NR548 FINAL EXAM QUESTIONS &
ELABORATED COMPLETE
SOLUTIONS PASSED ALREADY
GRADED A+
Telepsychiatry - Correct Answer ✔✔ a provider administers psychiatric care from a
distance through a technological interface
-a subset of telehealth
-telepsychiatric services
• psychiatric interview
• psychiatric evaluations
• therapy
• medication management
• consultation
• client education
The American Psychiatric Association (APA, 2020) supports telemedicine as a
legitimate component of a mental health delivery system when telepsychiatry services: -
Correct Answer ✔✔ -benefit the client
-maintain client autonomy, confidentiality, and privacy
-when used consistent with APA medical ethics policies and established telepsychiatry
laws
Telepsychiatry services are provided in diverse settings, including: - Correct Answer
✔✔ • private practice
• outpatient clinics
• schools
• nursing homes
• correctional facilities
• military facilities
telepsychiatry services are delivered through: - Correct Answer ✔✔ • videoconferencing
technology
• websites
• recorded medical information
• support or chat groups
• asynchronous client-provider interactions social media
• links to self-directed or assisted assessment
Benefits of telepsychiatry services: - Correct Answer ✔✔ • improved access to care
• reduced costs
,• improved efficiency
• improved integration of care
• decreased emergency department visits
• fewer delays in care
• improved continuity of care
• reduction of transportation-associated barriers
Telepsychiatry __________, _________, _________, and _________ outcomes are
comparable to in-person services. - Correct Answer ✔✔ validity, reliability, assessment,
and treatment outcomes
most common modalities for providing telepsychiatric services is via
_______________________ - Correct Answer ✔✔ videoconferencing technology
In 2018, the American Psychiatric Association (APA), in conjunction with the American
Telemedicine Association (ATA) developed: - Correct Answer ✔✔ 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: - Correct
Answer ✔✔ -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 ______________ - Correct Answer ✔✔ confidential space
During telepsychiatry sessions, provisions must be taken to ensure: - Correct Answer
✔✔ -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 - Correct Answer
✔✔ -Malpractice insurance
-Licensure requirements
-Federal and state prescribing guidelines
, -Reimbursement
Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance - Correct
Answer ✔✔ Malpractice insurance is required and some policies require additional
policies for telehealth.
Telepsychiatry Legal and Regulatory Considerations: Licensure requirements - Correct
Answer ✔✔ 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 - Correct Answer ✔✔ 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 -
Correct Answer ✔✔ -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: - Correct Answer ✔✔ -cognitive capacity of the client
-client history and medical status
-geographic distance to emergency facilities
-client support system
best practices related to special populations: Forensic and Correctional - Correct
Answer ✔✔ -follow applicable standards of consent in terms of client's legal status and
rights
-develop clear, site-specific protocols
Telemental health Children and Adolescents: environment - Correct Answer ✔✔ should
facilitate the assessment by providing an adequate room size, furniture arrangement,
toys, and activities that allow the youth to engage with the accompanying parent,
presenter, and provider and demonstrate age-appropriate skills
best practices related to special populations: Children and Adolescents - Correct
Answer ✔✔ follow the same guidelines presented for adults
•modify care based on developmental status (motor functioning, speech and language
capabilities, relatedness, and relevant regulatory issues)
ELABORATED COMPLETE
SOLUTIONS PASSED ALREADY
GRADED A+
Telepsychiatry - Correct Answer ✔✔ a provider administers psychiatric care from a
distance through a technological interface
-a subset of telehealth
-telepsychiatric services
• psychiatric interview
• psychiatric evaluations
• therapy
• medication management
• consultation
• client education
The American Psychiatric Association (APA, 2020) supports telemedicine as a
legitimate component of a mental health delivery system when telepsychiatry services: -
Correct Answer ✔✔ -benefit the client
-maintain client autonomy, confidentiality, and privacy
-when used consistent with APA medical ethics policies and established telepsychiatry
laws
Telepsychiatry services are provided in diverse settings, including: - Correct Answer
✔✔ • private practice
• outpatient clinics
• schools
• nursing homes
• correctional facilities
• military facilities
telepsychiatry services are delivered through: - Correct Answer ✔✔ • videoconferencing
technology
• websites
• recorded medical information
• support or chat groups
• asynchronous client-provider interactions social media
• links to self-directed or assisted assessment
Benefits of telepsychiatry services: - Correct Answer ✔✔ • improved access to care
• reduced costs
,• improved efficiency
• improved integration of care
• decreased emergency department visits
• fewer delays in care
• improved continuity of care
• reduction of transportation-associated barriers
Telepsychiatry __________, _________, _________, and _________ outcomes are
comparable to in-person services. - Correct Answer ✔✔ validity, reliability, assessment,
and treatment outcomes
most common modalities for providing telepsychiatric services is via
_______________________ - Correct Answer ✔✔ videoconferencing technology
In 2018, the American Psychiatric Association (APA), in conjunction with the American
Telemedicine Association (ATA) developed: - Correct Answer ✔✔ 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: - Correct
Answer ✔✔ -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 ______________ - Correct Answer ✔✔ confidential space
During telepsychiatry sessions, provisions must be taken to ensure: - Correct Answer
✔✔ -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 - Correct Answer
✔✔ -Malpractice insurance
-Licensure requirements
-Federal and state prescribing guidelines
, -Reimbursement
Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance - Correct
Answer ✔✔ Malpractice insurance is required and some policies require additional
policies for telehealth.
Telepsychiatry Legal and Regulatory Considerations: Licensure requirements - Correct
Answer ✔✔ 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 - Correct Answer ✔✔ 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 -
Correct Answer ✔✔ -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: - Correct Answer ✔✔ -cognitive capacity of the client
-client history and medical status
-geographic distance to emergency facilities
-client support system
best practices related to special populations: Forensic and Correctional - Correct
Answer ✔✔ -follow applicable standards of consent in terms of client's legal status and
rights
-develop clear, site-specific protocols
Telemental health Children and Adolescents: environment - Correct Answer ✔✔ should
facilitate the assessment by providing an adequate room size, furniture arrangement,
toys, and activities that allow the youth to engage with the accompanying parent,
presenter, and provider and demonstrate age-appropriate skills
best practices related to special populations: Children and Adolescents - Correct
Answer ✔✔ follow the same guidelines presented for adults
•modify care based on developmental status (motor functioning, speech and language
capabilities, relatedness, and relevant regulatory issues)
