Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:
Question 13
Type: MCMA
Which of the following are considered to be appropriate uses of telenursing?
Standard Text: Select all that apply.
1. Making follow-up calls
2. Obtaining test results
3. Checking biometric measurements
4. Advanced primary practice
5. Telephone triage
Question 14
Type: MCSA
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?
1. Telecommunications carriers were required to provide cost-free Internet access to those in rural areas.
2. Telecommunications carriers must offer services to urban health providers at rates higher than those charged in
rural areas.
3. The act created the Agriculture Department’s information Rural Development network.
4. Vendors of cable and telephone services were allowed to compete in each others’ markets.
1996 allowed vendors of cable and telephone services to compete in each others’ markets. This helped to open the
door to create the information superhighway needed to provide the framework to support telehealth. The Snowe—
Rockefeller Amendment required telecommunications carriers to offer services to rural health providers at rates
comparable to those charged in urban areas, not higher rates for rural areas, so that affordable health care could
become available to rural residents.
Rationale 3: The major barrier to telehealth that was removed with the passage of the Telecommunications Act of
1996 allowed vendors of cable and telephone services to compete in each others’ markets. This helped to open the
door to create the information superhighway needed to provide the framework to support telehealth. A different
act, the Agriculture Department’s 1991 Rural Development Act, laid the groundwork to bring the information
superhighway to rural areas for education and telehealth purposes.
Rationale 4: When the Telecommunications Act of 1996 allowed vendors of cable and telephone services to
compete in each others’ markets, this helped to open the door to create the information superhighway needed to
provide the framework to support telehealth, removing one major barrier. The Snowe—Rockefeller Amendment
required telecommunications carriers to offer services to rural health providers at rates comparable to those
charged in urban areas so that affordable health care could become available to rural residents. The Agriculture
Department’s 1991 Rural Development Act laid the groundwork to bring the information superhighway to rural
areas for education and telehealth purposes.
Global Rationale:
Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:
Question 15
Type: MCSA
Which of the following definitions is accurate?
1. 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.
2. Teletherapy is the use of a psychology-based website to provide therapy and counseling.
3. Telesurgery is defined as the use of technology that allows surgeons to complete surgical procedures with
electronic tools.
4. Teleprevention is defined as the use of electronic databases to analyze communicable diseases within the
community.
Question 16
Type: MCSA
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?
1. The incorporation of national standards of care and drug information helps to identify human errors.
2. The incorporation of national standards of care and drug information helps to eliminate wasteful spending.
3. The incorporation of national standards of care and drug information helps to eliminate co-pays.
4. The incorporation of national standards of care and drug information helps to decrease malpractice claims
through adherence to standards of care.
1. Eliminates redundant efforts by individual institutions to prepare their own standards and formularies.
2. Decreases malpractice claims through adherence to standards of care.
Rationale 2: The incorporation of national standards of care and drug information helps health care institutions in
the following ways:
1. Eliminates redundant efforts by individual institutions to prepare their own standards and formularies.
2. Decreases malpractice claims through adherence to standards of care.
Rationale 3: The incorporation of national standards of care and drug information helps health care institutions in
the following ways:
1. Eliminates redundant efforts by individual institutions to prepare their own standards and formularies.
2. Decreases malpractice claims through adherence to standards of care.
Rationale 4: The incorporation of national standards of care and drug information helps health care institutions in
the following ways:
1. Eliminates redundant efforts by individual institutions to prepare their own standards and formularies.
2. Decreases malpractice claims through adherence to standards of care.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:
Question 17
Type: MCMA
Current or future trends in home health care include which of the following?
Standard Text: Select all that apply.
1. Helper robots
2. Biometric measurements monitored at another site
3. E-house calls
4. Sensors to detect when a frail elderly client falls down
5. Smart homes
Question 18
Type: MCSA
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?
1. Telephone consultations
2. Robotics telesurgery
3. Prison inmate care
4. Telepsychiatric treatment
Question 19
Type: MCMA
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?
Standard Text: Select all that apply.
1. Follow-up care is more convenient.
2. Access to care improves.
3. Physician services are provided.
4. Clients may be treated in their own community.
5. Quality of care improves.
Question 20
Type: MCSA
Which of the following statements about telenursing is true?
1. Telenursing has been in existence for decades, using available technology to serve its purposes.
2. The American Academy of Ambulatory Care Nursing was founded to promote nursing in telehealth.
3. Telehealth nursing practice is not yet considered to be a subspecialty of nursing.
4. Basic telehealth nursing principles have been widely integrated into basic nursing curricula.
Question 21
Type: MCSA
Which of the following statements is true about telehealth?
1. Telehealth can be used to treat prisoners.
2. Telehealth should not be used to offer mental health services.
3. Telehealth is not useful in treating rural patients.
4. There are not enough funds to support telehealth.