NR548/ NR 548 EXAM 1: Psychiatric Assessment for the Psychiatric-Mental
Health Nurse Practitioner (Latest 2026/2027 Update) | Q&A | Grade A | 100%
Correct (Verified Answers) – Chamberlain University
Subject: Psychiatric Assessment for the PMHNP – NR548 Exam 1
Source: Chamberlain University College of Nursing – 2026/2027 Curriculum
Format: Q&A Guide with Rationale • Telepsychiatry • Legal/Ethical • Developmental Theories
1: In 2018, the American Psychiatric Association (APA), in conjunction with the American
Telemedicine Association (ATA), developed which of the following?
A. Standards for in-person psychiatric assessment
B. Best practices for providing videoconferencing-based telepsychiatric care that inform the technical
considerations and administrative requirements needed to provide these services
C. Guidelines for prescribing controlled substances via telephone
D. Regulations for reimbursement of telepsychiatry services by Medicare
Correct Answer: B. Best practices for providing videoconferencing-based telepsychiatric care that
inform the technical considerations and administrative requirements needed to provide these services
1. In 2018, the APA and ATA jointly developed best practice guidelines for videoconferencing-
based telepsychiatric care, addressing technical and administrative requirements.
2. These guidelines include use of designated technology platforms, verification of confidential
client information, sufficient bandwidth, and HIPAA-compliant devices.
3. The guidelines do not replace state or federal prescribing laws but provide operational
standards for telepsychiatry.
2: During telepsychiatry sessions, how should both the provider and client locations be treated?
A. As public spaces with limited privacy expectations
B. As a confidential space
C. As clinical examination rooms only for the provider side
D. As recording studios for later review
Correct Answer: B. As a confidential space
1. Both the provider and client locations during telepsychiatry sessions should be treated as
confidential spaces to protect patient privacy.
2. Provisions must be taken to ensure the discussion cannot be overheard by others, with adequate
lighting and appropriate ambiance.
3. The camera should be placed so that the eyes and face of participants are visible.
,3: What are the key legal and regulatory considerations for telepsychiatry according to best
practices?
A. Malpractice insurance, licensure requirements, federal and state prescribing guidelines, and
reimbursement
B. Only licensure requirements and reimbursement
C. Only federal prescribing guidelines and malpractice insurance
D. Only reimbursement and state prescribing guidelines
Correct Answer: A. Malpractice insurance, licensure requirements, federal and state prescribing
guidelines, and reimbursement
1. Key legal and regulatory considerations for telepsychiatry include malpractice insurance (some
policies require additional telehealth coverage).
2. Licensure requirements: providers must hold a license in the state where the client resides, and
are responsible for following that state's standards.
3. Federal and state prescribing guidelines (including the Ryan Haight Act) and reimbursement
(which varies by state and insurer) are also critical considerations.
4: According to best practices, the PMHNP must hold a license to practice in which location for
telepsychiatry?
A. The state where the provider resides
B. The state where the client resides
C. Both the state of residence and the state where the client resides
D. The state where the teleconferencing platform is hosted
Correct Answer: B. The state where the client resides
1. Providers must hold a license to practice in the state where the client resides for telepsychiatry
services.
2. Licensure requirements differ from in-person practice, and the PMHNP is responsible for
following standards for the state in which they are practicing.
3. This applies even if the provider is physically located in a different state.
5: What does the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 govern in
relation to telepsychiatry?
A. Reimbursement for telepsychiatry services
B. The prescribing of controlled substances via teleconferencing
C. Licensure requirements for telepsychiatry providers
D. The use of video platforms for therapy sessions
Correct Answer: B. The prescribing of controlled substances via teleconferencing
1. The Ryan Haight Act governs the prescribing of controlled substances via teleconferencing.
2. 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.
3. The Act creates a major barrier for direct-to-consumer telepsychiatry, as the home setting is not
an approved site for prescribing controlled substances.
, 6: How many states currently provide Medicaid reimbursement for telepsychiatry services?
A. 25 states
B. 48 states
C. 50 states
D. 30 states
Correct Answer: B. 48 states
1. Currently, 48 states provide Medicaid reimbursement for telepsychiatry services.
2. Reimbursement varies by state and insurance provider, and patients must be made aware of any
and all financial charges prior to the commencement of initial services.
3. Two states do not provide Medicaid reimbursement for telepsychiatry, creating access
disparities.
7: According to best practices for determining the appropriateness of telepsychiatry services, which
factors should be considered?
A. Only the client's cognitive capacity and medical status
B. Cognitive capacity of the client, client history and medical status, geographic distance to emergency
facilities, and client support system
C. Only geographic distance to emergency facilities and client support system
D. Only client history and medical status
Correct Answer: B. Cognitive capacity of the client, client history and medical status, geographic
distance to emergency facilities, and client support system
1. Best practices for determining appropriateness of telepsychiatry include assessing the client's
cognitive capacity and medical status.
2. Geographic distance to emergency facilities and the client's support system are also critical
considerations for emergency management.
3. These factors help determine whether telepsychiatry is safe and effective for the individual
client.
8: For forensic and correctional telepsychiatry, best practices require which of the following?
A. Standard consent forms used for all clients regardless of legal status
B. Following applicable standards of consent in terms of client's legal status and rights, and developing
clear, site-specific protocols
C. Avoiding telepsychiatry entirely in correctional settings
D. Using only telephone-based consultations
Correct Answer: B. Following applicable standards of consent in terms of client's legal status and
rights, and developing clear, site-specific protocols
1. Forensic and correctional telepsychiatry requires following applicable standards of consent
based on the client's legal status and rights.
2. Clear, site-specific protocols must be developed for these settings.
3. The PMHNP must be familiar with how the presenter's involvement can affect service delivery
and emergency management.
