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NR548 Week 8 Final Exam Questions and Correct Answers

Question 1

Which of the following determine the age at which parents are no longer considered the personal representative of the child for HIPAA purposes?

Answers: A – D

1. nurse practice acts
2. federal laws
3. organizational policies
4. state laws

 

Question 2

What specific telepsychiatric requirements are outlined within the Ryan Haight Act?

Answers: A – D

1. The Act requires any practitioner issuing a prescription for a controlled substance to conduct an initial in-person medical evaluation biannually.
2. The Act requires any practitioner issuing a prescription for any psychotropic medication to conduct an annual in person medical evaluation.
3. The Act allows telehealth practitioners to prescribe all psychotropic medications without restriction.
4. The Act allows for unregulated controlled substance prescribing with telepsychiatry.

 

Question 3

The student PMHNP is interviewing a 75-year-old woman at an initial intake interview. While completing the social history portion of the interview, the student PMHNP omits the questions regarding sexual activity. This action is an example of which of the following?

Answers: A – D

1. cultural standards
2. respect for the rights and dignity of the elderly
3. therapeutic nihilism
4. ageism

 

Question 4

The PMHNP scope of practice addresses telehealth and states telecommunication promotes access to care. The PMHNP scope of practice discusses which of the following issues which require special consideration?

Answers: A – D

1. telehealth can cross state and national boundaries without concern
2. hybrid services are considered best practice
3. integrated health care is not appropriate for mental health clients
4. confidentiality and regulation

 

Question 5

Are there any special considerations for the PMHNP when initiating telepsychiatry services for an established 16-year-old client?

Answers: A – D

1. No, federal and state laws are the same for in-person services and telepsychiatry.
2. Yes, the PMHNP must verify whether state laws require additional parental consent for telepsychiatry.
3. No, adolescents can provide their own consent for telepsychiatry.
4. Yes, the Ryan Haight Act prohibits telepsychiatry for minors.

 

Question 6

The PMHNP is working as a school counselor. A 17 year old student is having mental health concerns including thoughts of self harm. Can the PMHNP share these with the student’s parents?

Answers: A – D

1. Yes, disclosures to protect the safety of children are permitted under HIPAA.
2. No, student information is protected under HIPAA.
3. Yes, student information is allowed to be under the Family Educational Rights and Privacy Act (FERPA).
4. No, student information is protected under the Family Educational Rights and Privacy Act (FERPA).

 

Question 7

Which mode of psychiatric care promotes increased access to care and support for a school age child who lives in a rural area and is from a home where both parents work?

Answers: A – D

1. home based telepsychiatry
2. face to face psychiatric care
3. face to face school based psychiatric care
4. school based telepsychiatry

 

Question 8

A client with a serious mental health diagnosis discloses that they have stopped taking a prescribed medication. Under what circumstances can the PMHNP tell the patient’s family members?

Answers: A – D

1. only if the client is experiencing symptoms without medications
2. only if the client lives alone
3. only if the client loses gainful employment
4. only if the client does not object

 

Question 9

Select one way in which a telepsychiatry provider can assure a software solution is HIPAA compliant.

Answers: A – D

1. Secure a business associate agreement (BAA) for software solutions.
2. Select any EHR software because they are all HIPPA compliant.
3. Select a vendor that stores videoconferencing data.
4. Select videoconferencing software that integrates with an EHR.

 

Question 10

The PMHNP has a scheduled telepsychiatry appointment with a client. The client calls the office and reports that their home computer has broken and would like to meet via Facetime today. Choose the most appropriate response.

Answers: A – D

1. Facetime is HIPAA compliant, we can meet via Facetime.
2. Facetime is not HIPAA compliant, we cannot meet via Facetime.
3. Facetime is not HIPAA compliant, we can meet via telephone as a back up.
4. Any videoconferencing service is appropriate for telepsychiatry, we can meet via Facetime.

Solution: NR548 Week 8 Final Exam Questions and Correct Answers

Question 1
Which of the following determine the age at which parents are no longer considered the personal representative of the child for HIPAA purposes?

