Q&A Hero

Q: 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.

Q: Telenursing is defined as which of the following? 1. The synthesis of nursing and information systems 2. The synthesis of nursing and telecommunications and information technology 3. The synthesis of health care and telecommunications 4. The synthesis of nursing and communication technology

Q: Telehealth has caused officials concern about the privacy of information as it crosses state lines. Which of the following statements can be considered a resolution by health care professionals? 1. Experts have called for the discontinuation of telehealth. 2. Experts have called for the creation of standards for e-health, particularly for security and identity management. 3. Experts have enacted a number of bills stopping the growth of telehealth. 4. Experts have called for a limit in the number of telehealth patient encounters.

Q: Which of the following technological advances are telehealth applications? Standard Text: Select all that apply. 1. Videoconferencing between client and physician 2. Transmission of diagnostic images 3. Electronic prescriptions 4. Support for caregivers 5. Voice recognition for dictation

Q: 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

Q: Which of the following is not considered an issue pertaining to the practice of telenursing? 1. Nurses must be certified in telehealth nursing. 2. Reimbursement has been limited in several states. 3. Liability issues 4. State board of nursing regulations

Q: How can the nationwide "digital divide" be closed by health care professionals? 1. Provide online health care resources that are equally distributed. 2. Provide the technology needed to access the Internet. 3. Provide additional resources in regions that do not have access to technology. 4. Provide increased access to free health care clinics with computer terminals.

Q: Which of the following are consumer health informatics applications? Standard Text: Select all that apply. 1. Personal health records 2. Home telehealth monitoring 3. System software 4. Home telehealth monitoring 5. Smart phone

Q: Social media networks, such as Facebook, offer the individual an online platform for support and data gathering. Facebook continues to grow in popularity, yet there are a number of concerns. Which of the following offer reason to be thoughtful before using social media networks? Standard Text: Select all that apply. 1. Questionable scientific content 2. Minimization of anxiety 3. Sharing confidential issues with a network of "friends" 4. Research ethics issues when social networking sites are used to recruit research participants 5. Health care providers can 'friend' their patients

Q: The term home telemedicine encompasses a number of different tools that can be utilized by consumers to self-monitor and self-manage health conditions. Which of the following information technology tools can be used by the consumer at home? Standard Text: Select all that apply. 1. Technology that can take vital signs 2. Blood glucose technology 3. Web-based video conferencing 4. Online patient educational sessions 5. Chemotherapy infusion

Q: The informatics specialist is in a unique position to promote the integration of consumer informatics into the mainstream of health care delivery. Which of the following statements is true about the nurse informatics clinical specialist? 1. The nurse informatics clinical specialist can be part of the life cycle process. 2. The nurse informatics clinical specialist can eliminate the need for a help desk. 3. The nurse informatics clinical specialist can spearhead all changes to the information system. 4. The nurse informatics clinical specialist's role is to collect outcomes data.

Q: The informatics specialist in an educator role has the tools to design consumer-friendly information retrieval tools, by designing electronic education that is readable at a _________________________ level and by providing consumers with helpful hints about vocabulary translations. Standard Text:

Q: The role of the informaticist has broadened over the past several years. Which of the following are some of the specialty roles open to a nurse informaticist? Standard Text: Select all that apply. 1. Educator 2. Advocate 3. Computer technician 4. Designer 5. Leader

Q: 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.

Q: E-patients access and use health-related information in an attempt to do which of the following? Standard Text: Select all that apply. 1. "Search and rescue"consumers seek information related to symptoms of a newly diagnosed disease or disorder. 2. Understand the severity of their illness 3. Join with other online consumers to research their shared concerns 4. Interact with volunteer online health professionals 5. Engage in electronic conversations with their local clinicians

Q: 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)

Q: Consumers have access to a wide-range of resources that have the potential for informing their health care decisions and thus promoting a greater responsibility for which of the following? 1. Understanding how electronic health records work 2. Developing a cryptic password 3. Upgrading personal software 4. Self-care

Q: 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.

Q: Which of the following statements is correct about consumer informatics? 1. More than one-half of all American adults use online resources to locate personal health information. 2. The most trusted websites are not associated with the federal government. 3. Knowledge of technology is not essential in finding quality information. 4. Standards are unnecessary and unattainable in consumer informatics.

Q: 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.

