NR548/ NR 548 Final Exam Questions and Answers Latest Updated 2024/2025 | 100% Correct | Graded A+

Telepsychiatry - ANSWERa 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: - 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: - ANSWER• private practice • outpatient clinics • schools • nursing homes • correctional facilities • military facilities telepsychiatry services are delivered through: - ANSWER• videoconferencing technology • websites • recorded medical information NR548 Final Exam Questions and Answers Latest Updated 2024/2025 | 100% Correct | Graded A+ • support or chat groups • asynchronous client-provider interactions social media • links to self-directed or assisted assessment Benefits of telepsychiatry services: - 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. - ANSWERvalidity, reliability, assessment, and treatment outcomes most common modalities for providing telepsychiatric services is via _______________________ - ANSWERvideoconferencing technology In 2018, the American Psychiatric Association (APA), in conjunction with the American Telemedicine Association (ATA) developed: - ANSWERbest 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: - 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 ______________ - ANSWERconfidential space During telepsychiatry sessions, provisions must be taken to ensure: - 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 - ANSWER- Malpractice insurance -Licensure requirements -Federal and state prescribing guidelines -Reimbursement Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance - ANSWERMalpractice insurance is required and some policies require additional policies for telehealth. Telepsychiatry Legal and Regulatory Considerations: Licensure requirements - ANSWERLicensure 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 - ANSWERFederal 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 - 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: - 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 - 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 - ANSWERshould 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 - ANSWERfollow the same guidelines presented for adults •modify care based on developmental status (motor functioning, speech and language capabilities, relatedness, and relevant regulatory issues) -include family as appropriate -Providers should consider how the presenter's involvement can affect service delivery -Appropriateness for telemental care shall consider safety of the youth, the availability of supportive adults, the mental health status of those adults, and ability of the site to respond to any urgent or emergent situations. best practices related to special populations: Geriatric - ANSWER-include family as clinically appropriate -adapt care for cognitive or sensory impairment best practices related to special populations: Military and Veteran - ANSWER-be familiar with federal and organizational structures and guidelines -be familiar with military cultural competence best practices related to special populations: Substance Use Disorder Treatment - ANSWER-comply with federal, state, and local regulations related to prescribing controlled substances -coordinate with on-site staff as appropriate to ensure care coordination and monitoring best practices related to special populations: Inpatient and Residential Settings - ANSWER-participate in administration and organizational meetings as appropriate -optimize use of site-staff for consultation and care coordination best practices related to special populations: Primary Care - ANSWERleverage telepsychiatry to support integrated care