telementalhealth

What should a clinician document following a session? - Since a same-location session and a video session are legally equal, there is no need for any additional documentations beyond what is normally documented during a same-location session. - A clinician should document the means of communication for the session, verification of the client's location and identity, and the emergency management plan for the session - The only additional documentation needed for a video session beyond that of a same-location session is the client's consent to treatment for the video session

- A clinician should document the means of communication for the session, verification of the client's location and identity, and the emergency

Which of the following are possible exceptions to state licensure law? - A clinician who holds a behavioral health-related certification from a national professional association such as the national certified counselor (NCC) can legally practice in any state within the United States. - A clinician who is providing telemental health services within the VA - A clinician who requires that their clients agree that regardless of the client's location they are technically receiving services from the clinician's location

- A clinician who is providing telemental health services within the VA

Which of the following describes a breach? - A clinician accidentally sending another clinician within the same organization a summary of a client's treatment - A laptop computer that had full disk encryption was lost and then remotely wiped and disabled. - A fax accidentally being faxed to the wrong phone number, the clinician being informed by the recipient, and the recipient destroying the fax

- A fax accidentally being faxed to the wrong phone number, the clinician being informed by the recipient, and the recipient destroying the fax

A three-light setup is often recommended. Choose the option that best describes this lighting arrangement: - A front light, side light, and backlight - A key light (in front or at the side at 100%), a fill light (in front or to the side at 50%), and a backlight (behind or on the floor) - A main lighting source, minor lighting source, and supplemental lighting source - This question is inaccurate because there are 5 types of lights that create a perfect environment for a telemental health video session - Lighting does not take preparation and can be arranged at the last minute. Sound, privacy, and video quality should be the therapist's main concern prior to the video session. - There is no recommended composition to optimize lighting for telemental health video sessions.

- A key light (in front or at the side at 100%), a fill light (in front or to the side at 50%), and a backlight (behind or on the floor)

What is a practice management program - A practice management program is often provided by a consulting company to evaluate the efficiency of a behavioral health program and to provide recommendations for improvement - A practice management program is an online tool used for project management specifically for healthcare organizations - A practice management program is an online program used to perform many of the operations of a healthcare practice

- A practice management program is an online program used to perform many of the operations of a healthcare practice

Determining client fit for Telemental health services includes: - Severity of the client's condition and the client's goals - The client's comfort level with and accessibility to technology - Location of the client during sessions - All of the above

- All of the above

In regard to social media - Professional sites, such as LinkedIn, do not pose ethical issues when connecting with current or past clients. - Counseling is about creating a therapeutic relationship, therefore the more engagement, including social media interactions, you can have with clients, the better - All social media sites pose potential ethical issues when connecting with current or past clients - "friending" clients on social media is an important way to grow your business

- All social media sites pose potential ethical issues when connecting with current or past clients

Eye contact during telemedicine is important for all the following reasons EXCEPT: - It is necessary for optimizing provider-patient relationships - It contributes to the patient's sense of dignity - It helps to establish trust and rapport - Allows you to disregard communication via non-verbal cues

- Allows you to disregard communication via non-verbal cues

What is the definition of an unsupervised site? - An unsupervised site has been checked for any possibility of the site being eavesdropped on by an authorized person - An unsupervised site is where there is a child or adolescent receiving counseling without a parent or guardian present - An unsupervised site is where there is no clinical or support staff at the location of the client - An unsupervised site is where the clinician is licensed and is authorized to practice independently

- An unsupervised site is where there is no clinical or support staff at the location of the client

What is the definition of bandwidth? - Bandwidth represents how many decides can be connected tin a single video conferencing session - Bandwidth refers to the amount of different clinical tasks that a technology can be utilized for - Bandwidth refers to the amount of data and the speed of which that data a device can receive and send

- Bandwidth refers to the amount of data and the speed of which that data a device can receive and send

Most crisis lines have found which to be true about chat/texting? - Chat/texting are useful ways to quickly access help in a crisis - Most people will reach out via text/chat during a crisis - It is easy to verify someone's identity during a chat - Chat and texting are not allowable ways of communication in a crisis situation

- Chat/texting are useful ways to quickly access help in a crisis

What is best practice in regards to backing up health records? - Clinicians should backup electronically stored health records in a manner that allows them to remain HIPAA compliant - Clinicians should not backup electronically stored health records because the risk to electronic records increases with each copy of the records that are stored - Clinicians should backup electronically stored health records every six months to a device that is located at a separate location from the initial copy

- Clinicians should backup electronically stored health records in a manner that allows them to remain HIPAA compliant

List three administrative safeguards: - Proper hiring, frequent staff meetings, quarterly staff reviews - Conducting a risk analysis and creating a risk management program, tracking security incidences, training of the workforce - Checks and balances, requiring employee badges, enforcing the use of passwords and encryption

