Author Question: A rural hospital administrator is resistant to creating a telehealth system because of its impact on ... (Read 49 times)

Themember4 · **on:** Jul 22, 2018

A rural hospital administrator is resistant to creating a telehealth system because of its impact on finances. What response by the director of nursing, who thinks a system should be started as soon as possible, would be best?

a. Inform the administrator of research findings related to telehealth.
b. Lobby federal lawmakers to require third-party funding for telehealth costs.
c. Work with the administrator to find ways to make up the revenue shortfall.
d. Write grants for funding to offset the costs of starting a telehealth system.

Question 2

An experienced nurse is telling a recent graduate nurse that engaging in active listening with patients can be very tiring because

a. developing the skills needed for active listening takes time and effort.
b. it is difficult to stay quiet and let the patients do all the talking.
c. it requires actively examining the content of what the patient says.
d. more time is required to engage in active listening with patients.

missalyssa26 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
One of telehealth's successes is reducing admissions in patients who have chronic illnesses. This could make a huge impact on a hospital's finances, especially in a rural area populated by a large number of older adults with chronic illnesses. The DON could collaborate with the administrator to create billable services to help make up for this shortfall.
Informing the administrator of research findings will not change the financial impact of a telehealth service.
Lobbying for third-party reimbursement is an excellent choice but would take too long to be the best action.
Writing grants would also be an excellent choice, but the grant process is arduous and takes too long to be the best option, plus it will not address the real concern of loss of income.

Answer to Question 2

C
Active listening is an active, not a passive, process and involves working to understand the words and the meanings behind what the patient is saying.
It does take some effort to develop this skill, but this is not the best explanation of the issue.
It is difficult for some people to use silence in conversation, but this is not the reason active listening can be tiring.
It is debatable whether more time is required to engage in active listening with patients.