NR548 REVIEW 8 CERTIFICATION EVALUATION
EXAMS 2026 SOLVED QUESTIONS WITH FULL
SOLUTION
◉ 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.
◉ 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
◉ 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
◉ 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
◉ Telemental health Children and Adolescents: environment
EXAMS 2026 SOLVED QUESTIONS WITH FULL
SOLUTION
◉ 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.
◉ 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
◉ 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
◉ 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
◉ Telemental health Children and Adolescents: environment
