ASSESSMENT FOR THE PSYCHIATRIC-MENTAL
HEALTH NURSE PRACTITIONER WITH COMPLETE
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QUESTIONS AND CORRECT DETAILED ANSWERS
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NR 548
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In 2018, the American Psychiatric Association (APA), in
conjunction with the American Telemedicine Association
(ATA) developed: ....... 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: ....... 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.
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-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 ....... ANSWER .......
Confidential 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
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Telepsychiatry Legal and Regulatory Considerations:
Malpractice insurance ....... ANSWER .......
Malpractice insurance is required and some policies require
additional policies for telehealth.
Telepsychiatry Legal and Regulatory Considerations:
Licensure requirements ....... 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 ....... 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.