- Conducting a risk analysis and creating a risk management program, tracking security incidences, training of the workforce

Most ethics boards agree with which of the following: - Counselors do not have to go out of their way to inform prospective clients of the advantages or disadvantages of distance counseling - Counselors have the ethical obligation to inform prospective clients of the advantages and disadvantages of distance counseling prior to entering into a counseling relationship - Counselors must go over the advantages of distance counseling prior to each session. - Counselors must go over the disadvantages of distance counseling prior to each session

- Counselors have the ethical obligation to inform prospective clients of the advantages and disadvantages of distance counseling prior to entering into a counseling relationship

Who is regulated by HIPAA law? - Anyone within the United States who has access to an individual's healthcare information - All healthcare professionals are regulated by HIPAA law - Covered entities as defined in HIPAA law are regulated by HIPAA law - Healthcare providers are regulated by HIPAA law only in relation to patients who are using health insurance for reimbursement for the services that they receive

- Covered entities as defined in HIPAA law are regulated by HIPAA law

The earliest known clinical mental health treatment provided from a distance was: - Online support groups used in the 1980s - Counselors using skype to communicate with clients - Freud corresponding with his clients via letters - The crisis chat line utilized by the VA

- Freud corresponding with his clients via letters

A consultation is: - Guidance requested by and provided to a provider from another provider - Guidance requested by and provided directly to a client from a provider - Guidance requested by and provided to a client from another client - Guidance requested by and provided to a provider from a client

- Guidance requested by and provided to a provider from another provider

How should clinicians access their voicemail - If clinicians use a cloud-based voicemail application, they should require a business associate agreement from the vendor and conduct a risk analysis of the application - Clinicians can use most voicemail applications available on their mobile phone allowing them readily to have access to voicemails left by their clients - Clinicians should delete client voicemails immediately after listening to them

- If clinicians use a cloud-based voicemail application, they should require a business associate agreement from the vendor and conduct a risk analysis of the application

What is best practice regarding recording clinical sessions - It is best practice for clients to record their counseling sessions so that they can replay it - Recording of clinical sessions is best practice for quality control and risk management - It is best practice for clinicians to request that the client does not record their sessions

- It is best practice for clinicians to request that the client does not record their sessions

Compared to in-person counseling: - Online counseling requires a completely new set of goals, procedures, and best practices - Online counseling uses the same procedures and best practices with some adjustments - Online counseling requires a completely different set of counseling skills. - Online counseling is a good fit for all clients

- Online counseling uses the same procedures and best practices with some adjustments

What is meant by picture-in-picture? - Picture-in-picture is the overlapping of two images on a website allowing for a perception of depth - Picture-in-picture is when a clinician has two applications open on a device at the same time - Picture-in-picture is when an individual using video conferencing can see both their own image and the other individual's image on their monitor

- Picture-in-picture is when an individual using video conferencing can see both their own image and the other individual's image on their monitor

Providing telemental health services internationally is: - Legal because it is not regulated - Illegal because the counselor's license only pertains to the state that licensed him/her. - Potentially legal or illegal depending on the counselor's state license and the laws of the region in which the client resides while receiving services. - An unacceptable mode of counseling

- Potentially legal or illegal depending on the counselor's state license and the laws of the region in which the client resides while receiving services.

Which statement is most accurate regarding behavioral health codes of ethics and technology: - Most codes of ethics consider a clinician's awareness of technology as optional - Some behavioral health codes of ethics encourage clinician's awareness and adoption of technology - Some behavioral health codes of ethics encourage clinicians not to use technology due to its high level of risk

- Some behavioral health codes of ethics encourage clinician's awareness and adoption of technology

If the clinician assesses that 911 should be called for the client during a video, chat, or phone session, the clinician should: - Tell the client that they will call back, call 911, and then call the client back - Stay on the line with the client and call 911 - Stay on the line with the client, call the client's local public safety answering point (10 digit number), or have the client or the client's emergency contact or support person (if it is safe to do so and with consent from the client) call 911 from the client's location. - Tell the client to hang up and call his/her emergency support person.

- Stay on the line with the client, call the client's local public safety answering point (10 digit number), or have the client or the client's emergency contact or support person (if it is safe to do so and with consent from the client) call 911 from the client's location.

