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Exam & Evaluation (Telephone Triage)
 
Questions: Please respond to following statements.

1 A protocol is a detailed, official scientific plan of nursing assessment which may recommend a specific plan of care to the caller.
True     False
2 Open-ended questions allow the patient to respond in a more creative, spontaneous, and accurate manner. Leading questions can normally be answered with a "yes" or a "no".
True     False
3 Being able to show compassion, practice mercy, and listen well are essential skills of the quality telephone nurse.
True     False
4 For security reasons, nurses MUST NOT identify themselves when speaking with a patient over the telephone.
True     False
5 Essential to accurate documentation, the nurse must include where the patient is calling from, what type of insurance they have, their typical compliance with nursing instruction, and how many times they have called the service that day.
True     False
6 When dealing with a caller in crisis who may seem hostile, aggravated, or rude, the nurse has the right to hang up immediately if the caller uses profanity.
True     False
7 Quality improvement is an optional portion of any telephone triage program.
True     False
8 The design of the work station used by the telephone triage nurse should be ergonomically correct to avoid repetitive injuries for the staff.
True     False
9 Risk factors that increase the acuity of patients with fever are:
  immunosuppression, as in patients with AIDS or medicated with corticosteroids
  Pregnancy in the 3rd trimester
  Diabetes
10 It is important to see immediately:
  Any patient with fever ongoing over 72 hours
  Any patient with persistent cough with fever
  Any patient with fever and stiff neck
11 Home care advice for children with fever includes administration of antipyretics such as Tylenol, ibuprofen and aspirin.
True     False
12 The main cause of wheezing in children over 3 years of age is asthma.
True     False
13 The telephone triage nurse should advise that a child should be seen within 4 hours who:
  is having difficulty breathing.
  has respirations over 60/minute for infants less than 12 months.
  has a fever for over 3 days.
  has a constant cough, non-responsive to mist
14 With abdominal pain, the triage nurse should assess whether the patient also has chest pain.
True     False
15 A risk factor that increases the acuity of abdominal pain symptoms is diabetes.
True     False
16 A child should be seen immediately if experiencing:
  Severe nausea, vomiting and diarrhea.
  Pain lasting longer than 24 hrs.
  Pain localized to the lower left abdomen for the last one and a half hours.
17 For the purpose of triage advice, treatment differs according to whether the chemical in the eye was a HARMFUL or HARMLESS substance. Check the following list, choosing the HARMFUL substances only.
  sulfuric acid
  sunscreen
  toilet bowl cleaner
  rubbing alcohol
  battery fluid
  medications
  hydrogen peroxide
  metal cleaner
18 Secretaries may begin the telephone triage process by taking down the caller's name, phone number and history of their complaints.
True     False
19 Disease management allows nurses and doctors to check up on their patient's compliance with home care instructions and report them to their insurance carrier if they are non-compliant.
True     False
20 It is legal for a nurse with a license in her own state to advise patients calling from another state, providing both states have signed the Nurse Licensure Compact into law.
True     False
21 The nurse bases their triage decision on the diagnosis made by the patient regarding their symptoms.
True     False
22 At the beginning of a call, it is safe for the nurse to tell the caller: "Oh, don't worry. The vomiting bug is going around."
True     False
23 Obtaining the weight is only important on patients with a history of CHF.
True     False
24 According to Sara Courson's article, What is Telephone Triage Nursing?, there is no difference between health advice telephone lines and telephone triage lines.
True     False
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