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Hebda, Handbook of Informatics, 5/e Test Bank
Chapter 25
Question 1
Type: MCSA
Which statement is true regarding potential liability issues for telehealth?
1. Malpractice costs may be decreased because lawsuits may be filed in multiple locations, defraying costs.
2. Misinterpretation of advice provided over the telephone may cause the health care provider to be liable for poor
outcomes.
3. Telehealth services may be used in the place of any face-to-face physical examination with the same results.
4. A nurse practitioner licensed in Wyoming may provide advice to a client in Montana without legal
repercussions.
Question 2
Type: MCSA
Which telehealth transmission service is best when eight MRI scans must be sent to the consultant in a tertiary
facility?
1. Switched Multimegabit Data Services (T1 line)
2. Integrated Services Digital Network (ISDN)
3. Asynchronous Transfer Mode (ATM)
4. Digital subscriber line (DSL)
Question 3
Type: MCSA
Which situation best fits the use of a telehealth delivery system?
1. Chronic congestive heart failure clients are assessed in rural clinics using telecommunication technology, and
are given instructions on how to best manage their care.
2. Clients may sign up with a telehealth provider, who provides the client with health promotion information and
activities.
3. Continuing education courses for health care professionals are provided to the education department of acute-
care institutions for continuing education credits.
4. 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 4
Type: MCSA
Which of the following is a disadvantage of desktop videoconferencing (DTV) for telehealth?
1. DTV may not support high-resolution, high-speed transmissions.
2. DTV requires a personal computer with a modem to function.
3. DTV uses real-time synchronous encounters for face-to-face meetings.
4. DTV is more expensive than most videoconferencing systems.
Question 5
Type: MCSA
In which setting would telehealth be least likely to be supported by government funding?
1. A small community hospital in an urban setting in the Northeast
2. A battlefield in a third-world country for the treatment of casualties
3. A space shuttle voyage during orbit around the earth
4. A prison infirmary to care for state inmates
Question 6
Type: MCSA
Which statement is true concerning telehealth?
1. Access to care may be delayed until the proper equipment can be delivered to the client's home.
2. Clients must travel to special on-site locations where equipment and telecommunication devices are available.
3. Nurse practitioner services may be reduced because physicians can assess and treat clients themselves.
4. Clients may stay within their own community to be assessed and treated, lowering potential costs.
Question 7
Type: MCSA
Which type of client information is least suited for "store-and-forward" technology?
1. A client's biopsy sample is digitally photographed and transmitted electronically to the pathology lab.
2. A client with increasing symptoms of heart failure is instructed to come to the clinic for a state CXR (chest x-
ray).
3. A client's EEG (electroencephalogram) and brain scan are transmitted to the consulting surgeon to follow up a
craniotomy of two months ago.
4. A client with chronic asthma comes to the clinic for a routine CXR (chest x-ray).
Question 8
Type: MCSA
Which example of an online resource is inappropriate for telehealth professionals?
1. Critical pathways and client outcomes information
2. Electronic prescriptions and medication information
3. Client electronic medical records with progress and treatment
4. Abstracts, full-text literature, and research data access
Question 9
Type: MCSA
Which of these home health clients is least suited for telehealth services?
1. A 63-year-old man with a large pressure ulcer who requires daily wound assessments and dressing
2. A 54-year-old client with congestive heart failure who is developing new onset chest pain
3. A 77-year-old client who requires glucose monitoring and daily foot ulcer assessment
4. A 49-year-old woman who is pregnant for the first time and requires fetal heart rate monitoring
Question 10
Type: MCSA
Which statement related to telehealth technology is correct?
1. A DTV system may be used to transmit diagnostic images for third-party consultation.
2. Because international audio and visual standards are inconsistent, there is little international communication.
3. A frame-per-second rate of 10 provides acceptable diagnostic imagery for consultation.
4. Broad bandwidth of 384 kilobits and 30 frames per second is needed for diagnostic image interpretation.
Question 11
Type: MCMA
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?
Standard Text: Select all that apply.
1. Establishes legitimacy and availability to practice telenursing
2. Protects the nurse from liability when practicing across state lines without a license in the client's state
3. Establishes the nurse's responsibility and accountability to the board of nursing
4. Provides jurisdictional authority over the discipline of telenursing in the event of unsafe delivery
5. Provides statutory authority permitting telenursing services across borders for all of the states
Question 12
Type: MCMA
Telehealth is a tool that allows health care professionals to do which of the following?
Standard Text: Select all that apply.
1. Improve the overall quality of the client's record
2. Assess and monitor clients.
3. Tackle isolation and loneliness
4. Decrease hospital visits for clients with chronic conditions
5. Extend scarce health care resources
