NR 548 Psychiatric Assessment for Psychiatric-
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Mental Health Nurse Practitioner
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Final Exam Week 7-8 rt rt rt
1. In2018,theAmericanPsychiatricAssociation(APA),inconjunctionwiththe
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American Telemedicine Association (ATA) developed
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::Ans- best practices for pro- vidingvideoconferencing-basedtelepsychiatriccare-
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guidelinesinformthetechnicalconsiderations and administrative requirements
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rt needed to provide these services
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2. bestpracticesforprovidingvideoconferencing-basedtelepsychiatriccare:-
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: ::Ans- -Use of a designated technology platform. Telesessions should not be
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rt conductedusingalternateplatforms;however,analternateplan,suchasatelephonecall,
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maybe used in case of technology failure.
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,-Provisions for the verification of confidential and secure client information.-Suffi-
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cient bandwidth to provide clear, appropriate video and audio quality.
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-DevicecompliancewithHealthInsurancePortabilityandAccountabilityActof1996
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(HIPAA) and state requirements.
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3. During telepsychiatry sessions,both the provider and client locations
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should be treated as a:::Ans- Confidential space
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4. During telepsychiatry sessions, provisions must be taken to ensure
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::Ans- -the discussioncannotbeoverheardbyother-adequatelightingandambianceis
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provid-ed that is appropriate to the session -place the camera so that the eyes and face of
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the participants are visible
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5. Telepsychiatry Legal and Regulatory Considerations: Best practices: ::Ans- rt rt rt rt rt rt rt rt
rt -Malpracticeinsurance-Licensurerequirements-Federalandstateprescribing
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guidelines
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-Reimbursement
6. Telepsychiatry Legal and Regulatory Considerations: Malpractice insur- rt rt rt rt rt rt
, rt ance:::Ans- Malpractice insurance is required and some policies require additional
tr rt rt rt rt rt rt rt rt rt
rt policies for telehealth. rt rt
7. Telepsychiatry Legal and Regulatory Considerations: Licensure require- rt rt rt rt rt rt
rt ments:::Ans- Licensure requirements differ from in-person practice.-Providers must
tr rt rt rt rt rt rt rt
rt holdalicensetopracticeinthestatewheretheclientresides.-ThePMHNPisresponsible
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for following standards for the state in which they are practicing.
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8. TelepsychiatryLegalandRegulatoryConsiderations:Federalandstatepre- tr tr tr tr tr tr tr tr
scribing guidelines:::Ans- Federal and state prescribing guidelines differ for
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rt telepsychiatry.-The Ryan Haight Online Pharmacy Consumer Protection Act of 2008 rt rt rt rt rt rt rt rt rt
governsthe prescribing of controlled substances via teleconferencing.• To safely
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rt prescribe,the provider must conduct an in-person medical evaluation at least once
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rt every 24 months and comply with all federal and state prescribing guidelines.
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9. Telepsychiatry Legal and Regulatory Considerations: Billing and Reim- rt rt rt rt rt rt rt
rt bursement: -Reimbursement varies by state and insurance provider.• Currently, 48 rt rt rt rt rt rt rt rt rt
rt states provide Medicaid reimbursement for telepsychiatry services.-pt made aware of
rt rt rt rt rt rt rt rt rt
rt any and all financial charges that may arise from the services prior to the
rt rt rt rt rt rt rt rt rt rt rt rt rt
rt rt rt rt rt
Mental Health Nurse Practitioner
rt rt rt
Final Exam Week 7-8 rt rt rt
1. In2018,theAmericanPsychiatricAssociation(APA),inconjunctionwiththe
tr tr tr tr tr tr tr tr tr tr
American Telemedicine Association (ATA) developed
tr rt rt rt rt
::Ans- best practices for pro- vidingvideoconferencing-basedtelepsychiatriccare-
rt rt rt rt rt rt rt rt
guidelinesinformthetechnicalconsiderations and administrative requirements
rt rt rt rt rt rt rt
rt needed to provide these services
rt rt rt rt
2. bestpracticesforprovidingvideoconferencing-basedtelepsychiatriccare:-
tr tr tr tr tr tr
: ::Ans- -Use of a designated technology platform. Telesessions should not be
rt rt rt rt rt rt rt rt rt rt rt
rt conductedusingalternateplatforms;however,analternateplan,suchasatelephonecall,
rt rt rt rt rt rt rt rt rt rt rt rt
maybe used in case of technology failure.
