c6ass3

chukwuemeka mbionwu

AutoGen_6e9dd5d8-d4d1-4262-afef- [email protected]

Telehealth Nursing Series® Medical / Surgical (Standard)

Score Summary Case# Progress Time

Spent Module

Attempts Prebrief Device

Selection Patient

Education Virtual Office Visits

Device Alerts

Total Score

2 100% 33 mins N/A 4 / 5 5 / 5 3 / 5 3 / 5 2 / 5 17

Totals 33 mins 4 / 5 5 / 5 3 / 5 3 / 5 2 / 5 17 / 25

This virtual simulation comes with our EMPOWER® Debrief Model, a PDF file that opens in a new browser tab. Responses can be entered directly into the PDF form and saved to your computer. To access, click on the "EMPOWER® Debrief" button to the right of this prompt.

Please provide some product feedback by clicking the survey button to the right of this prompt. Your feedback is important for enhancing user experience and the achievement of outcomes for future learners.

Competencies

Identify the scope and standards of practice for professional telehealth nurses and apply them to the nursing role in different settings.

Incomplete

You did not score 75% or better

Explore professional licensure requirements and applicable state laws for nurses practicing telehealth.

Incomplete

75% or better

Appraise security measures, such as authentication methods for mobile devices, for the protection of personal health information.

Incomplete

75% or better

Develop a patient-centered plan of care by assessing a patient, along with their environment and resources, to provide supported telehealth devices for optimal health and continuity of care.

Complete

You scored 80% or better

Utilize available technology and maximize virtual opportunities to implement quality patient care.

Incomplete

You did not score 80% or better

Priorize patient's acure and chronic healthcare needs and apply clinical judgment skills to meet optimal patient health and outcomes.

Incomplete

You did not score 80% or better

chukwuemeka mbionwu

AutoGen_6e9dd5d8-d4d1-4262-afef- [email protected]

Telehealth Nursing Series® Medical / Surgical (Standard)

Lynn Tan Case# Progress Time

Spent Module

Attempts Prebrief Device

Selection Patient

Education Virtual Office Visits

Device Alerts

Total Score

2 100% 33 mins N/A 4 / 5 5 / 5 3 / 5 3 / 5 2 / 5 17

Prebrief Which entity is responsible for oversight of professional nursing licensure?

Student Answer: State board of nursing.

Correct Answer: As you answered. Correct

Feedback: According to the U.S. Constitution, individual states “regulate activities that affect the health, safety, and welfare of their citizens” (Nelson & Staggers, 2018, p. 142). The State board of nursing provides oversight of nursing licensure. Neither the state public health agencies that provide services to the general public, the United States legislature branch (the branch of the federal government that makes laws), nor the National Institute of Health (the premier medical and public health research agency of the U.S government) provides oversight of nursing licensure.

Which statement describes the benefit of the Enhanced Nurse Licensure Compact (eNLC)?

Student Answer: Increases scope of practice for nurses.

Correct Answer: Increases patient access to healthcare services. Incorrect

Feedback: The Enhanced Nurse Licensure Compact (eNLC) facilitates nursing practice across state borders, increasing patient access to care. The eNLC decreases the need to pay for multistate licenses, reducing costs. The eNLC does not impact the nursing scope of practice or federal reimbursement practices (NCSBN, 2020-b).

Which information is NOT included in the informed consent for telehealth services?

Student Answer: Cost estimate.

Correct Answer: As you answered. Correct

Feedback: Telehealth services in most states require that informed consent be obtained from the patient. The consent explains the telehealth process, expected benefits, possible risks, and security measures to protect personal health information. An informed consent document does not have to include a cost estimate (CCHP, 2019).

Which information exchange modality is reimbursed as a telehealth service in most states?

Student Answer: Interacting with a healthcare provider on live video.

Correct Answer: As you answered. Correct

Feedback: The most commonly reimbursed telehealth modality is live interaction with a healthcare provider on video. Exchanging emails, accessing the patient portal, and providing educational videos are not considered reimbursable telehealth services (CCHP, 2019).

Monday, September 22, 2025 3:11:12 AM Page 2 of 9

chukwuemeka mbionwu

AutoGen_6e9dd5d8-d4d1-4262-afef- [email protected]

Telehealth Nursing Series® Medical / Surgical (Standard)

Lynn Tan

Device Selection Learner Answers:

Selected Devices

Videoconference screen or smartphone

Smartwatch

Digital, sensory-enabled inhaler

Spirometer (mobile)

Smart stethoscope

Answer Key:

Correct Devices

Videoconference screen or smartphone

Smartwatch

Digital, sensory-enabled inhaler

Spirometer (mobile)

Smart stethoscope

Feedback: Telehealth services require a video conference screen, computer, tablet, laptop, or smartphone for virtual office visits and patient education. This patient has diagnoses of chronic obstructive pulmonary disease (COPD) and asthma. A digital, sensory-enabled inhaler, spirometer, and smart stethoscope will allow for remote patient monitoring of these conditions. A smartwatch can provide data and trends for vital signs, including respiratory rate and oxygen saturation.

