Deck 25: Telehealth

Question 1

Which of the following are considered to be appropriate uses of telenursing?

A)Making follow-up calls
B)Obtaining test results
C)Checking biometric measurements
D)Advanced primary practice
E)Telephone triage

Answer 1

Making follow-up calls
Obtaining test results
Checking biometric measurements
Advanced primary practice
Telephone triage

Question 2

Telehealth is a tool that allows health care professionals to do which of the following?

A)Improve the overall quality of the client's record
B)Assess and monitor clients.
C)Tackle isolation and loneliness
D)Decrease hospital visits for clients with chronic conditions
E)Extend scarce health care resources

Answer 2

Improve the overall quality of the client's record
Assess and monitor clients.
Tackle isolation and loneliness
Decrease hospital visits for clients with chronic conditions
Extend scarce health care resources

Question 3

Telehealth has become an attractive tool to improve the quality of health care and save money. Savings may be realized via which of the following measures?

A)Follow-up care is more convenient.
B)Access to care improves.
C)Physician services are provided.
D)Clients may be treated in their own community.
E)Quality of care improves.

Answer 3

Follow-up care is more convenient.
Access to care improves.
Clients may be treated in their own community.
Quality of care improves.

Question 4

Which statement is true regarding potential liability issues for telehealth?

A)Malpractice costs may be decreased because lawsuits may be filed in multiple locations, defraying costs.
B)Misinterpretation of advice provided over the telephone may cause the health care provider to be liable for poor outcomes.
C)Telehealth services may be used in the place of any face-to-face physical examination with the same results.
D)A nurse practitioner licensed in Wyoming may provide advice to a client in Montana without legal repercussions.

Question 5

For over 40 years, the U.S. government played a major role in the development and promotion of telehealth through various agencies. Which of the following was the first telehealth service provided?

A)Telephone consultations
B)Robotics telesurgery
C)Prison inmate care
D)Telepsychiatric treatment

Question 6

Which of these home health clients is least suited for telehealth services?

A)A 63-year-old man with a large pressure ulcer who requires daily wound assessments and dressing
B)A 54-year-old client with congestive heart failure who is developing new onset chest pain
C)A 77-year-old client who requires glucose monitoring and daily foot ulcer assessment
D)A 49-year-old woman who is pregnant for the first time and requires fetal heart rate monitoring

Question 7

Which of the following statements about telenursing is true?

A)Telenursing has been in existence for decades, using available technology to serve its purposes.
B)The American Academy of Ambulatory Care Nursing was founded to promote nursing in telehealth.
C)Telehealth nursing practice is not yet considered to be a subspecialty of nursing.
D)Basic telehealth nursing principles have been widely integrated into basic nursing curricula.

Question 8

Which of the following definitions is accurate?

A)Telecare is the remote delivery of health care services into the person's home facilitated by communication technologies that include the use of person-centered reactive monitoring devices.
B)Teletherapy is the use of a psychology-based website to provide therapy and counseling.
C)Telesurgery is defined as the use of technology that allows surgeons to complete surgical procedures with electronic tools.
D)Teleprevention is defined as the use of electronic databases to analyze communicable diseases within the community.

Question 9

Telenursing is the use of telecommunications and computer technology for the delivery of nursing care. The National Council of State Boards identified advantages of authority to practice telenursing across state lines (1996). These advantages include which of the following?

A)Establishes legitimacy and availability to practice telenursing
B)Protects the nurse from liability when practicing across state lines without a license in the client's state
C)Establishes the nurse's responsibility and accountability to the board of nursing
D)Provides jurisdictional authority over the discipline of telenursing in the event of unsafe delivery
E)Provides statutory authority permitting telenursing services across borders for all of the states

Question 10

Which situation best fits the use of a telehealth delivery system?

A)Chronic congestive heart failure clients are assessed in rural clinics using telecommunication technology, and are given instructions on how to best manage their care.
B)Clients may sign up with a telehealth provider, who provides the client with health promotion information and activities.
C)Continuing education courses for health care professionals are provided to the education department of acute-care institutions for continuing education credits.
D)A physician consultant receives an x-ray, CT scan, and EKG via the telecommunication network to manage the care of a client with congestive heart failure and diabetes.

Question 11

Which type of client information is least suited for "store-and-forward" technology?

A)A client's biopsy sample is digitally photographed and transmitted electronically to the pathology lab.
B)A client with increasing symptoms of heart failure is instructed to come to the clinic for a state CXR (chest x-ray).
C)A client's EEG (electroencephalogram) and brain scan are transmitted to the consulting surgeon to follow up a craniotomy of two months ago.
D)A client with chronic asthma comes to the clinic for a routine CXR (chest x-ray).

Question 12

Which example of an online resource is inappropriate for telehealth professionals?

