NR548/ NR 548 EXAM 1: PSYCHIATRIC
ASSESSMENT FOR THE PSYCHIATRIC-
MENTAL HEALTH NURSE
PRACTITIONER - QUESTIONS AND
ANSWERS 100% PASS 2026/2027
In 2018, the American Psychiatric Association (APA), in conjunction with the American
Telemedicine Association (ATA) developed: - ANS best practices for providing
videoconferencing-based telepsychiatric care-guidelines inform the technical considerations and
administrative requirements needed to provide these services
best practices for providing videoconferencing-based telepsychiatric care: - ANS -Use of a
designated technology platform. Telesessions should not be conducted using alternate
platforms; however, an alternate plan, such as a telephone call, may be used in case of
technology failure.
-Provisions for the verification of confidential and secure client information. -Sufficient
bandwidth to provide clear, appropriate video and audio quality.
-Device compliance with Health Insurance Portability and Accountability Act of 1996 (HIPAA)
and state requirements.
During telepsychiatry sessions, both the provider and client locations should be treated as a -
ANS Confidential space
@2026 ALLRIGHTS RESERVED 1
, During telepsychiatry sessions, provisions must be taken to ensure: - ANS -the discussion
cannot be overheard by other-adequate lighting and ambiance is provided that is appropriate to
the session -place the camera so that the eyes and face of the participants are visible
Telepsychiatry Legal and Regulatory Considerations: Best practices - ANS -Malpractice
insurance-Licensure requirements-Federal and state prescribing guidelines -Reimbursement
Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance - ANS Malpractice
insurance is required and some policies require additional policies for telehealth.
Telepsychiatry Legal and Regulatory Considerations: Licensure requirements - ANS Licensure
requirements differ from in-person practice.-Providers must hold a license to practice in the
state where the client resides.-The PMHNP is responsible for following standards for the state in
which they are practicing.
Telepsychiatry Legal and Regulatory Considerations: Federal and state prescribing guidelines -
ANS Federal and state prescribing guidelines differ for telepsychiatry.-The Ryan Haight Online
Pharmacy Consumer Protection Act of 2008 governs the prescribing of controlled substances via
teleconferencing.• To safely prescribe, the provider must conduct an in-person medical
evaluation at least once every 24 months and comply with all federal and state prescribing
guidelines.
Telepsychiatry Legal and Regulatory Considerations: Billing and Reimbursement - ANS -
Reimbursement varies by state and insurance provider.• Currently, 48 states provide Medicaid
reimbursement for telepsychiatry services.-pt made aware of any and all financial charges that
may arise from the services prior to the commencement of initial services
Best practices for determining the appropriateness of telepsychiatry services include
consideration of the following: - ANS -cognitive capacity of the client-client history and
medical status -geographic distance to emergency facilities -client support system
@2026 ALLRIGHTS RESERVED 2
ASSESSMENT FOR THE PSYCHIATRIC-
MENTAL HEALTH NURSE
PRACTITIONER - QUESTIONS AND
ANSWERS 100% PASS 2026/2027
In 2018, the American Psychiatric Association (APA), in conjunction with the American
Telemedicine Association (ATA) developed: - ANS best practices for providing
videoconferencing-based telepsychiatric care-guidelines inform the technical considerations and
administrative requirements needed to provide these services
best practices for providing videoconferencing-based telepsychiatric care: - ANS -Use of a
designated technology platform. Telesessions should not be conducted using alternate
platforms; however, an alternate plan, such as a telephone call, may be used in case of
technology failure.
-Provisions for the verification of confidential and secure client information. -Sufficient
bandwidth to provide clear, appropriate video and audio quality.
-Device compliance with Health Insurance Portability and Accountability Act of 1996 (HIPAA)
and state requirements.
During telepsychiatry sessions, both the provider and client locations should be treated as a -
ANS Confidential space
@2026 ALLRIGHTS RESERVED 1
, During telepsychiatry sessions, provisions must be taken to ensure: - ANS -the discussion
cannot be overheard by other-adequate lighting and ambiance is provided that is appropriate to
the session -place the camera so that the eyes and face of the participants are visible
Telepsychiatry Legal and Regulatory Considerations: Best practices - ANS -Malpractice
insurance-Licensure requirements-Federal and state prescribing guidelines -Reimbursement
Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance - ANS Malpractice
insurance is required and some policies require additional policies for telehealth.
Telepsychiatry Legal and Regulatory Considerations: Licensure requirements - ANS Licensure
requirements differ from in-person practice.-Providers must hold a license to practice in the
state where the client resides.-The PMHNP is responsible for following standards for the state in
which they are practicing.
Telepsychiatry Legal and Regulatory Considerations: Federal and state prescribing guidelines -
ANS Federal and state prescribing guidelines differ for telepsychiatry.-The Ryan Haight Online
Pharmacy Consumer Protection Act of 2008 governs the prescribing of controlled substances via
teleconferencing.• To safely prescribe, the provider must conduct an in-person medical
evaluation at least once every 24 months and comply with all federal and state prescribing
guidelines.
Telepsychiatry Legal and Regulatory Considerations: Billing and Reimbursement - ANS -
Reimbursement varies by state and insurance provider.• Currently, 48 states provide Medicaid
reimbursement for telepsychiatry services.-pt made aware of any and all financial charges that
may arise from the services prior to the commencement of initial services
Best practices for determining the appropriateness of telepsychiatry services include
consideration of the following: - ANS -cognitive capacity of the client-client history and
medical status -geographic distance to emergency facilities -client support system
@2026 ALLRIGHTS RESERVED 2
