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NR548 Final Exam 100% VERIFIED
ANSWERS 2024/2025 CORRECT
1. Telepsychiatry: 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
2. The American Psychiatric Association (APA, 2020) supports telemedicine
as a legitimate component of a mental health delivery system when telepsy-
chiatry services:: -benefit the client
-maintain client autonomy, confidentiality, and privacy
-when used consistent with APA medical ethics policies and established telepsychi-
atry laws
3. Telepsychiatry services are provided in diverse settings, including:: • private
practice
• outpatient clinics
• schools
• nursing homes
• correctional facilities
• military facilities
4. telepsychiatry services are delivered through:: • videoconferencing technolo-
gy
• websites
• recorded medical information
• support or chat groups
• asynchronous client-provider interactions social media
• links to self-directed or assisted assessment
5. Benefits of telepsychiatry services:: • improved access to care
• reduced costs
• improved efficiency
• improved integration of care

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6. Telepsychiatry , , , and out-
comes are comparable to in-person services.: validity, reliability, assessment,
and treatment outcomes
7. most common modalities for providing telepsychiatric services is via
: videoconferencing technology
8. In 2018, the American Psychiatric Association (APA), in conjunction with
the American Telemedicine Association (ATA) developed:: best practices for
providing videoconferencing-based telepsychiatric care
-guidelines inform the technical considerations and administrative requirements
needed to provide these services
9. best practices for providing videoconferencing-based telepsychiatric care:-
: -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.
10. During telepsychiatry sessions, both the provider and client locations
should be treated as a : confidential space
11. During telepsychiatry sessions, provisions must be taken to ensure:: -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
12. Telepsychiatry Legal and Regulatory Considerations: Best practices: -Mal-
practice insurance
-Licensure requirements
-Federal and state prescribing guidelines
-Reimbursement
13. Telepsychiatry Legal and Regulatory Considerations: Malpractice insur-
ance: Malpractice insurance is required and some policies require additional poli-
cies for telehealth.
14. Telepsychiatry Legal and Regulatory Considerations: Licensure require-
ments: Licensure requirements differ from in-person practice.

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-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.
15. Telepsychiatry Legal and Regulatory Considerations: Federal and state
prescribing guidelines: Federal and state prescribing guidelines differ for telepsy-
chiatry.
-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.
16. 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 the commencement of initial services
17. Best practices for determining the appropriateness of telepsychiatry ser-
vices include consideration of the following:: -cognitive capacity of the client
-client history and medical status
-geographic distance to emergency facilities
-client support system
18. best practices related to special populations: Forensic and Correctional: -
-follow applicable standards of consent in terms of client's legal status and rights
-develop clear, site-specific protocols
19. Telemental health Children and Adolescents: environment: 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, presen-
ter, and provider and demonstrate age-appropriate skills
20. best practices related to special populations: Children and Adolescents: -
follow the same guidelines presented for adults
• modify care based on developmental status (motor functioning, speech and lan-
guage 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 availabil-
ity of supportive adults, the mental health status of those adults, and ability of the
site to respond to any urgent or emergent situations.

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21. best practices related to special populations: Geriatric: -include family as
clinically appropriate
-adapt care for cognitive or sensory impairment
22. best practices related to special populations: Military and Veteran: -be
familiar with federal and organizational structures and guidelines
-be familiar with military cultural competence
23. best practices related to special populations: Substance Use Disorder
Treatment: -comply with federal, state, and local regulations related to prescribing
controlled substances
-coordinate with on-site staff as appropriate to ensure care coordination and moni-
toring
24. best practices related to special populations: Inpatient and Residential
Settings: -participate in administration and organizational meetings as appropriate
-optimize use of site-staff for consultation and care coordination
25. best practices related to special populations: Primary Care: leverage
telepsychiatry to support integrated care
26. best practices related to special populations: Rural: be aware of impact of
rural environments in relation to firearm ownership, kinship, and geographic barriers
to care
27. Typically, the standard operating procedures (SOP) addresses:: roles, re-
sponsibilities, licensing, client identification, and systematic quality improvement.
-backup plan to address technical difficulties is frequently included
28. standard protocols to support telepsychiatry services: (4 steps): Step 1:
Confirm the name and credentials of provider and the name of the client.
Step 2: Identify the location of the client.
Step 3: Gather contact information for provider and client in case of interruption of
session.
Step 4: Provide guidance for appropriate contact between sessions and review
emergency management protocols for client.
-If client is in a location with clinical staff, the provider will inform staff of emergent
situations
-If client is in another location, the provider may identify a support person to contact
for potential emergencies.
-If the client requires emergency intervention in the community setting, the provider
must coordinate with local emergency staff.

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2024-2025 NR548 Final Exam with Answers (87 Solved Questions)

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