Q: Technology has changed health care. Which of the following best depicts how technology has impacted the consumer? 1. The consumer is savvier about health and health care. 2. Technological advances are too expensive for the consumer to employ. 3. Technology has created information overload for all consumers. 4. Consumers are afraid of reading about their health online.

Q: 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

Q: Technology tools have the capability to assist in the creation of consumer-centric health care information. Which of the following describe how health care information can be specifically customized or tailored for each individual patient? Standard Text: Select all that apply. 1. Data are collected from individual consumers regarding their health care characteristics and behaviors and a health profile is created. 2. Health care information containing the best-evidence practices must be available in an electronically retrievable format. 3. Information technology allows the patients records to be viewed by anyone with a username and password. 4. A process is established for easily sending the message (practitioner) and receiving the message (consumer) in a way that is clear to each individual. 5. A set of decision-making rules created from the information collected from the consumer is used to craft tailored messages to fit the consumer's specific needs.

Q: 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.

Q: Which of the following statements is correct about the evolving way that health advice and care is sought? 1. The World Wide Web has not had an impact on primary care. 2. The World Wide Web has revolutionized the way patients seek health care advice. 3. The World Wide Web will soon replace physicians. 4. To be competitive, all health care providers must upload websites.

Q: 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).

Q: There is an increased amount of health care information on the Internet. Not all of the websites are accurate or have updated information. Therefore, the health care consumer must do which of the following? 1. Discuss health care information found on the Internet with friends and neighbors. 2. Consider anything published online to be accurate. 3. Understand that any website published within the last five years to be up to date. 4. Evaluate the website's credibility through a careful analysis of the content's accuracy.

Q: 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

Q: To evaluate the accuracy and credibility of a website, which of the following skills should a consumer possess? Standard Text: Select all that apply. 1. Visual literacy 2. Reading skills 3. Computer literacy 4. Cultural literacy 5. Information literacy

Q: Web-based instruction (WBI) has become an important facet of the educational experience. Which of the following are considered advantages of WBI? Standard Text: Select all that apply. 1. Comprehensive instructional design 2. Minimal communication 3. Lack of control 4. Lack of intellectual stimulation 5. Ability to work in an asynchronous environment

Q: The community health nurse is designing a four week e-learning program for rural diabetic clients. One concern is that some of these clients may feel isolated. Which of the following could the nurse employ to prevent feelings of isolation? Standard Text: Select all that apply. 1. Additional written assignments 2. Audio narrated lecture assignments 3. Message board assignments 4. Video enabled Skype assignments 5. Synchronous online chats

Q: There are an increasing number of health care consumers who initially seek health related information on the Internet. The term used to describe this individual is _____________________ . Standard Text:

Q: When comparing various uses of computing, which of these works well for corporate training? 1. Chat room 2. Wiki 3. E-mail 4. E-learning

Q: Which of the following terms is defined as a subspecialty of medical informatics which studies from a patient/consumer perspective the use of electronic information and communication to improve medical outcomes and the health care decision-making process? 1. Consumer health information 2. Customer health information 3. Customer health informatics 4. Consumer health informatics

Q: Web-based instruction (WBI) uses the attributes and resources of the Internet to deliver and support education. Which of the following ways may effectively be used to teach health care content via WBI? Standard Text: Select all that apply. 1. Teleconferencing mode 2. Stand-alone course 3. Supplement traditional, face-to-face courses 4. Wiki mode 5. Connectivity with hospital information systems

Q: Which of the following best defines an e-patient? 1. Assumes access to health care information each day 2. Has all data on the PHR 3. Checks hospitals online for services 4. Uploads information about health care providers on the Internet

Q: Which of the following computer related technology tools may be used in a variety of ways to support and enrich education? Standard Text: Select all that apply. 1. Word-processing software allows the instructor to prepare student handouts. 2. Slide presentation software offers the ability to create presentations and audio-visual aids. 3. Spreadsheets or course management tools assist in the maintenance of attendance records and grades. 4. Course management system (CMS) tools offer tools to develop, administer, and score examinations and provide formative evaluation tools. 5. Communication tools such as Weblogs (blogs) answer student questions and provide feedback to students on their progress.

Q: Ferguson (2002) describes levels in which online health care consumers or e-patients access and use health-related information. Which of the following are considered a level of access? Standard Text: Select all that apply. 1. Search for information on Internet 2. Seek guidance from online patient-helper 3. Use the paid services of online medical advisors and consultants 4. Receive one-way electronic messages from their clinicians 5. E-mail family and friends seeking information, advice, and support.

