NR548 UPDATED ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY GUIDE
●● 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.
-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
●● 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.
, ●● Telepsychiatry Legal and Regulatory Considerations: Billing and
Reimbursement
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:
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
Answer: -follow applicable standards of consent in terms of client's legal
status and rights -develop clear, site-specific protocols
●● Telemental health Children and Adolescents: environment
Answer: should facilitate the assessment by providing an adequate room
size, furniture arrangement, toys, and activities that allow the youth to
engage with the accompanying parent, presenter, and provider and
demonstrate age-appropriate skills
●● best practices related to special populations: Children and
Adolescents
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY GUIDE
●● 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.
-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
●● 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.
, ●● Telepsychiatry Legal and Regulatory Considerations: Billing and
Reimbursement
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:
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
Answer: -follow applicable standards of consent in terms of client's legal
status and rights -develop clear, site-specific protocols
●● Telemental health Children and Adolescents: environment
Answer: should facilitate the assessment by providing an adequate room
size, furniture arrangement, toys, and activities that allow the youth to
engage with the accompanying parent, presenter, and provider and
demonstrate age-appropriate skills
●● best practices related to special populations: Children and
Adolescents
