NR548 FINAL EXAM QUESTIONS AND
ANSWERS 100% CORRECT!!
,Telepsychiatry - ANSWER a provider administers psychiatric care from a distance
through a technological interface
-a subset of telehealth
-telepsychiatric services
• psychiatric interview
• psychiatric evaluations
• therapy
• medication management
• consultation
• client education
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
Telepsychiatry services are provided in diverse settings, including: - ANSWER • private
practice
• outpatient clinics
• schools
• nursing homes
• correctional facilities
• military facilities
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
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
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
ANSWERS 100% CORRECT!!
,Telepsychiatry - ANSWER a provider administers psychiatric care from a distance
through a technological interface
-a subset of telehealth
-telepsychiatric services
• psychiatric interview
• psychiatric evaluations
• therapy
• medication management
• consultation
• client education
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
Telepsychiatry services are provided in diverse settings, including: - ANSWER • private
practice
• outpatient clinics
• schools
• nursing homes
• correctional facilities
• military facilities
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
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
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
