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NR548 / NR 548 Final Exam (2024 / 2025): Psychiatric Assessment for Psychiatric-Mental Health Nurse Practitioner, Covered (Week 7 - 8) Questions and Verified Answers - Chamberlain$17.99
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1. In 2018, the American Psychiatric Association (APA), in conjunction with the
American Telemedicine Association (ATA) developed
::Ans- best practices for pro- viding videoconferencing-based telepsychiatric care-
guidelines inform the technicalconsiderations and administrative requirements
needed to provide these services
2. best practices for providing videoconferencing-based telepsychiatric care:-
: ::Ans- -Use of a designated technology platform. Telesessions should not be
conductedusing alternate platforms; however, an alternate plan, such as a
telephone call, maybe used in case of technology failure.
,-Provisions for the verification of confidential and secure client information. -Suffi-
cient bandwidth to provide clear, appropriate video and audio quality.
-Device compliance with Health Insurance Portability and Accountability Act of 1996
(HIPAA) and state requirements.
3. During telepsychiatry sessions, both the provider and client locations
should be treated as a: ::Ans- Confidential space
4. During telepsychiatry sessions, provisions must be taken to ensure
::Ans- -the discussion cannot be overheard by other-adequate lighting and
ambiance is provid-ed that is appropriate to the session -place the camera so that
the eyes and face ofthe participants are visible
5. Telepsychiatry Legal and Regulatory Considerations: Best practices:
::Ans- -Malpractice insurance-Licensure requirements-Federal and state
prescribing guidelines
-Reimbursement
6. Telepsychiatry Legal and Regulatory Considerations: Malpractice insur-
,ance: ::Ans- Malpractice insurance is required and some policies require
additional policies for telehealth.
7. Telepsychiatry Legal and Regulatory Considerations: Licensure require-
ments: ::Ans- Licensure requirements differ from in-person practice.-Providers
must holda license to practice in the state where the client resides.-The PMHNP is
responsiblefor following standards for the state in which they are practicing.
8. Telepsychiatry Legal and Regulatory Considerations: Federal and state pre-
scribing guidelines: ::Ans- Federal and state prescribing guidelines differ for
telepsychiatry.-The Ryan Haight Online Pharmacy Consumer Protection Act of
2008 governsthe 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.
9. Telepsychiatry Legal and Regulatory Considerations: Billing and Reim-
bursement: -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
,10. Best practices for determining the appropriateness of telepsychiatry
services include consideration of the following
::Ans- -cognitive capacity of the client-client history and medical status -
geographic distance to emergency facilities
-client support system
11. Best practices related to special populations: Forensic and Correctional-
: -follow applicable standards of consent in terms of client's legal status and rights
-develop clear, site-specific protocols
12. Telemental health Children and Adolescents: environment: ::Ans- should
facilitatethe assessment by providing an adequate room size, furniture
arrangement, toys, and activities that allow the youth to engage with the
accompanying parent, presen-ter, and provider and demonstrate age-appropriate
skills
13. best practices related to special populations: Children and Adolescents: -
::Ans- follow the same guidelines presented for adults•modify care based on
developmen-tal status (motor functioning, speech and language capabilities,
relatedness, and relevant regulatory issues)-include family as appropriate-
Providers should considerhow 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.
14. Best practices related to special populations: Geriatric: ::Ans- -include
family asclinically appropriate-adapt care for cognitive or sensory impairment
15. best practices related to special populations: Military and Veteran: -be
familiar with federal and organizational structures and guidelines -be familiar with
military cultural competence
16. best practices related to special populations: Substance Use Disorder
Treatment: comply with federal, state, and local regulations related to prescribing
controlled substances
-coordinate with on-site staff as appropriate to ensure care coordination and moni-
toring
17. best practices related to special populations: Inpatient and Residential
Settings: ::Ans- -participate in administration and organizational meetings as
appropriate
-optimize use of site-staff for consultation and care coordination
18. best practices related to special populations: Primary Care: leverage
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