NR 548 Psychiatric Assessment for Psychiatric-
Mental Health Nurse Practitioner
Final Exam Week 7-8
1. In 2018, the American Psychiatric Association (APA), in conjunction with theAmerican
Telemedicine Association (ATA) developed
::Ans- best practices for pro- viding videoconferencing-based telepsychiatric care-guidelines inform
the technicalconsiderations and administrative requirements needed to provide these services
2. best practices for providing videoconferencing-based telepsychiatric care:-
: ::Ans- -Use of a designated technology platform. Telesessions should not be conductedusing
alternate platforms; however, an alternate plan, such as a telephone call, maybe used in case of
technology failure.
-Provisions for the verification of confidential and secure client information. -Suffi-cient bandwidth
,to provide clear, appropriate video and audio quality.
-Device compliance with Health Insurance Portability and Accountability Act of 1996(HIPAA) and state
requirements.
3. During telepsychiatry sessions, both the provider and client locationsshould be
treated as a: ::Ans- Confidential space
4. During telepsychiatry sessions, provisions must be taken to ensure
::Ans- -the discussion cannot be overheard by other-adequate lighting and ambiance is provid-ed
that is appropriate to the session -place the camera so that the eyes and face ofthe participants are
visible
5. Telepsychiatry Legal and Regulatory Considerations: Best practices: ::Ans- -Malpractice
insurance-Licensure requirements-Federal and state prescribing guidelines
-Reimbursement
6. Telepsychiatry Legal and Regulatory Considerations: Malpractice insur- ance: ::Ans-
Malpractice insurance is required and some policies require additional policies for telehealth.
, 7. Telepsychiatry Legal and Regulatory Considerations: Licensure require- ments: ::Ans-
Licensure requirements differ from in-person practice.-Providers must holda license to practice in the
state where the client resides.-The PMHNP is responsiblefor following standards for the state in which
they are practicing.
8. Telepsychiatry Legal and Regulatory Considerations: Federal and state pre-scribing
guidelines: ::Ans- Federal and state prescribing guidelines differ for telepsychiatry.-The Ryan
Haight Online Pharmacy Consumer Protection Act of 2008 governsthe 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.
9. Telepsychiatry Legal and Regulatory Considerations: Billing and Reim- bursement: -
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 thecommencement of initial services
Mental Health Nurse Practitioner
Final Exam Week 7-8
1. In 2018, the American Psychiatric Association (APA), in conjunction with theAmerican
Telemedicine Association (ATA) developed
::Ans- best practices for pro- viding videoconferencing-based telepsychiatric care-guidelines inform
the technicalconsiderations and administrative requirements needed to provide these services
2. best practices for providing videoconferencing-based telepsychiatric care:-
: ::Ans- -Use of a designated technology platform. Telesessions should not be conductedusing
alternate platforms; however, an alternate plan, such as a telephone call, maybe used in case of
technology failure.
-Provisions for the verification of confidential and secure client information. -Suffi-cient bandwidth
,to provide clear, appropriate video and audio quality.
-Device compliance with Health Insurance Portability and Accountability Act of 1996(HIPAA) and state
requirements.
3. During telepsychiatry sessions, both the provider and client locationsshould be
treated as a: ::Ans- Confidential space
4. During telepsychiatry sessions, provisions must be taken to ensure
::Ans- -the discussion cannot be overheard by other-adequate lighting and ambiance is provid-ed
that is appropriate to the session -place the camera so that the eyes and face ofthe participants are
visible
5. Telepsychiatry Legal and Regulatory Considerations: Best practices: ::Ans- -Malpractice
insurance-Licensure requirements-Federal and state prescribing guidelines
-Reimbursement
6. Telepsychiatry Legal and Regulatory Considerations: Malpractice insur- ance: ::Ans-
Malpractice insurance is required and some policies require additional policies for telehealth.
, 7. Telepsychiatry Legal and Regulatory Considerations: Licensure require- ments: ::Ans-
Licensure requirements differ from in-person practice.-Providers must holda license to practice in the
state where the client resides.-The PMHNP is responsiblefor following standards for the state in which
they are practicing.
8. Telepsychiatry Legal and Regulatory Considerations: Federal and state pre-scribing
guidelines: ::Ans- Federal and state prescribing guidelines differ for telepsychiatry.-The Ryan
Haight Online Pharmacy Consumer Protection Act of 2008 governsthe 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.
9. Telepsychiatry Legal and Regulatory Considerations: Billing and Reim- bursement: -
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 thecommencement of initial services