Q: Formal applications for using computers to support nursing education include which one of the following? 1. Podcasts 2. Blogs 3. Continuing nursing education 4. Instant messaging

Q: ________________________________ is a subspecialty of medical informatics which studies from a patient/consumer perspective the use of electronic information and communication to improve medical outcomes and the health care decision-making process. Standard Text:

Q: Virtual Learning Environments (VLEs) benefit education by using the Internet to facilitate e-learning. Which of the following are other terms used for VLEs? Standard Text: Select all that apply. 1. Learning management systems (LMS) 2. Competency-based training (CBT) 3. Course management system (CMS) 4. Managed learning environment (MLE) 5. Interactive multimedia systems (IMS)

Q: The health care delivery system is rapidly changing especially with the incorporation of technology. There is an increased emphasis on this partnership through consumer health care services that link information technologies and which of the following entities? 1. Business structures 2. Patients' paper records 3. Pharmaceutical representatives 4. Billing departments

Q: The term Web 2.0 has yet to be defined; however, it has been described as consisting of a set of "core characteristics." Which of the following are considered core characteristics? Standard Text: Select all that apply. 1. User-centered design 2. Web as platform 3. Collaboration 4. Power decentralization 5. Dynamic content

Q: With the growth of consumer informatics, concerns have emerged that have alarmed health care professionals. Which of the following is one of the issues associated with health information related websites? 1. Health care professionals are concerned with the abundance of websites. 2. Health care professionals are alarmed by the number of inaccurate websites. 3. Health care professionals are concerned with the increase in websites uploaded by nonprofit societies. 4. Health care professionals are not concerned with websites related to illness advice.

Q: Which of the following answers is not an advantage of Web 2.0 technologies? 1. Minimizes communication 2. Manages information 3. Enriches health care professional collaboration 4. Can employ podcasts as a learning strategy

Q: Which of the following is an accurate statement of YouTube's usefulness in the classroom setting? 1. Digital natives desire multimedia educational experiences. 2. Students are uncomfortable accessing videos on YouTube. 3. Most instructors do not see the usefulness of YouTube. 4. YouTube videos are not relevant for classroom learning activities.

Q: Mobile technology can be found in health care organizations and useful in teaching nursing students. Which of the following devices are not currently used in the educational setting? 1. Moodle 2. PDA 3. Clicker 4. MP3 player

Q: Distance education allows faculty and students connectivity to telecommunications via sophisticated phone systems. Which of the following is considered a component of distance learning? 1. Story board 2. Computer 3. Flash drive 4. Notebook

Q: Which of the following statements best describes the use of a clicker? 1. A clicker is a handheld device that beams information showing the response to specific, real time questions projected overhead to a group of students to a receiver on the instructor's computer which transforms the data into a chart detailing the responses. 2. A clicker beams information to the class about a current event. 3. A clicker is not useful in measuring knowledge. 4. A clicker is not a valuable educational tool.

Q: With the adoption of the electronic health record and importance of technology, there is a need for nurses with technology experience. What are the two ways nurses can specialize in informatics? 1. Complete a BSN 2. RN with experience as a super user 3. A nurse with a graduate degree in informatics 4. Operating room nurse who is on the technology committee 5. A BSN nurse who completes a certificate in web based design

Q: Nurses with information technology experience are in greater demand as more organizations incorporate the use of the electronic health record and computerized order entry. Which of the following are considered skills and/or competencies for nurses to develop to prepare for the changes in health care? Standard Text: Select all that apply. 1. Collaboration and communication 2. Organizational and interpersonal skills 3. Ability to review, critique, and evaluate evidence available through clinical practice guidelines and research 4. Aptitude for translating clinical practice recommendations into algorithms 5. Proficiency to disseminate research findings

Q: Distance education incorporates more than the World Wide Web (WWW) to connect educator and students who are located at a minimum of two different locations. Which of the following tools are also used to facilitate the teaching learning process? Standard Text: Select all that apply. 1. Audio 2. Video 3. Teleconferencing 4. Television 5. Computer

Q: Business continuity planning (BCP) is not a one-step or one-time activity but is a set of successive stages that are repeated periodically. It is best characterized as a life cycle. Which of the following supports continuity planning? 1. Lost or corrupted data are costly to re-create and threaten the survival of a business or health care delivery system in a highly competitive environment. 2. Business continuity planning is done after the implementation process. 3. Business continuity planning is associated with the cost incurred by vendors. 4. Located data after a disaster is generally corrupted.

