Chapter 19: Telehealth

Chapter 19: Telehealth

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE 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?

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

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?

ANS:  B

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?

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