Answers: A – D

1. nurse practice acts
   B. federal laws
   C. organizational policies
   D. state laws ✅

Question 2
What specific telepsychiatric requirements are outlined within the Ryan Haight Act?

Answers: A – D

1. The Act requires any practitioner issuing a prescription for a controlled substance to conduct an initial in-person medical evaluation biannually. ✅
   B. The Act requires any practitioner issuing a prescription for any psychotropic medication to conduct an annual in person medical evaluation.
   C. The Act allows telehealth practitioners to prescribe all psychotropic medications without restriction.
   D. The Act allows for unregulated controlled substance prescribing with telepsychiatry.

Question 3
The student PMHNP is interviewing a 75-year-old woman at an initial intake interview. While completing the social history portion of the interview, the student PMHNP omits the questions regarding sexual activity. This action is an example of which of the following?

Answers: A – D

1. cultural standards
   B. respect for the rights and dignity of the elderly
   C. therapeutic nihilism
   D. ageism ✅

Question 4
The PMHNP scope of practice addresses telehealth and states telecommunication promotes access to care. The PMHNP scope of practice discusses which of the following issues which require special consideration?

Answers: A – D

1. telehealth can cross state and national boundaries without concern
   B. hybrid services are considered best practice
   C. integrated health care is not appropriate for mental health clients
   D. confidentiality and regulation ✅

Question 5
Are there any special considerations for the PMHNP when initiating telepsychiatry services for an established 16-year-old client?

Answers: A – D

1. No, federal and state laws are the same for in-person services and telepsychiatry.
   B. Yes, the PMHNP must verify whether state laws require additional parental consent for telepsychiatry. ✅
   C. No, adolescents can provide their own consent for telepsychiatry.
   D. Yes, the Ryan Haight Act prohibits telepsychiatry for minors.

Question 6
The PMHNP is working as a school counselor. A 17 year old student is having mental health concerns including thoughts of self harm. Can the PMHNP share these with the student’s parents?

Answers: A – D

1. Yes, disclosures to protect the safety of children are permitted under HIPAA. ✅
   B. No, student information is protected under HIPAA.
   C. Yes, student information is allowed to be under the Family Educational Rights and Privacy Act (FERPA).
   D. No, student information is protected under the Family Educational Rights and Privacy Act (FERPA).

Question 7
Which mode of psychiatric care promotes increased access to care and support for a school age child who lives in a rural area and is from a home where both parents work?

Answers: A – D

1. home based telepsychiatry
   B. face to face psychiatric care
   C. face to face school based psychiatric care
   D. school based telepsychiatry ✅

Question 8
A client with a serious mental health diagnosis discloses that they have stopped taking a prescribed medication. Under what circumstances can the PMHNP tell the patient’s family members?

Answers: A – D

1. only if the client is experiencing symptoms without medications
   B. only if the client lives alone
   C. only if the client loses gainful employment
   D. only if the client does not object ✅

Question 9
Select one way in which a telepsychiatry provider can assure a software solution is HIPAA compliant.

Answers: A – D

1. Secure a business associate agreement (BAA) for software solutions. ✅
   B. Select any EHR software because they are all HIPPA compliant.
   C. Select a vendor that stores videoconferencing data.
   D. Select videoconferencing software that integrates with an EHR.

Question 10
The PMHNP has a scheduled telepsychiatry appointment with a client. The client calls the office and reports that their home computer has broken and would like to meet via Facetime today. Choose the most appropriate response.

Answers: A – D

1. Facetime is HIPAA compliant, we can meet via Facetime.
   B. Facetime is not HIPAA compliant, we cannot meet via Facetime.
   C. Facetime is not HIPAA compliant, we can meet via telephone as a back up. ✅
   D. Any videoconferencing service is appropriate for telepsychiatry, we can meet via Facetime.

Related: (Completed) NR509 Week 8 Final Exam Questions and Correct Answers