What is required of a clinician, who is a covered entity, when providing tech support services by means of a vendor to a client? - The clinician needs to obtain a business associate agreement from the vendor - The clinician must obtain the client's informed consent - Clinicians are not allowed to use tech support vendors and must provide their own tech support directly to the client

- The clinician needs to obtain a business associate agreement from the vendor

What government agency is responsible for regulating HIPAA law? - The department of health and human services - The department of healthcare security - The department of patient safety - The department of consumer rights and protection

- The department of health and human services

Which statement is most accurate regarding verifying a client's location? - Clinicians providing telemental health services are required to use geolocation technology in order to verify a client's location - Clinicians are to ask the client their location - Clinicians are required to ask for a form of identification that states he client's location

Clinicians are to ask the client their location

How long does the Privacy Rule require that clinician retain an accounting of disclosures? - Clinicians must keep an accounting of disclosures for a minimum of seven years - Clinicians must keep an accounting of disclosures for a minimum of ten years - Clinicians must keep an accounting of disclosures for a minimum six years

Clinicians must keep an accounting of disclosures for a minimum six years

Which statement is most accurate regarding the privacy and security of a client's location? - The extent of a clinician's responsibility to the privacy and security of a client's location is requesting on the informed consent that the client is in a private and secure location during the time of their telemental health sessions. - Clinicians ought to address privacy and security concerns related to the client's location during telemental health sessions. - There is no way for a clinician to verify the privacy and security of a client's home location. Therefore, clients should only be seen when at a supervised site

Clinicians ought to address privacy and security concerns related to the client's location during telemental health sessions

Which statement is most accurate: - Clinicians are not responsible to be aware of how healthcare technology vendors secure client records or how long the records are retained. - Clinicians ought to be aware of how their healthcare technology vendors are securing patient records, who has access to them, and for how long they are stored. - Neither the client nor the clinician has a need to know how healthcare technology vendors secure client records or how long they retain them. - When selecting a healthcare technology vendor, clinicians must verify that medical records are destroyed after 10 years.

Clinicians ought to be aware of how their healthcare technology vendors are securing patient records, who has access to them, and for how long they are stored.

What is required to be HIPAA compliant as a behavioral health professional? - Fulfilling the requirements of the Health Insurance Portability and Accountability Act, all of its amendments, and related legislation such as the Health Information Technology for Economic and Clinical Health Act - Only disclosing patient information to authorized individuals and securing patient information when in electronic form - Keeping paper records secure, using at least two locks, and informing patients of their right to confidentiality

Fulfilling the requirements of the Health Insurance Portability and Accountability Act, all of its amendments, and related legislation such as the Health Information Technology for Economic and Clinical Health Act

Which statement is true regarding a clinician legally being able to disclose patient information without authorization from the patient - HIPAA law requires that the clinician obtain written consent from a patient before disclosing patient information to another healthcare provider who is also providing healthcare services to the same patient - HIPAA law allows a clinician to disclose healthcare information to another provider of the same patient without authorization from the patient - HIPAA law only allows a clinician to disclose healthcare information without written consent from the patient in situations where the client is an imminent risk to themselves or others or in a situation where they are required to report abuse.

HIPAA law allows a clinician to disclose healthcare information to another provider of the same patient without authorization from the patient

What is an example of a questing that could "help fill the gaps" that may occur during a phone session? - What day of the week is best for you to attend counseling? - During the first session, there are some documents that I want to share with you about the counseling process - Welcome, I am glad that we could arrange a time to see one another - How would you describe your body posture? - Have you been in therapy before? - What type of therapy has worked best for you in the past?

How would you describe your body posture?

In support of reaching clients during moments of suicidal ideation: - It is recommended that clients are encouraged to reach out to the counselor in whatever way is most convenient to the client - It is recommended that clients are informed of the counselor's emergency procedures and to call 911, a crisis line, and/or a nearby hospital - It is recommended that clients are encouraged to use online support groups to get multiple response quickly

It is recommended that clients are informed of the counselor's emergency procedures and to call 911, a crisis line, and/or a nearby hospital

It is the responsibility of the therapist to: - Plan for difficulties - Complete client paperwork prior to session - Provide the client with camera and microphone - Perform a home visit if the client misses multiple sessions - Hang up if the connection is bad - Call for help if the client doesn't answer

Plan for difficulties

Select the best example of a phone session limitation - The client may feel more distant when seeing a provider by phone - Clients are generally less able to charge their phone batteries prior to sessions compared to greater reliability when charging laptops or personal computers - Phones are seen as the biggest accessibility issue for clients who want to participate in counseling - Phone sessions, by nature, are shorter in duration than video sessions - Clients are not as self-disclosing when speaking by phone - One study found that most clients choose phone counseling as an avoidant behavior so that they do not have to see a therapist

The client may feel more distant when seeing a provider by phone

For each session, the therapist should have each of the following available EXCEPT: - The client's local emergency services contact numbers - The client's location and phone number - The client's support person's contact number - The client's email address

The client's email address

How should a clinician verify the location of a client during a video session? - The clinician should simply ask the client the address of their location - The clinician should verify the location of the client by searching for their address on the internet - The clinician should verify the location of the client by having the client display proof of residence

