Guide-linked quiz · Hard Level
AI in Nurse Telephone Triage Quiz
Tests how Schmitt-Thompson protocols order questions, the upgrade-only escalation rule for AI, and why undertriage is the key safety risk in telephone triage.
Question 1 of 8
How are questions ordered within a Schmitt-Thompson protocol?
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- How are questions ordered within a Schmitt-Thompson protocol?
- Alphabetically by symptom
- From most to least serious, with the first positive answer pointing to a disposition
- Randomly to avoid bias
- From least to most serious so callers stay calm
- What does the upgrade-only rule mean for AI in a triage system?
- AI can only be used on upgraded computers
- Automated components may raise urgency but cannot lower a disposition without a nurse
- The system must upgrade its protocols monthly
- Callers can upgrade to a physician for a fee
- What is undertriage?
- Sending a caller to a higher level of care than needed
- Sending a caller to a lower level of care than they need
- Taking too long to answer the phone
- Using fewer protocols than required
- What did the 2015 BMJ study by Semigran and colleagues find about online symptom checkers?
- They matched nurse triage accuracy exactly
- Their triage advice was often wrong, though generally cautious
- They were banned by regulators
- They only worked for pediatric symptoms
- In the recommended architecture, what job does the language model perform?
- Choosing the final disposition on its own
- Turning free-text answers into structured yes, no or unknown responses for the protocol engine
- Rewriting the protocols each night
- Billing the caller's insurance
- Why is negation, such as 'no chest pain, just tightness,' highlighted as a danger point?
- Models handle negation perfectly
- Models are weak at negation and hedged answers, which can hide serious symptoms
- Negation is not allowed in triage calls
- It only matters for pediatric calls
- What should happen when an intake bot receives a red-flag phrase like 'lips turning blue'?
- Finish the full intake form first
- Immediately escalate, directing emergency action and alerting the nurse
- Schedule a routine appointment
- Ask the caller to rephrase
- Which organization does the guide say publishes telehealth nursing practice standards?
- The American Academy of Ambulatory Care Nursing
- The Federal Communications Commission
- The American Bar Association
- The National Weather Service
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