rt rt rt rt rt rt rt rt
,-Provisions for the verification of confidential and secure client information.-Suffi-
rt rt rt rt rt rt rt rt rt rt
cient bandwidth to provide clear, appropriate video and audio quality.
rt rt rt rt rt rt rt rt rt rt
-DevicecompliancewithHealthInsurancePortabilityandAccountabilityActof1996
rt rt rt rt rt rt rt rt rt rt
(HIPAA) and state requirements.
rt rt rt rt
3. During telepsychiatry sessions,both the provider and client locations
rt rt tr rt rt rt rt rt
should be treated as a:::Ans- Confidential space
tr rt rt rt rt rt rt rt
4. During telepsychiatry sessions, provisions must be taken to ensure
rt rt rt rt rt rt rt rt
::Ans- -the discussioncannotbeoverheardbyother-adequatelightingandambianceis
rt rt rt rt rt rt rt rt rt rt rt
provid-ed that is appropriate to the session -place the camera so that the eyes and face of
rt rt rt rt rt rt rt rt rt rt rt rt rt rt rt rt rt rt
the participants are visible
rt rt rt rt
5. Telepsychiatry Legal and Regulatory Considerations: Best practices: ::Ans- rt rt rt rt rt rt rt rt
rt -Malpracticeinsurance-Licensurerequirements-Federalandstateprescribing
rt rt rt rt rt
guidelines
rt
-Reimbursement
6. Telepsychiatry Legal and Regulatory Considerations: Malpractice insur- rt rt rt rt rt rt
, rt ance:::Ans- Malpractice insurance is required and some policies require additional
tr rt rt rt rt rt rt rt rt rt
rt policies for telehealth. rt rt
7. Telepsychiatry Legal and Regulatory Considerations: Licensure require- rt rt rt rt rt rt
rt ments:::Ans- Licensure requirements differ from in-person practice.-Providers must
tr rt rt rt rt rt rt rt
rt holdalicensetopracticeinthestatewheretheclientresides.-ThePMHNPisresponsible
rt rt rt rt rt rt rt rt rt rt rt rt rt rt
for following standards for the state in which they are practicing.
rt rt rt rt rt rt rt rt rt rt rt
8. TelepsychiatryLegalandRegulatoryConsiderations:Federalandstatepre- tr tr tr tr tr tr tr tr
scribing guidelines:::Ans- Federal and state prescribing guidelines differ for
tr rt rt rt rt rt rt rt rt rt
rt telepsychiatry.-The Ryan Haight Online Pharmacy Consumer Protection Act of 2008 rt rt rt rt rt rt rt rt rt
governsthe prescribing of controlled substances via teleconferencing.• To safely
rt rt rt rt rt rt rt rt rt rt
rt prescribe,the provider must conduct an in-person medical evaluation at least once
rt rt rt rt rt rt rt rt rt rt rt
rt every 24 months and comply with all federal and state prescribing guidelines.
rt rt rt rt rt rt rt rt rt rt rt
9. Telepsychiatry Legal and Regulatory Considerations: Billing and Reim- rt rt rt rt rt rt rt
rt bursement: -Reimbursement varies by state and insurance provider.• Currently, 48 rt rt rt rt rt rt rt rt rt
rt states provide Medicaid reimbursement for telepsychiatry services.-pt made aware of
rt rt rt rt rt rt rt rt rt
rt any and all financial charges that may arise from the services prior to the
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