NR548 FINAL EXAM 2025/26 ACTUAL
QUESTIONS WITH COMPLETE SOLUTIONS.
1 of 87
Term
best practices related to special populations: Forensic and
Correctional
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-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.
leverage telepsychiatry to support integrated care
-follow applicable standards of consent in terms of client's legal status and
rights
-develop clear, site-specific protocols
-include family as clinically appropriate
-adapt care for cognitive or sensory impairment
Don't know?
2 of 87
Term
Telepsychiatry Legal and Regulatory Considerations: Best practices
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-Malpractice insurance
-Licensure requirements
-Federal and state prescribing guidelines
-Reimbursement
Malpractice insurance is required and some policies require additional policies
for telehealth.
, 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.
•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
Don't know?
3 of 87
Term
Special Considerations: Older Adults
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-HIPAA guides the PMHNP in making decisions about when to share information
based on their professional judgment to prevent harm
•may be necessary for providers to share mental and behavioral health
information to enhance treatment or ensure the health and safety of the client
and others
-PMHNPs are mandatory reporters in cases of suspected child abuse
, -Assess client ability to understand medical information & tx options & to make a
voluntary decision
-Present relevant information with accuracy and sensitivity, Should include
information about:
•Diagnosis
•Nature and purpose of treatment options
•Benefits, risks, and burdens of all treatment options, including
forgoing treatment
-Docu m e n t
W h e n
i n fo r m e d c o ns e n t c o n v e r s a t io n in t he m e di c a
c o n d uc t in g a p s y c h ia tr i c i n t e rv ie w w ith a n o l d
conse nt fo r m s
l r ec o rd , i n c lu d in g a ll m us t c o nsider the following:
e r a du lt , t h e P M H N P
-developmental issues of older adulthood
-generational perspectives and beliefs
-comorbid physical illness
-polypharmacy
-cognitive or sensory impairments
-history of physical/mental disorders
impacts the legitimate practice of child and adolescent telepsychiatry.
-requirement for the initial in-person evaluation is a major barrier for
telepsychiatry with youth and the exceptions to this requirement are narrow
and do not apply to many telepsychiatry applications.
Don't know?
QUESTIONS WITH COMPLETE SOLUTIONS.
1 of 87
Term
best practices related to special populations: Forensic and
Correctional
Give this one a try later!
-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.
leverage telepsychiatry to support integrated care
-follow applicable standards of consent in terms of client's legal status and
rights
-develop clear, site-specific protocols
-include family as clinically appropriate
-adapt care for cognitive or sensory impairment
Don't know?
2 of 87
Term
Telepsychiatry Legal and Regulatory Considerations: Best practices
Give this one a try later!
-Malpractice insurance
-Licensure requirements
-Federal and state prescribing guidelines
-Reimbursement
Malpractice insurance is required and some policies require additional policies
for telehealth.
, 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.
•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
Don't know?
3 of 87
Term
Special Considerations: Older Adults
Give this one a try later!
-HIPAA guides the PMHNP in making decisions about when to share information
based on their professional judgment to prevent harm
•may be necessary for providers to share mental and behavioral health
information to enhance treatment or ensure the health and safety of the client
and others
-PMHNPs are mandatory reporters in cases of suspected child abuse
, -Assess client ability to understand medical information & tx options & to make a
voluntary decision
-Present relevant information with accuracy and sensitivity, Should include
information about:
•Diagnosis
•Nature and purpose of treatment options
•Benefits, risks, and burdens of all treatment options, including
forgoing treatment
-Docu m e n t
W h e n
i n fo r m e d c o ns e n t c o n v e r s a t io n in t he m e di c a
c o n d uc t in g a p s y c h ia tr i c i n t e rv ie w w ith a n o l d
conse nt fo r m s
l r ec o rd , i n c lu d in g a ll m us t c o nsider the following:
e r a du lt , t h e P M H N P
-developmental issues of older adulthood
-generational perspectives and beliefs
-comorbid physical illness
-polypharmacy
-cognitive or sensory impairments
-history of physical/mental disorders
impacts the legitimate practice of child and adolescent telepsychiatry.
-requirement for the initial in-person evaluation is a major barrier for
telepsychiatry with youth and the exceptions to this requirement are narrow
and do not apply to many telepsychiatry applications.
Don't know?
