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NR548 Final Exam – Questions & Solutions
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NR548 Final Exam – Questions & SolutionsTelepsychiatry - ✔️ 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
The American Psychiatric Association (APA, 2020) supports telemedicine
as a legitimate component of a mental health delivery system when
telepsychiatry services: - ✔️ -benefit the client
-maintain client autonomy, confidentiality, and privacy
-when used consistent with APA medical ethics policies and established
telepsychiatry laws
Telepsychiatry services are provided in diverse settings, including:
- ✔️ • private practice
• outpatient clinics
• schools
• nursing homes
• correctional facilities
• military facilities
telepsychiatry services are delivered through: - ✔️ •
videoconferencing technology
• websites
• recorded medical information
• support or chat groups
• asynchronous client-provider interactions social media
• links to self-directed or assisted assessment
Benefits of telepsychiatry services: - ✔️ • improved access to care
• reduced costs
,• improved efficiency
• improved integration of care
• decreased emergency department visits
• fewer delays in care
• improved continuity of care
• reduction of transportation-associated barriers
Telepsychiatry __________, _________, _________, and _________ outcomes are
comparable to in-person services. - ✔️ validity, reliability,
assessment, and treatment outcomes
most common modalities for providing telepsychiatric services is via
_______________________ - ✔️ videoconferencing technology
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
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.
During telepsychiatry sessions, both the provider and client locations
should be treated as a ______________ - ✔️ confidential space
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
Telepsychiatry Legal and Regulatory Considerations: Best practices
- ✔️ -Malpractice insurance
-Licensure requirements
-Federal and state prescribing guidelines
-Reimbursement
Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance
- ✔️ Malpractice insurance is required and some policies require additional
policies for telehealth.
Telepsychiatry Legal and Regulatory Considerations: Licensure
requirements - ✔️ 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 - ✔️ 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 - ✔️ -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
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