NR548 Week 8: Exam (June-2026)

  NR548 WEEK 8 EXAM JUNE 2026

 

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 

The PMHNP is working in the Emergency Department as a consultant. The PMHNP is providing an update to the family members of a client. The client’s brother asks a direct question. The client has told the PMHNP he does not want information provided to his brother. Under HIPAA, can the PMHNP answer the brother’s question?

Answers: A – D

1. No, the PMHNP may not discuss a patient’s mental health condition with the patient’s brother after the patient has stated she does not want her family to know about her condition. 
2. Yes, HIPAA allows the provider to discuss the patient’s mental health status in emergency situations.
3. Yes, HIPAA allows the provider to share or discuss the patient’s mental health information with family members or other persons.
4. No, the patient’s mental health status is not sufficient to provide consent

The PMHNP is interviewing a client who reports plans to harm a family member. The client states “and you can’t tell anyone because HIPAA ensures what I say is confidential.” Which of the following statements demonstrates the correct PMHNP action?

Answers: A – D

1. HIPAA Privacy act prohibits the PMHNP from disclosing this information.
2. The client is correct, confidentiality must be maintained under all circumstances
3. HIPAA privacy rules allows that information be disclosed. 
4. The PMHNP is first required to determine if this is a valid threat prior to contacting authorities.

A geriatric client’s daughter has questions regarding the appropriateness of telepsychiatry services for her 72-year-old mother. Select the most appropriate PMHNP response.

Answers: A – D

1. Geriatric telepsychiatry outcomes usually vary from in-person visits, but your mother should do fine.
2. Geriatric telepsychiatry is most appropriate for inpatient use.
3. Geriatric telepsychiatry will require you be present for all visits.
4. Geriatric telepsychiatry has been used for a long time and is successful and well received by clients.

Telepsychiatry practice guidelines were developed to assist with development of telepsychiatric care. Which caveat most accurately explains guidelines?

A. guidelines are legal standards of care
B. guidelines adherence guarantees optimal accuracy
C. guidelines are not legal standards of care ✅
D. all guideline recommendations are highly recommended for clinical practice

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?

A. school based telepsychiatry ✅
B. face to face psychiatric care
C. home based telepsychiatry
D. face to face school based psychiatric care ..………………………………………………….purchase all the 35 questions and answers at $30