Q: Which of the following devices are increasingly being deployed to facilitate learning? 1. Personal Digital Assistants 2. Cell phones 3. Classroom response systems (CRS) 4. Laptop computers

Q: Which of the following are advantages of continuity planning? Standard Text: Select all that apply. 1. Identifies strategies for correction of vulnerabilities within the organization 2. Provides a reasonable amount of protection against interruption in services, downtime, and data loss 3. Allows time for restoration of equipment, the facility, and services 4. Helps to ensure compliance with HIPAA legislation and requirements of the Joint Commission 5. Expedites reporting of diagnostic tests

Q: Which law authorized development of a national, near-real-time information network to coordinate federal and state response to public health emergencies? 1. HIPAA 2. The Pandemic and All-Hazards Preparedness Act (PAHPA) 3. Sarbanes"Oxley Act of 2002 4. The Federal Information Privacy and Security Act of 2002

Q: Which of the following are stages of the continuity life cycle? Standard Text: Select all that apply. 1. Organizational structure and objectives 2. Analysis 3. Implementation 4. Solution design 5. Testing and acceptance

Q: Which is the most likely reason for a college of nursing to offer distance learning courses? 1. To decrease faculty workload by automating course content and lectures 2. To facilitate computer literacy in students who are unfamiliar with computers 3. To minimize student contact with faculty by using e-mail and the Internet 4. To extend geographic boundaries and reach increased numbers of students

Q: Which student may be least suited for a distance learning class? 1. A 20-year-old professional nursing student in the last semester of the program 2. A 38-year-old RN to BSN student returning to school after a 14-year absence 3. A 24-year-old graduate nursing student in a nurse practitioner program 4. A 48-year-old RN who has just completed one year of master's level courses

Q: Web-based instruction (WBI) makes use of the hypertext capabilities of the Web. Which principle would best guide faculty who are teaching a Web-based course? 1. Assign group projects for students to encourage interaction and discussion among students 2. Use the latest version of software to encourage efficient and timely student response 3. Make detailed, lengthy documents for students to download and peruse at their leisure 4. On the class website, load multimedia presentations that utilize plug-ins to enhance instruction

Q: Which of the following is a potential disadvantage of Web-based instruction (WBI) for nursing students? 1. Learning time is prolonged due to the downloading of large learning modules. 2. The locus of control for learning lies with the student. 3. Online access is limited to those students who have a computer with Internet service. 4. Socializing students to their chosen profession is difficult.

Q: A virtual learning environment (VLE) is a system that uses the Internet to assist faculty in developing, managing, and administering educational materials for students. Which type of continuing nursing education content is least suited for a VLE alone? 1. A program reviewing assessment of heart and lung sounds 2. A refresher program on various types of injection administration skills 3. A program reviewing drug calculations and dosages for medication administration 4. A program reviewing documentation for an electronic medical record

Q: Each organization must select its criteria for business disaster recovery timeframes based upon its own perspective. Data flowcharts help to ensure which of the following? 1. The timeframes are appropriate 2. Integrity of the information is maintained 3. All critical processes are documented 4. No personnel are left out of the process

Q: Three emergency room nurses are planning community education offerings that will use the American Heart Association's "Heartsaver CPR" training. Which of these would be a disadvantage to using manikin simulation technology for CPR skills practice and testing? 1. More instructors would be needed to oversee the training and testing. 2. Instruction time may be increased for training and testing purposes. 3. Participants may need to perform the skills several times to pass the test. 4. Initial costs for program implementation may be increased.

Q: Which of the following statements is not true about continuity planning? 1. A good continuity plan is intentionally ambiguous to prevent hacking. 2. Wait time decreases satisfaction and can diminish quality of care. 3. Health care organizations are catching up with other industries in understanding the business case for continuity of operations. 4. Health care organizations must be able to effectively deal with crises.

Q: Schools of nursing are employing the use of virtual learning environments (VLEs) to teach students. Which of the following are considered advantages to VLEs? Standard Text: Select all that apply. 1. Learners can proceed at a pace conducive to comprehension. 2. Learning offered at any site that has computer access 3. Learners can skim through familiar content and focus on weak areas. 4. 24-hour access 5. Consistent instruction in a safe environment

Q: The HIPAA security rule requires continuity planning and disaster recovery processes. In response, all health care organizations must have which of the following? 1. A data backup and a recovery plan 2. A data backup plan, a recovery plan, an emergency mode of operation plan, and testing and evaluation procedures 3. An emergency mode of operation plan and testing and evaluation procedures 4. A data backup plan

Q: Virtual Learning Environments (VLEs) are used more in the classroom as a learning tool for nurses. Which of the following statements is accurate about the use of VLEs? 1. VLEs allow learners to practice new skills without fear of harm to themselves or others. 2. VLEs are difficult to navigate in a classroom setting. 3. Faculty members have difficulty creating measurable objectives for its use. 4. VLEs technology intimidates contemporary student nurses.

