assessment 3 4045
marialex.perez55
sentinelTelehealthv21_8.pdf
Andres Munoz
AutoGen_cd8780f6-de7e-48ec-b14f- [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
1 100% 11 mins N/A 4 / 5 4 / 5 1 / 5 4 / 5 3 / 5 16
Totals 11 mins 4 / 5 4 / 5 1 / 5 4 / 5 3 / 5 16 / 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.
Incomplete
You did not score 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
Andres Munoz
AutoGen_cd8780f6-de7e-48ec-b14f- [email protected]
Telehealth Nursing Series® Medical / Surgical (Standard)
William Townsend Case# Progress Time
Spent Module
Attempts Prebrief Device
Selection Patient
Education Virtual Office Visits
Device Alerts
Total Score
1 100% 11 mins N/A 4 / 5 4 / 5 1 / 5 4 / 5 3 / 5 16
Prebrief The telehealth nurse is actively involved in the American Academy of Ambulatory Care Nurse (AAACN) professional organization. Which standard of care does this activity support?
Student Answer: Standard 8: Professional Development.
Correct Answer: As you answered. Correct
Feedback: Standard 8 reflects how membership and active participation in professional organizations increase the strength and effectiveness of the telehealth nursing profession (AAACN, 2018).
Which situation is NOT an example of a telehealth healthcare encounter?
Student Answer: The patient calling a family member to update them on their health condition.
Correct Answer: As you answered. Correct
Feedback: A telehealth healthcare encounter must involve one or more healthcare providers (AAACN, 2018). A virtual support group, a consultation using technology, and remote monitoring of a patient by a nurse or provider are considered telehealth encounters.
Which statement describes a potential barrier to telehealth services?
Student Answer: The patient may be uneasy with technology and equipment.
Correct Answer: As you answered. Correct
Feedback: The patient who is concerned about using technology and healthcare devices may see telehealth as a barrier to obtaining care (Karnoe et al., 2018). A patient involved in their own self-care, access to specialists, and reduced hospitalizations are benefits, not barriers, to telehealth services.
What basic competency is required of telehealth nurses?
Student Answer: Providing technology and internet connectivity resources for patients.
Correct Answer: Hearing a description and visualizing what information is being communicated.
Incorrect
Feedback: The telehealth nurse must be able to listen to a story from a patient and visualize the problem or concern being communicated (AAACN, 2018). A hierarchal relationship is not conducive to establishing a rapport with patients. Professional, clinical experience by telehealth nurses is required but not in specific fields such as intensive care or hospice. Technology and internet connectivity is required for a patient to utilize telehealth services, but providing these services is not a responsibility of the telehealth nurse.
Tuesday, August 19, 2025 1:48:35 AM Page 2 of 8
Andres Munoz
AutoGen_cd8780f6-de7e-48ec-b14f- [email protected]
Telehealth Nursing Series® Medical / Surgical (Standard)
William Townsend
Device Selection Learner Answers:
Selected Devices
Videoconference screen or smartphone
Continuous glucose monitor
Insulin pump
Smart scale
Personal emergency response system
Answer Key:
Correct Devices
Videoconference screen or smartphone
Continuous glucose monitor
Insulin pump
Smart scale
Smartwatch
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 type 2 diabetes, hypertension, and obesity. A continuous glucose monitor and insulin pump will assist the patient in the management of his type 2 diabetes. A smart scale will assist in monitoring weight. A smartwatch can provide data and trends for hypertension management.
Tuesday, August 19, 2025 1:48:35 AM Page 3 of 8
Andres Munoz
AutoGen_cd8780f6-de7e-48ec-b14f- [email protected]
Telehealth Nursing Series® Medical / Surgical (Standard)
William Townsend
Patient Education
Device / Patient Option Student Selections Correct Answers Correct
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
A continuous glucose monitor provides a better analysis of glucose trends.
The system has a small sensor inserted in the tissue right below the skin.
The sensor or needle needs to be changed every day.
The continuous glucose monitor can send readings to your mobile phone.
Depending on the device, you may still need to perform fingerstick readings.
Device / Patient Option Student Selections Correct Answers Incorrect
Rapid-acting insulins are used in the pump, such as insulin lispro or insulin aspart.
Insulin pumps administer small amounts of insulin every hour.
The pump can be worn around the waist, either attached to a belt or placed in a pocket.
The batteries in the insulin pump need to be changed every three days.
The patient can program the pump to deliver a bolus of insulin if needed.
Device / Patient Option Student Selections Correct Answers Incorrect
The smart scale can send data via Wi-Fi or Bluetooth to an app or online provider.
Tuesday, August 19, 2025 1:48:35 AM Page 4 of 8
Andres Munoz
AutoGen_cd8780f6-de7e-48ec-b14f- [email protected]
Telehealth Nursing Series® Medical / Surgical (Standard)
William Townsend Smart scales can monitor weight, body fat, and often body mass index (BMI).
The smart scale helps to track long- and short-term trends in a person’s weight.
The smart scale is assigned to only one individual at a time.
A smart scale can be programmed to hide the results from appearing on the scale
Device / Patient Option Student Selections Correct Answers Incorrect
Smartwatches can monitor physical activity and count the number of steps taken.