A)Critical pathways and client outcomes information
B)Electronic prescriptions and medication information
C)Client electronic medical records with progress and treatment
D)Abstracts, full-text literature, and research data access

Question 13

Which statement is true concerning telehealth?

A)Access to care may be delayed until the proper equipment can be delivered to the client's home.
B)Clients must travel to special on-site locations where equipment and telecommunication devices are available.
C)Nurse practitioner services may be reduced because physicians can assess and treat clients themselves.
D)Clients may stay within their own community to be assessed and treated, lowering potential costs.

Question 14

In which setting would telehealth be least likely to be supported by government funding?

A)A small community hospital in an urban setting in the Northeast
B)A battlefield in a third-world country for the treatment of casualties
C)A space shuttle voyage during orbit around the earth
D)A prison infirmary to care for state inmates

Question 15

Which of the following is a disadvantage of desktop videoconferencing (DTV) for telehealth?

A)DTV may not support high-resolution, high-speed transmissions.
B)DTV requires a personal computer with a modem to function.
C)DTV uses real-time synchronous encounters for face-to-face meetings.
D)DTV is more expensive than most videoconferencing systems.

Question 16

Standards of care reflect best practices based on research findings. Which of the following is an example of how the incorporation of national standards of care and drug information helps health care institutions?

A)The incorporation of national standards of care and drug information helps to identify human errors.
B)The incorporation of national standards of care and drug information helps to eliminate wasteful spending.
C)The incorporation of national standards of care and drug information helps to eliminate co-pays.
D)The incorporation of national standards of care and drug information helps to decrease malpractice claims through adherence to standards of care.

Question 17

Which telehealth transmission service is best when eight MRI scans must be sent to the consultant in a tertiary facility?

A)Switched Multimegabit Data Services (T1 line)
B)Integrated Services Digital Network (ISDN)
C)Asynchronous Transfer Mode (ATM)
D)Digital subscriber line (DSL)

Question 18

Current or future trends in home health care include which of the following?

A)Helper robots
B)Biometric measurements monitored at another site
C)E-house calls
D)Sensors to detect when a frail elderly client falls down
E)Smart homes

Question 19

One major barrier to telehealth was removed with the passage of the Telecommunications Act of 1996. Which of the following was the outcome of removing this major barrier?

A)Telecommunications carriers were required to provide cost-free Internet access to those in rural areas.
B)Telecommunications carriers must offer services to urban health providers at rates higher than those charged in rural areas.
C)The act created the Agriculture Department's information Rural Development network.
D)Vendors of cable and telephone services were allowed to compete in each others' markets.

Question 20

Which statement related to telehealth technology is correct?

A)A DTV system may be used to transmit diagnostic images for third-party consultation.
B)Because international audio and visual standards are inconsistent, there is little international communication.
C)A frame-per-second rate of 10 provides acceptable diagnostic imagery for consultation.
D)Broad bandwidth of 384 kilobits and 30 frames per second is needed for diagnostic image interpretation.

Question 21

Which of the following statements is true about telehealth?

A)Telehealth can be used to treat prisoners.
B)Telehealth should not be used to offer mental health services.
C)Telehealth is not useful in treating rural patients.
D)There are not enough funds to support telehealth.

Question 22

A new paradigm of care called _______________________ promises to reduce costs and improve quality by working with clients proactively

Question 23

Which of the following is not considered an issue pertaining to the practice of telenursing?

A)Nurses must be certified in telehealth nursing.
B)Reimbursement has been limited in several states.
C)Liability issues
D)State board of nursing regulations

Question 24

Telehealth has caused officials concern about the privacy of information as it crosses state lines. Which of the following statements can be considered a resolution by health care professionals?

A)Experts have called for the discontinuation of telehealth.
B)Experts have called for the creation of standards for e-health, particularly for security and identity management.
C)Experts have enacted a number of bills stopping the growth of telehealth.
D)Experts have called for a limit in the number of telehealth patient encounters.

Question 25

Which of the following technological advances are telehealth applications?

A)Videoconferencing between client and physician
B)Transmission of diagnostic images
C)Electronic prescriptions
D)Support for caregivers
E)Voice recognition for dictation

Question 26

Telenursing is defined as which of the following?

A)The synthesis of nursing and information systems
B)The synthesis of nursing and telecommunications and information technology
C)The synthesis of health care and telecommunications
D)The synthesis of nursing and communication technology

Question 27

Which of the following statements about telenursing is accurate?

A)Since telenursing is a new subspecialty, standards of practice have yet to be developed.
B)Telenursing should be taught at a graduate school level.
C)The International TeleNurses Association (ITNA) published International Competencies for Telenursing in 2007.
D)The International TeleNurses Association (ITNA) was founded in 1995 to promote and support nursing involvement in telehealth and serve as a resource for nurses.