Chapter 25 Handbook Of Informatics for Nurses & Healthcare Professionals 5th Edition

Chapter 25  Handbook Of Informatics for Nurses & Healthcare Professionals 5th Edition

Complete Chapter Questions And Answers
 

Sample Questions

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.
Correct Answer: 2
Rationale 1: Misinterpretation of advice provided over the telephone may cause the health care provider to be liable for poor outcomes. Malpractice costs may actually be increased by an increased number of lawsuits. Liability costs may increase if health care professionals can be sued in more than one jurisdiction.
Rationale 2: Major issues for nurses include questions of liability when information provided over the telephone is misinterpreted. Any time information is misinterpreted, a liability issue exists, no matter from which source.
Rationale 3: Misinterpretation of advice provided over the telephone may cause the health care provider to be liable for poor outcomes. Telehealth services should supplement and not replace hands-on assessments by health care providers.
Rationale 4: Misinterpretation of advice provided over the telephone may cause the health care provider to be liable for poor outcomes. Professionals who practice across state lines deal with different practice provisions in each state and may be subject to malpractice lawsuits in multiple jurisdictions, raising questions about how that liability might be distributed or which state’s practice standards would apply.
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 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)
Correct Answer: 3
Rationale 1: ATM service is a high-speed data transmission link that can carry large amounts of data quickly. Speeds range from 0.45 megabits per second (Mbps) to 2.48 gigabits per second (Gbps). ATM works well when large sets of data, such as MRIs, need to be exchanged and discussed. T1 lines are high-speed telephone lines that may be used to transmit high-quality, full-motion video. T1 is not appropriate for quickly carrying such large amounts of MRI scan data.
Rationale 2: ATM service is a high-speed data transmission link that can carry large amounts of data quickly. Speeds range from 0.45 megabits per second (Mbps) to 2.48 gigabits per second (Gbps). ATM works well when large sets of data, such as MRIs, need to be exchanged and discussed. ISDN is not appropriate for quickly carrying such large amounts of MRI scan data.
Rationale 3: ATM service is a high-speed data transmission link that can carry large amounts of data quickly. Speeds range from 0.45 megabits per second (Mbps) to 2.48 gigabits per second (Gbps). ATM works well when large sets of data, such as MRIs, need to be exchanged and discussed.
Rationale 4: ATM service is a high-speed data transmission link that can carry large amounts of data quickly. Speeds range from 0.45 megabits per second (Mbps) to 2.48 gigabits per second (Gbps). ATM works well when large sets of data, such as MRIs, need to be exchanged and discussed. DSL is not appropriate for quickly carrying such large amounts of MRI scan data.
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 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.
Correct Answer: 1
Rationale 1: The chronic congestive heart failure situation best fits the use of a telehealth delivery system. Telehealth utilizes telecommunication technologies and computers to exchange health care information and to provide services to clients at another location. Telehealth services include health promotion, disease prevention, diagnosis, consultation, education, and therapy.
Rationale 2: The chronic congestive heart failure situation best fits the use of a telehealth delivery system. Telehealth utilizes telecommunication technologies and computers to exchange health care information and to provide services to clients at another location. Telehealth services include health promotion, disease prevention, diagnosis, consultation, education, and therapy.
Rationale 3: The chronic congestive heart failure situation best fits the use of a telehealth delivery system. Telehealth utilizes telecommunication technologies and computers to exchange health care information and to provide services to clients at another location. Telehealth services include health promotion, disease prevention, diagnosis, consultation, education, and therapy.
Rationale 4: The chronic congestive heart failure situation best fits the use of a telehealth delivery system. Telehealth utilizes telecommunication technologies and computers to exchange health care information and to provide services to clients at another location. Telehealth services include health promotion, disease prevention, diagnosis, consultation, education, and therapy.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:

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.
Correct Answer: 1
Rationale 1: DTV may not support high-resolution, high-speed transmissions needed to transmit accurate assessments for telehealth. However, DTV is less expensive, can support face-to-face (F2F) meetings in real time, and can be used with a personal computer and modem.
Rationale 2: DTV may not support high-resolution, high-speed transmissions needed to transmit accurate assessments for telehealth. However, DTV is less expensive, can support face-to-face (F2F) meetings in real time, and can be used with a personal computer and modem.
Rationale 3: DTV may not support high-resolution, high-speed transmissions needed to transmit accurate assessments for telehealth. However, DTV is less expensive, can support face-to-face (F2F) meetings in real time, and can be used with a personal computer and modem.
Rationale 4: DTV may not support high-resolution, high-speed transmissions needed to transmit accurate assessments for telehealth. However, DTV is less expensive, can support face-to-face (F2F) meetings in real time, and can be used with a personal computer and modem.
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 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
Correct Answer: 1
Rationale 1: Government grant monies are least likely for a small hospital in an urban setting. Such a hospital can quickly trade files with institutions nearby, while battlefields, space shuttles, and prison infirmaries are further away, difficult to reach, or have problematic clients. Grant monies for telehealth have been provided by several federal and state agencies including the U.S. Departments of Defense, Commerce, Agriculture, Education, Justice, Health and Human Services, Veterans Affairs, and the Department of Homeland Security.
Rationale 2: Government grant monies are least likely for a small hospital in an urban setting. Such a hospital can quickly trade files with institutions nearby, while battlefields, space shuttles, and prison infirmaries are further away, difficult to reach, or have problematic clients. Grant monies for telehealth have been provided by several federal and state agencies including the U.S. Departments of Defense, Commerce, Agriculture, Education, Justice, Health and Human Services, Veterans Affairs, and the Department of Homeland Security.
Rationale 3: Government grant monies are least likely for a small hospital in an urban setting. Such a hospital can quickly trade files with institutions nearby, while battlefields, space shuttles, and prison infirmaries are further away, difficult to reach, or have problematic clients. Grant monies for telehealth have been provided by several federal and state agencies including the U.S. Departments of Defense, Commerce, Agriculture, Education, Justice, Health and Human Services, Veterans Affairs, and the Department of Homeland Security.
Rationale 4: Government grant monies are least likely for a small hospital in an urban setting. Such a hospital can quickly trade files with institutions nearby, while battlefields, space shuttles, and prison infirmaries are further away, difficult to reach, or have problematic clients. Grant monies for telehealth have been provided by several federal and state agencies including the U.S. Departments of Defense, Commerce, Agriculture, Education, Justice, Health and Human Services, Veterans Affairs, and the Department of Homeland Security.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome: