Final Exam: NR548 / NR 548 (Latest
Update 2024 / 2025) Psychiatric Assessment for Psychiatric-Mental Health Nurse Practitioner | Questions & Answers | 100% Correct | Grade A - Chamberlain
Question:
If a patient and/or a PSP will not cooperate in his or her own emergency
management:
Answer:
providers shall be prepared to work with local emergency personnel in case the patient needs emergency services and/or involuntary hospitalization.
Question:
Care Coordination
Answer:
With consent from the patient and in accordance with privacy guidelines, telemental health providers should arrange for appropriate and regular communication with other professionals and organizations involved in the care of the patient.
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Question:
TECHNICAL CONSIDERATIONS: VIDEOCONFERENCING PLATFORM
REQUIREMENTS
Answer:
should select video conferencing applications that have the appropriate verification, confidentiality, and security parameters necessary to be properly utilized for this purpose -event of a technology breakdown, causing a disruption of the session, the professional shall have a backup plan in place (telephone access) -services at a bandwidth and with sufficient resolutions to ensure the quality of the image and/or audio received is appropriate to the services being delivered
Question:
TECHNICAL CONSIDERATIONS: security issues
Answer:
-policies and procedures in place to ensure the physical security of telehealth equipment and the electronic security of data -Organizations shall ensure compliance with all relevant safety laws, regulations, and codes for technology and technical safety -HIPAA and state privacy requirements shall be followed at all times to protect patient privacy -mental health and substance use disorder services are afforded a higher degree of patients' rights as well as organizational responsibilities (e.g., need for specific consent from patients to release information around substance use)
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Question:
telemental health PHYSICAL LOCATION/ROOM REQUIREMENTS
Answer:
-both locations shall be considered a patient examination room regardless of a room's intended use -Providers shall ensure privacy so clinical discussion cannot be overheard by others outside of the room -patient and provider cameras should be placed at the same elevation as the eyes with the face clearly visible to the other person -features of the physical environment for both shall be adjusted so the physical space, to the degree possible, maximizes lighting, comfort and ambiance
Question:
Child & Adolescent Telepsychiatry: Legal and Regulatory Issues
Answer:
-Many states require guardian consent, written and/or verbal, for telepsychiatry services in addition to the usual consent for care -reporting requirements may vary by jurisdiction and ensure that relevant personnel at the distant (provider location) and originating (patient location) sites are informed of reporting requirements for youth -Telepsychiatrists should comply with the AACAP Code of Ethics -absence of a comprehensive policy for delivering telemedicine services,
individual states have proposed legislation to expand services:
• reimbursing for school-based telepsychiatry services 3 / 4
• repealing laws that mandate minimum distance requirements between distant and originating sites in order to receive reimbursement
Question:
Child & Adolescent Telepsychiatry: Patient Safety
Answer:
-·Psychiatrists telecommuting to any setting must consider whether appropriate emergency management protocols are in place and develop any needed protocols.-utilizes the local community's emergency resources -Telesychiatrists managing emergencies must rely on a team of individuals -· need to be able to effectively manipulate telepsychiatry technology in order to maximize video and audio quality to optimally assess signs of agitation, substance use, and medication side effects.• If technology falters, psychiatrists should be prepared to quickly initiate a pre-planned backup emergency management plan.
Question:
The Ryan Haight Online Consumer Pharmacy Protection Act of 2008
Answer:
impacts the legitimate practice of child and adolescent telepsychiatry.-requirement for the initial in-person evaluation is a major barrier for telepsychiatry with youth and the exceptions to this requirement are narrow and do not apply to many telepsychiatry applications.
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