Deck 26: Communicating at the Point of Care: Application of Ehealth Information Technologies

Question 1

When caring for a client who is at risk for falls,the nurse recognizes that a system that communicates whether the client falls and does not get up via sensors embedded in the hospital room is referred to as

A) telecare.
B) health information technology.
C) radio frequency identity chips.
D) a personal digital assistant.

Answer 1

telecare.

Question 2

AHRQ's analysis of 146 studies of the impact of computer health modules on client outcomes found that these programs

A) failed to engage client attention.
B) succeeded in engaging client attention.
C) caused a decline in client clinical health.
D) had no significant impact on client outcomes.

Answer 2

succeeded in engaging client attention.

Question 3

Major transformations occurring in use of Health Information Technology (HIT)that will greatly change traditional patterns of nursing communication include which of the following?

A) Electronic health record (EHR)
B) Centralized access to client information
C) Handheld wireless devices to provide continual information
D) Point of care information
E) Continual real time exchange of information

Answer 3

Electronic health record (EHR)
Handheld wireless devices to provide continual information
Point of care information
Continual real time exchange of information

Question 4

Advantages of using wireless handheld computers include which of the following?

A) Portability
B) Quick charting
C) Learning curve
D) Quick access to records
E) Small screen

Question 5

A group of clients is signing up for a Telehealth company called ISelectMD.The nurse educates them about ISelectMD by telling them which of the following?

A) The employer's health insurance charges a minimal additional health premium fee monthly.
B) Each employee has 24/7 access to a physician via Telemedicine by signing onto a website and entering his symptoms, and paying a "visit" fee.
C) A follow-up call is made 2 days later to determine whether the health issue was resolved.
D) The physician "on call" reviews client's medical history and current symptoms, makes a diagnosis, and e-mails in a prescription, if needed.
E) Minor conditions such as urinary tract infections or respiratory illness can be treated in this remote technology fashion.
F) Acute conditions such as chest pain or deep vein thrombosis can be treated in this remote technology fashion.

Question 6

The nurse is using a personal digital assistant (PDA)to store client assessment data.When using a PDA,the nurse recognizes that the PDA

A) is unable to recognize the nurse's handwriting.
B) can provide language translation.
C) stores only references for nursing and drug information.
D) cannot be used in client's rooms due to HIPPA regulations.

Question 7

Which of the following best describes a laptop computer?

A) It is less powerful than a tablet.
B) It should not be taken into a client's home.
C) It is used to chart and transmit a client's care.
D) It does not allow for information to be transmitted in a wireless fashion.

Question 8

A nursing instructor educates a student nurse about standards of effective communication.The nursing instructor recognizes that additional teaching is warranted when the student nurse lists which of the following as a standard of effective communication?

A) Clear
B) Timely
C) Lengthy
D) Complete

Question 9

The nurse uses an electronic information technology-based system that is designed to improve clinical decision making to enhance client care and safety.This system is referred to as a

A) personal digital assistant.
B) handheld wireless device.
C) point of care information and documentation system.
D) computerized clinical decision support system.

Question 10

Which of the following is true about electronic mail communication?

A) Most physicians use e-mail to schedule appointments.
B) E-mail is a means of ensuring confidentiality.
C) Physicians expressed concerns about lack of income generation.
D) Paper copies can be eliminated.

Question 11

When working on a hospital unit,the nurse uses a cellular telephone as an aid to giving client care.When using a cellular telephone,the nurse recognizes that a barrier to this type of technology is

A) cellular telephones lead to less productivity.
B) cellular telephones can lead to a higher rate of hospital errors.
C) some hospitals prohibit using cellular telephones.
D) cellular telephones complicate information retrieval at the point of care.

Question 12

The nurse is teaching a class on stroke prevention.Which of the following statements is accurate about studies conducted on telehealth decision-making and diagnosing of strokes?

A) Several studies show telehealth decision making and diagnosing of strokes are just as effective and may be more cost effective.
B) Studies conducted on telehealth decision making and diagnosing of strokes have been inconclusive.
C) Studies show telehealth decision making and diagnosing of strokes are less effective and less cost effective.
D) Several studies show telehealth decision making and diagnosing of strokes are just as effective but less cost effective.

Question 13

When working on a hospital unit,the nurse uses a wireless handheld computer.The nurse recognizes that an advantage of using a wireless handheld computer is

A) the nurse cannot view the entire page of client information.
B) it can be used at the point of care.
C) it has a long learning curve.
D) it poses potential threats to the client's legal privacy rights.

Question 14

When working on a hospital unit,the nurses use a voice communication system that uses the existing wireless network to support instant voice communication and messaging among staff within the agency.Using this device allows nurses to connect to the telephone system and to access other users of the system through a small,one-button,voice-access,lightweight badge.This device is known as

A) a PDA.
B) Vocera.
C) a smartphone.
D) telehealth.

Question 15

The nurse is teaching a group of nursing students about an umbrella term for services that use communications technology,defined as any real-time interactive use of the Internet for delivery of health care from a distance using telecommunications technologies.This term is known as all of the following except

A) telehealth.
B) telenursing.
C) telemetry.
D) telemedicine.