Some smartwatches can monitor and record vital signs and ECG rhythms.
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.
Myocardial infarctions and infectious diseases can be diagnosed with a smartwatch.
Tuesday, August 19, 2025 1:48:35 AM Page 5 of 8
Andres Munoz
AutoGen_cd8780f6-de7e-48ec-b14f- [email protected]
Telehealth Nursing Series® Medical / Surgical (Standard)
William Townsend
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: Identify the patient.
Correct Answer: As you answered. Correct
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: Assess the client for any complications of their disease process.
Correct Answer: Ask the patient if they have any questions or needs. Incorrect
Feedback: Asking the patient if they have any questions or needs allows the patient to begin the virtual visit with their most critical concerns (Martich, 2017). Once a patient has their concerns answered, they will be more receptive to a discussion of self-care, medication management, and complication evaluation (Martich, 2017).
Which capability is essential for communication and active listening?
Student Answer: Focus on the words and tone of voice of the speaker.
Correct Answer: As you answered. Correct
Feedback: The nurse should be capable of focusing on the words and tone of voice of the speaker to facilitate communication. Formulating a response while listening to the speaker and typing or writing the conversation as it occurs could cause the listener to miss important information being shared. It is not possible to avoid all distractions during a conversation, but steps should be taken to eliminate as many as possible (Fortin et al., 2019).
Which statement describes the best way for the nurse to conduct a virtual office visit with a patient?
Student Answer: Be flexible and recognize teachable moments with the patient.
Correct Answer: As you answered. Correct
Feedback: The nurse should be flexible in the assessment process of a virtual office visit to identify areas of concern for a patient and meet their care needs. The patient should be allowed to direct some of the virtual visit, but not all of it. A predetermined script can miss significant care concerns. Nurses from different specialties can overwhelm a patient, while a primary nurse assists in establishing a rapport (Martich, 2017).
Which assessment should the nurse perform first when a patient asks a specific question about a health problem?
Student Answer: Assess the patient’s current knowledge.
Correct Answer: As you answered. Correct
Feedback: The first action is to assess the patient’s current knowledge about the health problem. A patient asking a specific question about a health problem demonstrates a readiness to learn. The patient’s cultural beliefs and risk factors are essential, but the nurse must first determine what the patient knows about the problem to be able to guide the teaching (Martich, 2017)
Tuesday, August 19, 2025 1:48:35 AM Page 6 of 8
Andres Munoz
AutoGen_cd8780f6-de7e-48ec-b14f- [email protected]
Telehealth Nursing Series® Medical / Surgical (Standard)
William Townsend
Device Alerts Which intervention should the nurse perform first?
Student Answer: Contact the patient directly to perform an assessment. Correct
Correct Answer: As you answered.
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: Direct the patient to make sure pump tubing is not bent or kinked. Incorrect
Correct Answer: Instruct the patient to remove air bubbles from the infusion set.
Feedback: Instruct the patient to remove air bubbles from the infusion set. Air bubbles can form when refilling the reservoir, not priming tubing correctly when changing infusion set, having a loose connection at either end of the tubing, or using insulin directly from the refrigerator (as insulin warms to room temperature, bubbles can form) (Association of Diabetes Care & Education Specialists, 2020).
Which clinical manifestations would the nurse assess in a patient with hyperglycemia?
Student Answer: Polydipsia, polyuria, and vomiting. Correct
Correct Answer: As you answered.
Feedback: A patient with hyperglycemia will experience polydipsia, polyuria, and vomiting. Fruity breath, polyphagia, and Kussmaul respirations are additional symptoms of hyperglycemia. Hypertension, tachycardia, and feeling hot are clinical manifestations of hyperthyroidism. Nervousness, jitteriness, diaphoresis, irritability, hunger, and fatigue are clinical manifestations of hypoglycemia (Hoffman & Sullivan, 2020).
Which information should the nurse instruct the patient to record?
Student Answer: Daily, measured urine output. Incorrect
Correct Answer: Food intake, mainly carbohydrates.
Feedback: The patient should record food intake, mainly carbohydrates, to track blood sugar trends and calculate bolus insulin infusions. The patient’s feelings about telehealth devices are essential for the nurse to know, but the patient doesn't need to write them down. Urine output does not need to be measured and recorded. A female patient may need to log the dates of menses for tracking, but not necessary in the male patient.
Which item is NOT a source of fast-acting carbohydrates?
Student Answer: Diet soda (4 oz) Correct
Correct Answer: As you answered.
Feedback: Fruit juice, milk, and sugar are sources of fast-acting carbohydrates. Diet soda is not a source of fast-acting carbohydrates (ADA, 2018).
Tuesday, August 19, 2025 1:48:35 AM Page 7 of 8
Andres Munoz
AutoGen_cd8780f6-de7e-48ec-b14f- [email protected]
Telehealth Nursing Series® Medical / Surgical (Standard)
Footnotes & References
https://sentinelcity.blob.core.windows.net/versions/Telehealth%20Content/MedicalSurgical/Medical- Surgical%20References.pdf
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