Monday, September 22, 2025 3:11:12 AM Page 3 of 9

chukwuemeka mbionwu

AutoGen_6e9dd5d8-d4d1-4262-afef- [email protected]

Telehealth Nursing Series® Medical / Surgical (Standard)

Lynn Tan

Patient Education

Device / Patient Option Student Selections Correct Answers Incorrect

Ability to read and write.

Capable of using computer and digital devices.

Understanding of complex medical terminology.

Motivation to use electronic health tools.

Prepared to engage in individual self- care.

Device / Patient Option Student Selections Correct Answers Incorrect

The device records the number of puffs of medication taken daily.

The system tracks the patient’s ability to follow an inhaled medication regimen.

The inhaler connects to the smartphone to share data with an app or online provider.

Manual dexterity and hand strength do not impact the use of the device.

Reminders and alerts can be configured for optimal medication adherence.

Device / Patient Option Student Selections Correct Answers Correct

A mobile spirometer allows patients to monitor lung function at home.

The device measures forced vital lung capacity and expiratory volume.

The mobile spirometer must be calibrated frequently.

It takes approximately three minutes to perform a spirometer test.

Instruct the client to put lips on the mouthpiece and inhale quickly and deeply.

Device / Patient Option Student Selections Correct Answers Correct

The smart stethoscope captures heart and lung sounds for review by the healthcare provider.

Monday, September 22, 2025 3:11:12 AM Page 4 of 9

chukwuemeka mbionwu

AutoGen_6e9dd5d8-d4d1-4262-afef- [email protected]

Telehealth Nursing Series® Medical / Surgical (Standard)

Lynn TanThe smart stethoscope captures heart and lung sounds for review by the healthcare provider.

Smartphone apps pair with the stethoscope to tell the patient where to place the stethoscope.

Apps available for the smart stethoscope allow visualization of the sounds and rhythms.

Sounds can be amplified and recorded for up to two minutes per recording.

The battery in the smart stethoscope should be replaced after each recording.

Device / Patient Option Student Selections Correct Answers Correct

Smartwatches can monitor physical activity and gait measurement.

Some smartwatches can monitor and record vital signs and oxygen saturation.

Global positioning systems (GPS) in a smartwatch can track position, speed, and altitude.

Smartwatch data can be shared with mobile phones via Wi-Fi or Bluetooth.

COPD exacerbations and myocardial infarctions can be diagnosed with a smartwatch.

Monday, September 22, 2025 3:11:12 AM Page 5 of 9

chukwuemeka mbionwu

AutoGen_6e9dd5d8-d4d1-4262-afef- [email protected]

Telehealth Nursing Series® Medical / Surgical (Standard)

Lynn Tan

Virtual Office Visits The telehealth nurse is implementing a virtual office visit with a patient using a video conference platform. Which action should the nurse perform first?

Student Answer: Confirm the best day and time to connect with the patient.

Correct Answer: Identify the patient. Incorrect

Feedback: The first step of any virtual office visit should begin with validation that the person on the phone is the patient (Martich, 2017).

After identifying the patient, which intervention should the nurse perform first?

Student Answer: Ensure patient readiness and privacy.

Correct Answer: As you answered. Correct

Feedback: The nurse should ensure the patient is ready for the virtual office visit and ensure privacy for the conversation. Addressing emotions, inquiring about medication usage, and obtaining data about the patient’s physical symptoms are appropriate, but not the first intervention to be performed (Fortin et al., 2019).

Which communication technique is best to encourage a patient to describe their physical symptoms?

Student Answer: Focused, open-ended questions.

Correct Answer: As you answered. Correct

Feedback: The best technique to encourage a description of physical symptoms is focused, open-ended questions. Attentive listening helps patients to continue a discussion of symptoms but will not initiate a description. Motivational interviewing is a communication approach for promoting behavioral change. Indirect, emotion-seeking questions elicit a patient’s feelings about the physical symptoms (Fortin et al., 2019).

Which method is the best way to empower a patient to take responsibility for their health and the consequences of their decisions?

Student Answer: Teach the patient established professional standards of care for their disease.

