NR548
PRACTICE EXAM QUESTIONS WITH
CORRECT DETAILED ANSWERS |
ALREADY GRADED A+<RECENT
VERSION>
1. The American Psychiatric Association (APA, 2020) supports telemedicine as a legitimate
component of a mental health delivery system when telepsychiatry services: - ANSWER -
benefit the client
-maintain client autonomy, confidentiality, and privacy
-when used consistent with APA medical ethics policies and established telepsychiatry laws
2. Telepsychiatry services are provided in diverse settings, including: - ANSWER • private
practice
• outpatient clinics
• schools
• nursing homes
• correctional facilities
• military facilities
3. telepsychiatry services are delivered through: - ANSWER • videoconferencing technology
• websites
• recorded medical information
• support or chat groups
• asynchronous client-provider interactions social media
• links to self-directed or assisted assessment
4. Benefits of telepsychiatry services: - ANSWER • 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
5. Telepsychiatry __________, _________, _________, and _________ outcomes are
comparable to in-person services. - ANSWER validity, reliability, assessment, and
treatment outcomes
6. most common modalities for providing tele psychiatric services is via
_______________________ - ANSWER videoconferencing technology
7. In 2018, the American Psychiatric Association (APA), in conjunction with the American
Telemedicine Association (ATA) developed: - ANSWER best practices for providing
videoconferencing-based tele psychiatric care
-guidelines inform the technical considerations and administrative requirements needed to
provide these services
8. best practices for providing videoconferencing-based tele psychiatric care: - ANSWER -
Use of a designated technology platform. Tele sessions 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.
9. During telepsychiatry sessions, both the provider and client locations should be treated as a
______________ - ANSWER confidential space
10. 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
11. Telepsychiatry Legal and Regulatory Considerations: Best practices - ANSWER -
Malpractice insurance
-Licensure requirements
-Federal and state prescribing guidelines
-Reimbursement
12. Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance - ANSWER
Malpractice insurance is required and some policies require additional policies for telehealth.
13. 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.
14. 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.
15. 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
16. 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
17. 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
, 18. Tele mental 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
19. best practices related to special populations: Children and Adolescents - ANSWER follow
the same guidelines presented for adults
•modify care based on developmental status (motor functioning, speech and language
capabilities, relatedness, and relevant regulatory issues)
-include family as appropriate
-Providers should consider how the presenter's involvement can affect service delivery
-Appropriateness for tele mental 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.
20. best practices related to special populations: Geriatric - ANSWER -include family as
clinically appropriate
-adapt care for cognitive or sensory impairment
21. best practices related to special populations: Military and Veteran - ANSWER -be familiar
with federal and organizational structures and guidelines
be familiar with military cultural competence
22. best practices related to special populations: Substance Use Disorder Treatment -
ANSWER -comply with federal, state, and local regulations related to prescribing
controlled substances
-coordinate with on-site staff as appropriate to ensure care coordination and monitoring
23. best practices related to special populations: Inpatient and Residential Settings - ANSWER
-participate in administration and organizational meetings as appropriate
24. -optimize use of site-staff for consultation and care coordination
25. best practices related to special populations: Primary Care - ANSWER leverage
telepsychiatry to support integrated care
PRACTICE EXAM QUESTIONS WITH
CORRECT DETAILED ANSWERS |
ALREADY GRADED A+<RECENT
VERSION>
1. The American Psychiatric Association (APA, 2020) supports telemedicine as a legitimate
component of a mental health delivery system when telepsychiatry services: - ANSWER -
benefit the client
-maintain client autonomy, confidentiality, and privacy
-when used consistent with APA medical ethics policies and established telepsychiatry laws
2. Telepsychiatry services are provided in diverse settings, including: - ANSWER • private
practice
• outpatient clinics
• schools
• nursing homes
• correctional facilities
• military facilities
3. telepsychiatry services are delivered through: - ANSWER • videoconferencing technology
• websites
• recorded medical information
• support or chat groups
• asynchronous client-provider interactions social media
• links to self-directed or assisted assessment
4. Benefits of telepsychiatry services: - ANSWER • 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
5. Telepsychiatry __________, _________, _________, and _________ outcomes are
comparable to in-person services. - ANSWER validity, reliability, assessment, and
treatment outcomes
6. most common modalities for providing tele psychiatric services is via
_______________________ - ANSWER videoconferencing technology
7. In 2018, the American Psychiatric Association (APA), in conjunction with the American
Telemedicine Association (ATA) developed: - ANSWER best practices for providing
videoconferencing-based tele psychiatric care
-guidelines inform the technical considerations and administrative requirements needed to
provide these services
8. best practices for providing videoconferencing-based tele psychiatric care: - ANSWER -
Use of a designated technology platform. Tele sessions 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.
9. During telepsychiatry sessions, both the provider and client locations should be treated as a
______________ - ANSWER confidential space
10. 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
11. Telepsychiatry Legal and Regulatory Considerations: Best practices - ANSWER -
Malpractice insurance
-Licensure requirements
-Federal and state prescribing guidelines
-Reimbursement
12. Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance - ANSWER
Malpractice insurance is required and some policies require additional policies for telehealth.
13. 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.
14. 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.
15. 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
16. 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
17. 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
, 18. Tele mental 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
19. best practices related to special populations: Children and Adolescents - ANSWER follow
the same guidelines presented for adults
•modify care based on developmental status (motor functioning, speech and language
capabilities, relatedness, and relevant regulatory issues)
-include family as appropriate
-Providers should consider how the presenter's involvement can affect service delivery
-Appropriateness for tele mental 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.
20. best practices related to special populations: Geriatric - ANSWER -include family as
clinically appropriate
-adapt care for cognitive or sensory impairment
21. best practices related to special populations: Military and Veteran - ANSWER -be familiar
with federal and organizational structures and guidelines
be familiar with military cultural competence
22. best practices related to special populations: Substance Use Disorder Treatment -
ANSWER -comply with federal, state, and local regulations related to prescribing
controlled substances
-coordinate with on-site staff as appropriate to ensure care coordination and monitoring
23. best practices related to special populations: Inpatient and Residential Settings - ANSWER
-participate in administration and organizational meetings as appropriate
24. -optimize use of site-staff for consultation and care coordination
25. best practices related to special populations: Primary Care - ANSWER leverage
telepsychiatry to support integrated care
