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Exam 3 & Final Exam: NR548/ NR 548 Reviews (NEW Updates 2024/ 2025 BUNDLED

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Exam 3 & Final Exam: NR548/ NR 548 Reviews (NEW Updates 2024/ 2025 BUNDLED TOGETHER WITH COMPLETE SOLUTIONS) Psychiatric Assessment| Questions and Verified Answers| 100% Correct- Chamberlain Which theory would the PMHNP most need to consider when conducting a psychiatric interview in the fol...

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  • August 15, 2024
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Exam 3 & Final Exam: NR548/ NR 548 Reviews (NEW Updates 2024/ 2025 BUNDLED
TOGETHER WITH COMPLETE SOLUTIONS) Psychiatric Assessment| Questions and
Verified Answers| 100% Correct- Chamberlain

Which theory would the PMHNP most need to consider when conducting a
psychiatric interview in the following situations?
A 4-year-old is struggling to understand what she has seen on television about civil
protests.

Hierarchy of Needs Theory
Psychosocial Development Theory
Cognitive development Theory - ANS-Cognitive development Theory

Rationale: According to Piaget, children in early childhood do not have the cognitive
ability to understand abstract concepts, such as justice.

Special Considerations: Children - ANS--Legislation regarding minors and informed
consent is based on state law
• be familiar with the req in state of practice
• Children under 17 typically cannot provide informed consent
-Parents must give permission for tx in most circumstances, exceptions:
• under 18 and married
• serving in the military
• able to provide financial independence
• mother of a child (married or not)

-A parent may not be allowed to access info. in the following circumstances:
• info. is contained in the therapist's psychotherapy notes
• parent not designated as the child's personal representative
• parent voluntarily agrees that info can be kept confidential
• provider has a reasonable belief that abuse or neglect exists or parent is a danger
to the child
• provider believes it is not in the child's best interest to treat the parent as the
child's representative

,Telepsychiatry - ANS-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: - ANS--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: - ANS-• private
practice
• outpatient clinics
• schools
• nursing homes
• correctional facilities
• military facilities

telepsychiatry services are delivered through: - ANS-• 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: - ANS-• 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. - ANS-validity, reliability, assessment, and
treatment outcomes

most common modalities for providing telepsychiatric services is via
_______________________ - ANS-videoconferencing technology

In 2018, the American Psychiatric Association (APA), in conjunction with the
American Telemedicine Association (ATA) developed: - ANS-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: - ANS--
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.

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