1
(NR 548 VERIFIED)
NR 548 FINAL EXAM -2023- COMPLEHENSIVE STUDY
GUIDE| SET OF QUESTIONS AND ANSWERS| ALREADY
GRADED A+| GUARANTEED SUCCESS
The American Psychiatric Association (APA, 2020) supports telemedicine as a legitimate component of a
mental health delivery system when telepsychiatry services:
-benefit the client
-maintain client autonomy, confidentiality, and privacy
-when used consistent with APA medical ethics policies and established telepsychiatry laws
Telehealthcare
the use of telecommunications technology to remove time and distance barriers from the delivery of
health care services and related health care activities
-Traditionally, the use of telehealth and tele-mental health care was designed to meet the needs of rural
populations and geographic areas with identified shortages of specialty health care professionals
Forensic Mental Health Care
Any cross between the criminal justice system and psychiatric nursing can be considered forensic mental
health
-64% of U.S. inmates have mental health concerns or disorders
-15% to 20% of inmates in jails and prisons suffer from serious mental illness
-Over 90% of federal inmates with mental health conditions are without access to mental health treatment
Informed Consent
Local, state, and national laws regarding verbal or written consent shall be followed
-If written consent is required, then electronic signatures, assuming these are allowed in the relevant
jurisdiction, may be used
-The provider shall document the provision of consent in the medical record
Clinically unsupervised settings
-Providers should discuss the importance of having consistency in where the patient is located for
sessions
-knowing a patient's location at the time of care, as it impacts emergency management and local available
resources
• As patients change locations, providers shall be aware of the impact of location on emergency
management protocols (police, emergency rooms, crisis teams)
-provider should consider the use of a "Patient Support Person" (PSP) as clinically indicated
, 2
(NR 548 VERIFIED)
• a family, friend or community member selected by the patient who could be called upon for support in
the case of an emergency
If a patient and/or a PSP will not cooperate in his or her own emergency management:
providers shall be prepared to work with local emergency personnel in case the patient needs emergency
services and/or involuntary hospitalization.
Telepsychiatry services are provided in diverse settings, including:
• private practice
• outpatient clinics
• schools
• nursing homes
• correctional facilities
• military facilities
telepsychiatry services are delivered through:
• 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:
• 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.
validity, reliability, assessment, and treatment outcomes
, 3
(NR 548 VERIFIED)
most common modalities for providing telepsychiatric services is via _______________________
videoconferencing technology
In 2018, the American Psychiatric Association (APA), in conjunction with the American Telemedicine
Association (ATA) developed:
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:
-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
______________
confidential space
During telepsychiatry sessions, provisions must be taken to ensure:
-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
-Malpractice insurance
-Licensure requirements
-Federal and state prescribing guidelines
-Reimbursement
Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance
(NR 548 VERIFIED)
NR 548 FINAL EXAM -2023- COMPLEHENSIVE STUDY
GUIDE| SET OF QUESTIONS AND ANSWERS| ALREADY
GRADED A+| GUARANTEED SUCCESS
The American Psychiatric Association (APA, 2020) supports telemedicine as a legitimate component of a
mental health delivery system when telepsychiatry services:
-benefit the client
-maintain client autonomy, confidentiality, and privacy
-when used consistent with APA medical ethics policies and established telepsychiatry laws
Telehealthcare
the use of telecommunications technology to remove time and distance barriers from the delivery of
health care services and related health care activities
-Traditionally, the use of telehealth and tele-mental health care was designed to meet the needs of rural
populations and geographic areas with identified shortages of specialty health care professionals
Forensic Mental Health Care
Any cross between the criminal justice system and psychiatric nursing can be considered forensic mental
health
-64% of U.S. inmates have mental health concerns or disorders
-15% to 20% of inmates in jails and prisons suffer from serious mental illness
-Over 90% of federal inmates with mental health conditions are without access to mental health treatment
Informed Consent
Local, state, and national laws regarding verbal or written consent shall be followed
-If written consent is required, then electronic signatures, assuming these are allowed in the relevant
jurisdiction, may be used
-The provider shall document the provision of consent in the medical record
Clinically unsupervised settings
-Providers should discuss the importance of having consistency in where the patient is located for
sessions
-knowing a patient's location at the time of care, as it impacts emergency management and local available
resources
• As patients change locations, providers shall be aware of the impact of location on emergency
management protocols (police, emergency rooms, crisis teams)
-provider should consider the use of a "Patient Support Person" (PSP) as clinically indicated
, 2
(NR 548 VERIFIED)
• a family, friend or community member selected by the patient who could be called upon for support in
the case of an emergency
If a patient and/or a PSP will not cooperate in his or her own emergency management:
providers shall be prepared to work with local emergency personnel in case the patient needs emergency
services and/or involuntary hospitalization.
Telepsychiatry services are provided in diverse settings, including:
• private practice
• outpatient clinics
• schools
• nursing homes
• correctional facilities
• military facilities
telepsychiatry services are delivered through:
• 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:
• 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.
validity, reliability, assessment, and treatment outcomes
, 3
(NR 548 VERIFIED)
most common modalities for providing telepsychiatric services is via _______________________
videoconferencing technology
In 2018, the American Psychiatric Association (APA), in conjunction with the American Telemedicine
Association (ATA) developed:
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:
-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
______________
confidential space
During telepsychiatry sessions, provisions must be taken to ensure:
-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
-Malpractice insurance
-Licensure requirements
-Federal and state prescribing guidelines
-Reimbursement
Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance
