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

  • Nursing
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  • Shared February 2025
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2024-2025 NR548 Final Exam with Answers offers a collection of past exams to help you prepare effectively.

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    1 / 17 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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    2 / 17 • decreased emergency department visits • fewer delays in care • improved continuity of care • reduction of transportation - associated barriers

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    3 / 17 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 servi ces 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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    4 / 17 - Providers must hold a license to practice in the state where the cl ient 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 sta tes 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: Foren sic 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 fami ly 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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    5 / 17 21. best practices related to special populations: Geriatric: - include family as clinically appropriat e - 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 rela ted 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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