NR548 Exam Questions with 100% Correct Answers Latest Graded
A+
Question:
In 2018, the American Psychiatric Association (APA), in conjunction with the American
Telemedicine Association (ATA) developed:
Answer:
best practices for providing videoconferencing-based telepsychiatric care-guidelines inform the
technical considerations and administrative requirements needed to provide these services
Question:
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.
Question:
During telepsychiatry sessions, both the provider and client locations should be treated as a
Answer:
Confidential space
Question:
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
Question:
,Telepsychiatry Legal and Regulatory Considerations: Best practices
Answer:
-Malpractice insurance-Licensure requirements-Federal and state prescribing guidelines
-Reimbursement
Question:
Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance
Answer:
Malpractice insurance is required and some policies require additional policies for telehealth.
Question:
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.
Question:
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.
Question:
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
Question:
, 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
Question:
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
Question:
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
Question:
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 telemental 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.
Question:
Best practices related to special populations: Geriatric
Answer:
-include family as clinically appropriate-adapt care for cognitive or sensory impairment
Question:
A+
Question:
In 2018, the American Psychiatric Association (APA), in conjunction with the American
Telemedicine Association (ATA) developed:
Answer:
best practices for providing videoconferencing-based telepsychiatric care-guidelines inform the
technical considerations and administrative requirements needed to provide these services
Question:
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.
Question:
During telepsychiatry sessions, both the provider and client locations should be treated as a
Answer:
Confidential space
Question:
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
Question:
,Telepsychiatry Legal and Regulatory Considerations: Best practices
Answer:
-Malpractice insurance-Licensure requirements-Federal and state prescribing guidelines
-Reimbursement
Question:
Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance
Answer:
Malpractice insurance is required and some policies require additional policies for telehealth.
Question:
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.
Question:
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.
Question:
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
Question:
, 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
Question:
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
Question:
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
Question:
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 telemental 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.
Question:
Best practices related to special populations: Geriatric
Answer:
-include family as clinically appropriate-adapt care for cognitive or sensory impairment
Question:
