NR548/ NR 548 EXAM 1: NEWEST LATEST UPDATE 2024/ 2025
PSYCHIATRIC ASSESSMENT FOR THE PSYCHIATRIC-MENTAL HEALTH
NURSE PRACTITIONER!!1ALREADY GRADED A+
In 2018, the American Psychiatric Association (APA), in conjunction with the American
Telemedicine Association (ATA) developed: - DETAILED 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: - DETAILED
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 -
DETAILED ANSWER-Confidential space
During telepsychiatry sessions, provisions must be taken to ensure: - DETAILED 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 - DETAILED
, ANSWER--Malpractice insurance-Licensure requirements-Federal and state prescribing
guidelines -Reimbursement
Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance - DETAILED
ANSWERMalpractice insurance is required and some policies require additional policies for
telehealth.
Telepsychiatry Legal and Regulatory Considerations: Licensure requirements - DETAILED
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 -
DETAILED 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.
Telepsychiatry Legal and Regulatory Considerations: Billing and Reimbursement - DETAILED
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: - DETAILED 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 - DETAILED ANSWER--
follow applicable standards of consent in terms of client's legal status and rights -develop clear,
sitespecific protocols
PSYCHIATRIC ASSESSMENT FOR THE PSYCHIATRIC-MENTAL HEALTH
NURSE PRACTITIONER!!1ALREADY GRADED A+
In 2018, the American Psychiatric Association (APA), in conjunction with the American
Telemedicine Association (ATA) developed: - DETAILED 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: - DETAILED
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 -
DETAILED ANSWER-Confidential space
During telepsychiatry sessions, provisions must be taken to ensure: - DETAILED 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 - DETAILED
, ANSWER--Malpractice insurance-Licensure requirements-Federal and state prescribing
guidelines -Reimbursement
Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance - DETAILED
ANSWERMalpractice insurance is required and some policies require additional policies for
telehealth.
Telepsychiatry Legal and Regulatory Considerations: Licensure requirements - DETAILED
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 -
DETAILED 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.
Telepsychiatry Legal and Regulatory Considerations: Billing and Reimbursement - DETAILED
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: - DETAILED 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 - DETAILED ANSWER--
follow applicable standards of consent in terms of client's legal status and rights -develop clear,
sitespecific protocols