Q: Post-disaster recovery expenses usually exceed anticipated costs, leading to changes in recovery strategies that can be used for future disasters. What can planners do to minimize the budget variations? 1. Hold mock disasters. 2. Increase the budget line in anticipation of a disaster. 3. Set aside funds to supplement the budget. 4. Complete the grant writing process to supplement the existing budget.

Q: Which of these would best prepare a nursing student for the National Council Licensure Examination for Registered Nurses (NCLEX-RN)? 1. Purchase a review text with a companion compact disc that has links to study sites on the Internet. 2. Purchase a review text with companion compact disc containing NCLEX-RN types of questions. 3. Purchase a review text that has practice questions and drills on a compact disc, including test answers. 4. Form a study group to review subject content and surf the Internet for review sites and links.

Q: Post-disaster feedback is crucial to the design and implementation of a better continuity plan for future health care agency use. Which of the following supports this statement? 1. The feedback should be used to identify what worked and what did not. Plans that looked good before a disaster may not look so good after one. 2. Feedback collected after disasters (or mock disasters) is not useful since the staff had no other options during the disaster. 3. Feedback collected after disasters (or mock disasters) is not necessarily accurate. 4. Feedback collected after disasters (or mock disasters) provides data for change in a limited number of areas.

Q: Which statement is true concerning health care professional continuing education taken over the Internet? 1. Feedback may be delayed while data are collected for the continuing education certificate. 2. Instruction is too generalized to meet the needs of specific targeted populations. 3. Personnel may attend continuing education programs at any time convenient for the participant. 4. Where continuing education is mandatory, utilizing the Internet causes documentation concerns.

Q: Which of the following is not a benefit of an effective disaster plan? 1. Limits the loss of data 2. Increase in the budget line to prepare for future disasters 3. Limits loss of equipment 4. Offers a logical system to employ during an unforeseen disaster

Q: Which of the following is an advantage to computer generated discharge instructions for postoperative clients? 1. The physician only provides clients with information necessary for each case. 2. Repetition of the information helps clients to remember pertinent details. 3. Consistent instructions may be generated very quickly for each client. 4. Nurses include what they feel is most important for each client.

Q: ____________________________ is broadly defined as the process that seeks to ensure organizations are capable of withstanding any disruption to normal functioning Standard Text:

Q: Web 2.0 is a second phase of the World Wide Web development. Which of the following technologies are included in Web 2.0? Standard Text: Select all that apply. 1. Podcasts 2. Blogs 3. Wikis 4. YouTube 5. Vodcasts

Q: A good continuity plan can anticipate problems and minimize losses incurred by damage. Which of the following are advantages associated with continuity planning? Standard Text: Select all that apply. 1. Strategies for correction of organization vulnerabilities 2. Allowing time for restoration of equipment, facility, and services 3. Means to capture information needed for regulatory and accrediting bodies 4. Providing continuity of client records and delivery of care 5. Complete protection against interruption in services

Q: Many health care agencies lack the infrastructure to accommodate and support information systems (IS) during an environmental disaster. Which of the following can threaten IS during an environmental disaster? 1. A 10-day supply of fuel to power generators 2. Presence of excessive heat 3. Underground power lines 4. Housing IS in areas above the first floor

Q: Lost or damaged data have a negative impact on business processes, impede the delivery of safe care, reduce productivity, and undermine public confidence. It is estimated that somewhere between what percentage of organizations that have incurred a significant downtime with data loss will go out of business within five years? 1. 40 to 90% 2. 20 to 70% 3. 10 to 50% 4. 30 to 80%

Q: Which of the following statements accurately states the impact that accreditation agencies have on automated documentation in health care organizations? 1. The goal of information systems is to remain in compliance with accrediting bodies. 2. Standards mandate the use of information systems in all settings. 3. Quality and standards are synonymous. 4. Accrediting bodies offer assistance in choosing system functionality.