Which of the following are best practices for delivering nurse coaching via telehealth?

• A. Ensure privacy
• B. Clear communication
• C. Assess digital literacy
• D. All of the above

Answer: (D)

Privacy, clear communication, and assessing digital literacy are essential for telehealth nurse coaching. Protecting privacy ensures patient confidentiality and regulatory compliance, creating a trusted space where patients feel safe sharing sensitive information. Clear communication is crucial in a virtual setting where nonverbal cues are harder to read; it involves speaking plainly, confirming understanding, and using teach-back to verify that the patient comprehends the plan. Assessing digital literacy helps determine whether the patient can effectively use the telehealth platform, access needed devices and connectivity, and engage in the coaching session; if gaps exist, you can tailor support or adjust the approach to maintain active participation. When these elements are combined, you address confidentiality, comprehension, and access, all of which are necessary for effective, patient-centered telehealth coaching.