Final Exam: NR548 / NR 548 (Latest 2025 / 2026) Psychiatric Assessment for Psychiatric-Mental Health Nurse Practitioner| Weeks 7-8 Covered| Questions with Verified Answers| 100% Correct – Chamberlain.

Final Exam: NR548 / NR 548 (Latest )
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Psychiatric Assessment for Psychiatric-Mental i,- i,- i,- i,-




Health Nurse Practitioner| Weeks 7-8 Covered| i,- i,- i,- i,- i,- i,-




Questions with Verified Answers| 100% Correct – i,- i,- i,- i,- i,- i,- i,-




Chamberlain.


John is a 36-year-old with a diagnosis of schizophrenia. He lives
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with his mother. His symptoms are currently well managed by
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medications; however, he sometimes forgets to take them. At the i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



visit with the PMHNP, John asks the PMHNP to go over his
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medication regimen with his mother. i,- i,- i,- i,-




Is this allowed under HIPAA?
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Rationale: In situations where the client is given the opportunity
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and does not object, HIPAA allows the provider to share or
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discuss the client's mental health information with family
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members or other persons involved in the client's care or
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payment for care. i,- i,-




John's sister calls the PMHNP to discuss her concerns that John is
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under a lot of stress and may be showing signs of psychosis. John
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has not permitted the PMHNP to speak with his sister as they are
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estranged, and John has asked the PMHNP not to share i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



information.

,Is it acceptable for the PMHNP to share information about John's
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status with his sister?
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Rationale: The HIPAA Privacy Rule permits a health care provider
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to disclose information to the family members of an adult client
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who has the capacity and indicates that he or she does not want
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the disclosure made, only to the extent that the provider
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perceives a serious and imminent threat to the health or safety of
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the client or others and the family members are in a position to
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lessen the threat. Otherwise, under HIPAA, the provider must
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respect the wishes of the adult client who objects to the
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disclosure.


Is it permissible for the PMHNP to listen to the sister's concerns
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without sharing information? i,- Yes i,- i,-i,- i,-




Rationale: HIPAA in no way prevents health care providers from
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listening to family members or other caregivers who may have
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concerns about the health. i,- i,- i,-




John's mother recently had a stroke and is in the neuro intensive
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care unit (ICU). With his mother out of the home, John has
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forgotten to take his medications for over a week. He begins to
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experience hallucinations and paranoia. At his appointment with
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the PMHNP, he threatens to harm his sister.
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,To whom should the PMHNP disclose this information (select all
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that apply):
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-John's sister i,-




-John's mother's nurse in the neuro ICU
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-Law enforcement near the sister's home
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-A social worker from the Board of Developmental Disabilities
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who has been working with the family
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-Law enforcement near the sister's home
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-A social worker from the Board of Developmental Disabilities
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who has been working with the family
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Rationale: The Privacy Rule permits a health care provider to
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disclose necessary information about a client to law enforcement,
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family members of the client, or other persons when the provider
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believes the client presents a serious and imminent threat to self
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or others. Specifically, when a health care provider believes in
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good faith that such a warning is necessary to prevent or lessen a
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serious and imminent threat to the health or safety of the client
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or others, the Privacy Rule allows the provider, consistent with
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applicable law and standards of ethical conduct, to alert those
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persons whom the provider believes are reasonably able to
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prevent or lessen the threat. i,- i,- i,- i,-

, Telepsychiatry a provider administers psychiatric care from a i,-i,- i,- i,- i,- i,- i,- i,- i,- i,-



distance through a technological interface
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-a subset of telehealth
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-telepsychiatric services i,-




• psychiatric interview
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• psychiatric evaluations
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• therapy
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• medication management
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• consultation
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• client education
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The American Psychiatric Association (APA, 2020) supports
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telemedicine as a legitimate component of a mental health i,- i,- i,- i,- i,- i,- i,- i,- i,-



delivery system when telepsychiatry services:
i,- -benefit the i,- i,- i,- i,-i,- i,- i,- i,-



client
-maintain client autonomy, confidentiality, and privacy
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-when used consistent with APA medical ethics policies and
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established telepsychiatry laws i,- i,-




Telepsychiatry services are provided in diverse settings, including: i,- i,- i,- i,- i,- i,- i,- i,-i,-



• private practice
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• outpatient clinics
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