Exam (elaborations)
Chapter 19. NEW! Telehealth in Nursing Practice
- Institution
- West Virginia School Of Osteopathic Medicine
Chapter 19. NEW! Telehealth in Nursing Practice
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Chapter 19: TelehealthMULTIPLE CHOICE
1. 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
ANS: D
The American Telemedicine Association defines telemedicine as “the use of medical
information exchanged from one site to another via electronic communications to improve a
patient’s clinical health status.”
Computerized charting systems are usually referred to by name.
Electronic medical records are not synonymous with telemedicine.
Telehealth usually has a broader definition.
DIF: Cognitive Level: Remember REF: 335
TOP: Integrated Process: Teaching/Learning
MSC: NCLEX Client Needs: Safe and Effective Care Environment: Management of Care
2. 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.
ANS: C
Telehealth is a broader term and is often used by health care professionals other than
physicians.
Electronic records are not a distinguishing feature between telemedicine and telehealth.
Medical ethics is not a distinguishing feature between telemedicine and telehealth.
Health insurance coverage is not a distinguishing feature between telemedicine and telehealth.
DIF: Cognitive Level: Remember REF: 335 | 336
TOP: Integrated Process: Teaching/Learning
MSC: NCLEX Client Needs: Safe and Effective Care Environment: Management of Care
3. 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.”
ANS: B
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, Health care providers attending live videoconferencing can help assess, treat, manage, and
educate and counsel patients from a distance.
Although the videoconferencing does provide another set of eyes and ears, this is not the best
explanation of the use of telehealth.
The main focus of telehealth is not to ensure adherence to policies.
Telehealth can be used where there is a provider shortage, but this is not the main purpose or
best explanation.
DIF: Cognitive Level: Remember REF: 336
TOP: Integrated Process: Teaching/Learning
MSC: NCLEX Client Needs: Safe and Effective Care Environment: Management of Care
4. 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).
ANS: D
TRCs exist to improve the understanding of telehealth and how it can be used to improve
access to and quality of care in rural and other medically underserved areas and to help
develop telehealth programs that match the needs of a practice or community. Accessing the
TRC’s website for information would be the most beneficial action by the nurse.
A survey of local residents might provide useful data but would not be the best method of
obtaining information about how telehealth could improve care.
Interviewing providers who already use telehealth would give the nurse some valuable
information but would not be the best method of obtaining information about how telehealth
could improve care.
Performing a literature search would give the nurse current published information on
telehealth but would not be the best method of obtaining information about how telehealth
could improve care.
DIF: Cognitive Level: Apply TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs: Safe and Effective Care Environment: Management of Care
5. 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.
ANS: B
WAN encompasses a larger geographic area and includes leased telecommunication lines.
WAN access would need to be assessed to determine the capability of reaching out to remote
sites.
LAN encompasses a smaller computer network and may only include the hospital itself. The
facility would need WAN access.
Determining nursing interest would give some good information about what is needed to
facilitate this change, but it is not the most important action for the DON to take.
This study source was downloaded by 100000895652037 from CourseHero.com on 01-19-2025 19:58:20 GMT -06:00
https://www.coursehero.com/file/58010254/c19rtf/
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