Correct Answer: Assist the patient in applying predictive thinking to their disease management. Incorrect

Feedback: Predictive thinking helps a patient to recognize the impact of a new health situation, how it will affect their lifestyle, and identify consequences of their health decisions. Teaching about established standards of care, providing written information, and teaching recognition of acute symptoms are essential components of patient education but do not engage the patient to address the impact of their personal choices on their health (Rubenfeld & Scheffer, 2015).

Which action should the nurse perform when closing the telehealth virtual visit?

Student Answer: Clarify the next steps as necessary.

Correct Answer: As you answered. Correct

Feedback: The nurse should end the telehealth virtual visit by encouraging questions and clarifying the next steps as necessary. Communication barriers and obtaining a list for discussion should occur at the beginning of the virtual visit (Fortin et al., 2019).

Monday, September 22, 2025 3:11:12 AM Page 6 of 9

chukwuemeka mbionwu

AutoGen_6e9dd5d8-d4d1-4262-afef- [email protected]

Telehealth Nursing Series® Medical / Surgical (Standard)

Lynn Tan

Device Alerts Which intervention should the nurse perform first?

Student Answer: Access the smart stethoscope for current reading. Incorrect

Correct Answer: Contact the patient directly to perform an assessment.

Feedback: The nurse should contact the patient and perform an assessment. The nurse should not “nurse” the devices or the medical record. The nurse may need to contact the healthcare provider but should obtain any necessary assessment data required by the provider to make an appropriate care decision first.

Which intervention should the nurse perform next?

Student Answer: Have the patient administer their rescue inhaler immediately. Incorrect

Correct Answer: Assess the patient for increased dyspnea, cough, or sputum production.

Feedback: The classic manifestations of a COPD exacerbation include increased dyspnea and sputum volume. Cough, increased wheezing, fatigue, and insomnia can indicate an exacerbation (Lewis et al., 2017). The patient may need to use their rescue inhaler, need instructions to use their inhaler, or have their FEV1 reading reviewed, but the first step in the nursing process is to assess the patient.

Which statement fosters a shared decision-making process with a patient?

Student Answer: “That sounds important; you can tell me more about it.” Incorrect

Correct Answer: “I want to make sure whatever we decide works for you.”

Feedback: The shared decision process requires the nurse or healthcare provider to make decisions with, not for, a patient. Patients involved in the decision- making process about their health, medication regimen, and treatment options are more likely to adhere to them when they understand the options and make informed decisions (Rubenfeld & Scheffer, 2015).

Which statement best describes the role of the telehealth nurse in the assessment of patients with urgent health issues?

Student Answer: Standardized protocols guide the nurse to effective patient triage. Correct

Correct Answer: As you answered.

Feedback: Standardized protocols are clinical rules for managing patients in telehealth situations. The nurse should follow the protocols to address urgent and critical concerns and utilize their clinical judgment to guide the patient’s care. Nurses can give health advice to patients within their scope of practice. The nurse should not delay treatment to contact a healthcare provider if a patient requires emergency care (Briggs, 2021).

Which information should the nurse teach the patient to prevent COPD exacerbations?

Student Answer: Participate in regular exercise. Correct

Correct Answer: As you answered.

Feedback: The patient should be encouraged to participate in regular exercise, stop smoking, eat a healthy diet, and obtain influenza and pneumonia vaccinations to avoid a COPD exacerbation and improve lung strength. Antibiotic therapy may be needed if a bacterial infection triggers the exacerbation but are not administered continuously (Tomasic et al., 2017).

Monday, September 22, 2025 3:11:12 AM Page 7 of 9

chukwuemeka mbionwu

AutoGen_6e9dd5d8-d4d1-4262-afef- [email protected]

Telehealth Nursing Series® Medical / Surgical (Standard)

Lynn Tan

The patient should be encouraged to participate in regular exercise, stop smoking, eat a healthy diet, and obtain influenza and pneumonia vaccinations to avoid a COPD exacerbation and improve lung strength. Antibiotic therapy may be needed if a bacterial infection triggers the exacerbation but are not administered continuously (Tomasic et al., 2017).

Monday, September 22, 2025 3:11:12 AM Page 8 of 9

chukwuemeka mbionwu

AutoGen_6e9dd5d8-d4d1-4262-afef- [email protected]

Telehealth Nursing Series® Medical / Surgical (Standard)

Footnotes & References

https://sentinelcity.blob.core.windows.net/versions/Telehealth%20Content/MedicalSurgical/Medical- Surgical%20References.pdf

Monday, September 22, 2025 3:11:12 AM Page 9 of 9