NR548 Final Exam 2025

Telepsychiatry - Correct Ans-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: - Correct Ans--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: - Correct Ans-• private practice • outpatient clinics • schools • nursing homes • correctional facilities • military facilities telepsychiatry services are delivered through: - Correct Ans-• 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: - Correct Ans-• 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 Telepsychiatry __________, _________, _________, and _________ outcomes are comparable to in-person services. - Correct Ans-validity, reliability, assessment, and treatment outcomes most common modalities for providing telepsychiatric services is via _______________________ - Correct Ans-videoconferencing technology In 2018, the American Psychiatric Association (APA), in conjunction with the American Telemedicine Association (ATA) developed: - Correct Ans-best practices for providing videoconferencing-based telepsychiatric care -guidelines inform the technical considerations and administrative requirements needed to provide these services best practices for providing videoconferencing-based telepsychiatric care: - Correct Ans--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 ______________ - Correct Ans-confidential space During telepsychiatry sessions, provisions must be taken to ensure: - Correct Ans--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 - Correct Ans--Malpractice insurance -Licensure requirements -Federal and state prescribing guidelines -Reimbursement Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance - Correct Ans-Malpractice insurance is required and some policies require additional policies for telehealth. Telepsychiatry Legal and Regulatory Considerations: Licensure requirements - Correct Ans-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 - Correct Ans-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 - Correct Ans--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: - Correct Ans--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 - Correct Ans--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 - Correct Ans-should facilitate the assessment by providing an adequate room size, furniture arrangement, toys, and activities that allow t