Deck 19: Telehealth

Question 1

An emergency department manager in a rural hospital wants to investigate "telestroke" processes.Which actions by the nurse manager would best facilitate this process? (Select all that apply.)

A) Collaborate with pharmacy on supplies of appropriate drugs.
B) Discuss store-and-forward capabilities with radiology.
C) Install special telephone lines for live consultations.
D) Investigate the possibility of acquiring robotic technology.
E) Request funding for interactive live videoconferencing.

Answer 1

Discuss store-and-forward capabilities with radiology.
Request funding for interactive live videoconferencing.

Question 2

The nursing instructor explains different modes of telehealth technology to nursing students, including: (Select all that apply.)

A) computer transmission.
B) interactive live videoconferencing.
C) store-and-forward images.
D) voice-only via telephone.
E) voice-over images.

Answer 2

computer transmission.
interactive live videoconferencing.
store-and-forward images.
voice-only via telephone.

Question 3

A rural hospital administrator is resistant to creating a telehealth system because of its impact on finances.What response by the director of nursing, who thinks a system should be started as soon as possible, would be best?

A) Inform the administrator of research findings related to telehealth.
B) Lobby federal lawmakers to require third-party funding for telehealth costs.
C) Work with the administrator to find ways to make up the revenue shortfall.
D) Write grants for funding to offset the costs of starting a telehealth system.

Answer 3

Work with the administrator to find ways to make up the revenue shortfall.

Question 4

The nurse understands that the phrase "the use of medical information exchanged from one site to another via electronic communications to improve a patient's clinical health status" refers to what aspect of health care?

A) Computerized charting systems
B) Electronic medical records
C) Telehealth
D) Telemedicine

Question 5

The nurse who works in telehealth best evaluates that overarching goals for the program have been met with which information?

A) Decreased mortality rate
B) Fewer exacerbations of chronic illness
C) Improved health status and quality of life
D) Lowered costs for provision of health care

Question 6

A nurse works in a very remote area and is interested in discovering how telehealth services might improve local health care.What action by the nurse is best?

A) Conduct a survey of residents on the potential use of telehealth.
B) Interview providers where telehealth is already in use.
C) Perform a literature search on the topic of telehealth.
D) Visit the website of the closest telehealth resource center (TRC).

Question 7

The nursing faculty explains to a class of nursing students that one difference between telemedicine and telehealth is that:

A) electronic medical records are required by law.
B) medical ethics are more ingrained in telemedicine.
C) telehealth is used by many health care specialties.
D) telemedicine is not covered by health insurance.

Question 8

A director of nursing (DON)of a small, remote hospital wants to use telehealth technology, because the facility just updated all of its computers.What action by the DON is best?

A) Assess the capability of the hospital's LAN (local area network).
B) Check on the facility's WAN (wide area network)access.
C) Determine if nurses are interested in telehealth capability.
D) Write network protocols for telehealth activity.

Question 9

A school nurse is advocating for the use of telehealth in the school-based health clinic.What information does the nurse provide to support her request?

A) "It can help me teach kids with diabetes how to do insulin self-injection."
B) "Because I can only be at one school at a time, this will provide extra coverage."
C) "Telehealth can provide teaching prohibited by school policy."
D) "We can reduce absences and hospital admissions."

Question 10

An experienced intensive care unit (ICU)nurse is resisting the implementation of telehealth in the ICU because "we each only have one or two patients and are always available." What action by the manager is best?

A) Explain how telehealth can reduce specific adverse events in ICU patients.
B) Provide education on the advantages of telehealth in the ICU.
C) Remind the staff that telehealth is part of their health care environment.
D) Visit with the nurse and ask why the nurse is so against telehealth.

Question 11

A nurse working in a rural area is convinced of the benefits of using telehealth to improve patient outcomes.What action by the nurse would be best to ensure the availability of telehealth services to all those who need them?

A) Advocate for federal legislation requiring third-party reimbursement for services.
B) Become certified in telehealth nursing by the telehealth resource center (TRC).
C) Provide education for small, rural facilities and their staffs on telehealth practice.
D) Work to ensure telehealth centers have specific policies on confidentiality.

Question 12

A new nurse is being oriented to the intensive care unit and is startled when, during intradisciplinary patient rounds, a person "joins" the conversation on a computer screen in the patient's room.How does the nurse's mentor best explain the benefits of this procedure?

A) "It's another set of eyes and ears for good patient care."
B) "The remote person can help assess, treat, or educate patients."
C) "This ensures we are compliant with all our policies."
D) "We are short physicians here, so this fills the gaps."

Question 13

A rural hospital has a new nurse manager who has never worked with telehealth before.In evaluating the program, what indicators would best demonstrate a successful program? (Select all that apply.)

A) Fewer hospital admissions for chronic conditions
B) Patient report of satisfaction with the process
C) Police report fewer encounters with mentally ill patients in crisis
D) Remote providers report satisfaction with technical quality
E) Third-party reimbursement for 90% of billed charges

Question 14

A rural hospital's director of nursing (DON)is establishing a telehealth system.What actions by the DON are important policy measures? (Select all that apply.)

A) Creating work agreements that consider licensure issues
B) Educating staff on telehealth practice and procedures
C) Ensuring confidentiality in telehealth records and encounters
D) Reducing patient perception of "distance" in interactions
E) Writing policies that include ethics applied to telehealth