Health Nurse Practitioner (Latest 2026/2027 Update) | Q&A | Grade A | 100%
Correct (Verified Answers) – Chamberlain University
Subject: Psychiatric Assessment for the PMHNP – NR548 Exam 1
Source: Chamberlain University College of Nursing – 2026/2027 Curriculum
Format: Q&A Guide with Rationale • Telepsychiatry • Legal/Ethical • Developmental Theories
1: In 2018, the American Psychiatric Association (APA), in conjunction with the American
Telemedicine Association (ATA), developed which of the following?
A. Standards for in-person psychiatric assessment
B. Best practices for providing videoconferencing-based telepsychiatric care that inform the technical
considerations and administrative requirements needed to provide these services
C. Guidelines for prescribing controlled substances via telephone
D. Regulations for reimbursement of telepsychiatry services by Medicare
Correct Answer: B. Best practices for providing videoconferencing-based telepsychiatric care that
inform the technical considerations and administrative requirements needed to provide these services
1. In 2018, the APA and ATA jointly developed best practice guidelines for videoconferencing-
based telepsychiatric care, addressing technical and administrative requirements.
2. These guidelines include use of designated technology platforms, verification of confidential
client information, sufficient bandwidth, and HIPAA-compliant devices.
3. The guidelines do not replace state or federal prescribing laws but provide operational
standards for telepsychiatry.
2: During telepsychiatry sessions, how should both the provider and client locations be treated?
A. As public spaces with limited privacy expectations
B. As a confidential space
C. As clinical examination rooms only for the provider side
D. As recording studios for later review
Correct Answer: B. As a confidential space
1. Both the provider and client locations during telepsychiatry sessions should be treated as
confidential spaces to protect patient privacy.
2. Provisions must be taken to ensure the discussion cannot be overheard by others, with adequate
lighting and appropriate ambiance.
3. The camera should be placed so that the eyes and face of participants are visible.
,3: What are the key legal and regulatory considerations for telepsychiatry according to best
practices?
A. Malpractice insurance, licensure requirements, federal and state prescribing guidelines, and
reimbursement
B. Only licensure requirements and reimbursement
C. Only federal prescribing guidelines and malpractice insurance
D. Only reimbursement and state prescribing guidelines
Correct Answer: A. Malpractice insurance, licensure requirements, federal and state prescribing
guidelines, and reimbursement
1. Key legal and regulatory considerations for telepsychiatry include malpractice insurance (some
policies require additional telehealth coverage).
2. Licensure requirements: providers must hold a license in the state where the client resides, and
are responsible for following that state's standards.
3. Federal and state prescribing guidelines (including the Ryan Haight Act) and reimbursement
(which varies by state and insurer) are also critical considerations.
4: According to best practices, the PMHNP must hold a license to practice in which location for
telepsychiatry?
A. The state where the provider resides
B. The state where the client resides
C. Both the state of residence and the state where the client resides
D. The state where the teleconferencing platform is hosted
Correct Answer: B. The state where the client resides
1. Providers must hold a license to practice in the state where the client resides for telepsychiatry
services.
2. Licensure requirements differ from in-person practice, and the PMHNP is responsible for
following standards for the state in which they are practicing.
3. This applies even if the provider is physically located in a different state.
5: What does the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 govern in
relation to telepsychiatry?
A. Reimbursement for telepsychiatry services
B. The prescribing of controlled substances via teleconferencing
C. Licensure requirements for telepsychiatry providers
D. The use of video platforms for therapy sessions
Correct Answer: B. The prescribing of controlled substances via teleconferencing
1. The Ryan Haight Act governs the prescribing of controlled substances via teleconferencing.
2. 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.
3. The Act creates a major barrier for direct-to-consumer telepsychiatry, as the home setting is not
an approved site for prescribing controlled substances.
, 6: How many states currently provide Medicaid reimbursement for telepsychiatry services?
A. 25 states
B. 48 states
C. 50 states
D. 30 states
Correct Answer: B. 48 states
1. Currently, 48 states provide Medicaid reimbursement for telepsychiatry services.
2. Reimbursement varies by state and insurance provider, and patients must be made aware of any
and all financial charges prior to the commencement of initial services.
3. Two states do not provide Medicaid reimbursement for telepsychiatry, creating access
disparities.
7: According to best practices for determining the appropriateness of telepsychiatry services, which
factors should be considered?
A. Only the client's cognitive capacity and medical status
B. Cognitive capacity of the client, client history and medical status, geographic distance to emergency
facilities, and client support system
C. Only geographic distance to emergency facilities and client support system
D. Only client history and medical status
Correct Answer: B. Cognitive capacity of the client, client history and medical status, geographic
distance to emergency facilities, and client support system
1. Best practices for determining appropriateness of telepsychiatry include assessing the client's
cognitive capacity and medical status.
2. Geographic distance to emergency facilities and the client's support system are also critical
considerations for emergency management.
3. These factors help determine whether telepsychiatry is safe and effective for the individual
client.
8: For forensic and correctional telepsychiatry, best practices require which of the following?
A. Standard consent forms used for all clients regardless of legal status
B. Following applicable standards of consent in terms of client's legal status and rights, and developing
clear, site-specific protocols
C. Avoiding telepsychiatry entirely in correctional settings
D. Using only telephone-based consultations
Correct Answer: B. Following applicable standards of consent in terms of client's legal status and
rights, and developing clear, site-specific protocols
1. Forensic and correctional telepsychiatry requires following applicable standards of consent
based on the client's legal status and rights.
2. Clear, site-specific protocols must be developed for these settings.
3. The PMHNP must be familiar with how the presenter's involvement can affect service delivery
and emergency management.
