Take the Test

1. Which action would the nurse take after assessing and estimating the urgency of a patient’s symptoms?

• a. Identify the appropriate medical treatment
• b. Determine the appropriate disposition
• c. Calculate the patient’s hospital acuity level
• d. Select the patient’s nursing diagnosis

2. Which phrase defines “appropriate disposition”?

• a. Timely and safe level of care
• b. Safe but not cost-effective
• c. Reasonable patient approach
• d. Detailed routine to solve a problem

3. For which reason are evidence-based telephone triage guidelines used?

• a. Support decision making for telenurses
• b. Provide options for patients
• c. Serve as guidance for office personnel
• d. Ensure uniform advice for physicians

4. Which statement explains the purpose of the AAACN telehealth standards?

• a. Lists requirements for a telehealth program that includes the necessities for training and documentation
• b. Provides criteria for administrative personnel that includes necessities for reimbursement of telehealth services
• c. Identifies authoritative statements for telehealth nurses that describe the accountabilities for this area of practice
• d. Recommends options for nurses that contribute to their confidence and capability in telehealth

5. Which situation is an example of a crisis intervention function of a telenurse?

• a. Providing comfort to a man calling with questions about his medicine
• b. Triage of a woman reporting symptoms associated with influenza
• c. Triage of a young woman at risk for suicide to an emergency center
• d. Monitoring home treatment interventions

6. Which step does the nurse perform first in the telephone triage process?

• a. Selecting a guideline
• b. Formulating an impression
• c. Completing a preliminary assessment
• d. Analyzing patient data

7. Which action does the nurse take when using the “chunk and check” technique during a telephone encounter?

• a. Summarizes the advice and asks the patient to select the best option
• b. Completes the triage process and determines the patient’s understanding
• c. Breaks down the information into small segments and asks the patient to teach it back
• d. Divides the triage process by urgency and ensures the patient complies with the advice

8. Which question is “open-ended”?

• a. “How would you describe your pain?”
• b. “Have you ever had a bladder infection before?”
• c. “Did the pain begin suddenly?”
• d. “Is the pain above or below your pubic bone?”

9. Which bias is the telenurse demonstrating when directing a mother to call back if a child who is “usually healthy” develops more severe symptoms?

• a. Wishful thinking or optimism bias
• b. Implicit bias
• c. Source credibility bias
• d. Wellness bias

10. For which reason should the telenurse ask a patient to compare the ability to perform activities of daily living with current status?

• a. Provides a mental image of the patient’s acuity
• b. Allows the nurses to get to know the patient better
• c. Relays information about the patient preferences
• d. Informs the nurse about the patient’s schedule

11. Which statement describes “assessment by proxy”?

• a. The telenurse serves as a liaison between the physician and the patient.
• b. The patient serves as eyes, ears, nose, and hands for the clinician.
• c. The family member remains with the patient to deliver care.
• d. The patient elicits information and care advice from the internet.

12. Which statement best illustrates effective documentation for a parent’s description of a toddler’s loose stools? “

• a. “He’s never had diarrhea like this before.”
• b. “I’ve been too busy changing his diapers to count them.”
• c. “He had five large, watery green stools just in the last 2 hours.”
• d. “It seems like the that electrolyte juice just goes right through him.”

13. For which situation should the nurse use the universal guideline?

• a. Patient symptoms match those within a specific guideline.
• b. Patient symptoms do not match a specific guideline.
• c. Patient does not speak English.
• d. Patient needs information about a previously diagnosed condition.

14. According to the tiered approach to disposition described in this course, at which time should a patient with “urgent” symptoms be seen?

• a. Immediately
• b. Within 1 to 8 hours
• c. Within 8 to 24 hours
• d. After 24 hours

15. Which statement is true regarding delegating telephone triage to nonclinical staff?

• a. Perform limited telephone triage and give advice if under a nurse’s supervision.
• b. Directly receive nonclinical calls from patients requiring appointments.
• c. Triage calls with the use of a list of key symptoms.
• d. Take detailed messages for nurses by asking clinical questions.