meetings for users
B) Providing immediate feedback for questions
C) Combining face-to-face with other methods of interaction
D) Keeping clients' health information secure
E) Limiting client access to specific areas

Question 16

A nurse is reading a journal article about various telemonitoring devices being used by clients with chronic disease. Which outcome would the article most likely reveal? Select all that apply.

A) Decreased costs for care over time
B) Stabilized hospital readmission rates
C) Consistent rates of emergency department visits
D) Improved client care
E) Improved accessibility to healthcare

Question 17

A nurse is reviewing a meta-analysis by Blinkhorn (2012) on how telehealth improved disease management for chronic kidney disease (CKD). Which classification was identified in the research? Select all that apply.

A) Telecoordinating
B) Teleconsultation
C) Telemanagement
D) Telemonitoring
E) Teleconferences

Question 18

A client asks the nursing informatics specialist about the various wellness apps that are available. Which response by the nurse specialist would be most appropriate?

A) "The apps are usually quite expensive."
B) "Your healthcare provider should prescribe one for you."
C) "Not all the apps have been approved by the FDA."
D) "Most are very reliable but limited in what they do."

Question 19

A client tells the nurse that he is having problems sleeping and wanted to know if there is a wearable device that he could use that would help him monitor the quality of his sleep. Which response by the nurse would be most appropriate?

A) "The AliveCor Kardia Mobile smartphone app will allow you to monitor your heart rate and sleeping pattern?"
B) "There is no wearable device that will allow you to monitor sleep quality, you will need a sleep study."
C) "The is the HemMobile Striiv which will allow you to monitor sleep pattern and quality."
D) "A Fitbit will allow you to monitor sleep quality and body activity."

Question 20

A client is admitted to the facility and needs a mental health evaluation, but there is no physician on duty. Which telehealth service would be most beneficial for the client?

A) Telepsychiatry
B) Teletrauma
C) Telemental
D) Tele-intensive care

Question 21

A nursing informatics specialist is part of the committee working to start telehealth practice at a rural clinic. What are the main issues that can affect implementation of telehealth? Select all that apply.

A) Reduced travel time
B) Technical issues
C) Reimbursement
D) Educational opportunities
E) Medicolegal issues

Question 22

A nursing informatics specialist is involved with a group in setting up telehealth nursing practice in a rural setting. Which area would be important for the group to address to ensure that the practice meets the standards of telehealth nursing practice? Select all that apply.

A) Ethical practice
B) Client rights
C) Competency
D) Research protocols
E) Fiscal management

Question 23

Which Store and Forward (S&F) technology allows for asynchronous transmission of clinical data? Select all that apply.

A) Interactive video
B) Magnetic resonance imaging (MRI)
C) Blood glucose levels
D) Chest x-ray
E) Electrocardiogram

Question 24

Which specialty would lend itself well to the Store and Forward (S&F) technology? Select all that apply.

A) Dermatology
B) Radiology
C) Pathology
D) Wound care
E) Diabetic medicine

Question 25

A nursing informatics specialist is conducting a seminar for agency staff about telehealth. As part of the seminar, the nurse specialist is comparing Store and Forward (S&F) technology with real-time technology. Which statement would the nurse specialist most likely include? Select all that apply.

A) Real-time technology requires two-way communication.
B) Store and Forward (S&F) technology involves the use of robotics.
C) Store and Forward (S&F) technology involves the use of telepresence.
D) With Store and Forward (S&F) technology, interpretation occurs when the image is sent.
E) Real-time technology includes asynchronous transmission of clinical data.