The clinician should simply ask the client the address of their location

The following are drawbacks of telemental health counseling except" - The cost - Technology failures - The challenges of securing PHI - Lack of visual cues

The cost

What is the recommendation for an appropriate gaze angle to optimize eye contact? - The gaze angle should be less than 7 degrees - Gaze angle is not as important as gaze intensity - The gaze angle should be dictated by the positioning of the client, not the therapist - Clients typically do not care how the therapist positions their gaze - IT is recommended that the therapist slumps and dips their chin so that the client does not feel threatened - The gaze angle should be less than 20 degrees but greater than 10 degrees

The gaze angle should be less than 7 degrees

A therapist can enhance safety for clients by setting up protocols for dealing with a client who is suspected to be intoxicated during a session - True - False

True

Disadvantages of telecommunication technology should be discussed with clients before beginning distance counseling true false

True

The demand for telemental health counseling is increasing due to: - The need for specialists - Transportation issues - Scheduling constraints - All of the above

All of the above

Where should clinicians look for privacy law that regulates their practice: - HIPAA law encompasses all of the privacy and security regulations concerning behavioral health professionals - Behavioral health professionals ought to be aware of HIPAA law, state privacy law, and the requirements of their professional license around confidentiality - Clinicians only need to refer to the individual client's request around confidentiality - Clinicians only need to refer to the code of ethics pertaining to their specific profession in regard to their responsibility and confidentiality

- Behavioral health professionals ought to be aware of HIPAA law, state privacy law, and the requirements of their professional license around confidentiality

Typically, which aspect of video conferencing is more important? - Audio quality - Video quality - Audio and video quality are equally important

Audio quality

Under HIPAA law, when is a clinician required to disclose patient information? - A clinician is required to disclose patient information when a patient specifically requests access to their own health records - HIPAA law requires clinicians to disclose patient information when there is an imminent threat to an individual - HIPAA law requires that a clinician disclose patient information when they are investigated by their licensing board in their state - All of the above

All of the above

Which document should a behavioral health professional use in determining whether a client is a fit for telemental health services? - Behavioral health professionals should refer to their code of ethics to determine whether a client is a fit for telemental health services. - Behavioral health professionals should refer to their internal policy and procedure on screening for fit for telemental health services - Behavioral health professionals should refer to the rules and regulations provided by their licensing board to determine whether a client is a fit for telemental health services

- Behavioral health professionals should refer to their internal policy and procedure on screening for fit for telemental health services

What are administrative risks? - The lack of written policies that procedures, the lack of managing access to protected health information, and the lack of disciplinary action - Unintentional errors and omissions, improper use of technology, and careless mistakes - Lost documentation, loss of devices containing protected health information, the lack of adequate administrative oversight. - All the above

All the above

What is one of the most common causes of technology issues when using video conferencing with clients? - A common cause of technology issues with video conferencing is clients not having a camera on their device - A common cause of technology issues with video conferencing is inadequate bandwidth - A common cause of technology issues with video conferencing is a device running out of battery life - A common cause of technology issues with video conferencing is a client's speakers being muted

- A common cause of technology issues with video conferencing is inadequate bandwidth

How should a clinician verify the identity of a client during a video session? - Verification of the client during a video session is accomplished by only the client having access to the meeting link - If a client is not using medical insurance to reimburse for the video meeting, the clinician simply verifies the client's identify by asking for the client's name. - A reasonable way for a clinician to verify the client's identity is by having the client hold their picture ID up to the camera - A reasonable way for a clinician to verify the client's identity is by searching for an image of the client on the internet

- A reasonable way for a clinician to verify the client's identity is by having the client hold their picture ID up to the camera

Two categories that describe the client's location during a telelmental health session are: - A secure site and an unsecured site - A private site and an unprivate site - A clinical site and a consultation site - A supervised site and an unsupervised site

- A supervised site and an unsupervised site

What is the definition of a supervised site? - A supervised site is where there is a parent or guardian with the client during the time of the session - A supervised site is where the clinician is under clinical supervision - A supervised site is where there is a healthcare professional or support staff at the location of the client

- A supervised site is where there is a healthcare professional or support staff at the location of the client

What is one precaution that should be taken when preparing a client for a remote session? - Advise clients who share their living space with family members that it's safer to have conversations overheard by family rather than by strangers. - Reviewing emergency protocol is not an immediate precaution to put into place; rather, it's something that occurs two or three sessions into the clinical process. - Ask the client to find a private space where they will not be disturbed or overheard, if possible - Guidance on how to register for a session will only enable help-seeking behaviors by the client and should be avoided. - A virtual waiting room is not recommended, as this could discourage clients who are seeking online services for the first time. - Verbal assessments should always be used over online assessments because they more accurately depict client responses.

- Ask the client to find a private space where they will not be disturbed or overheard, if possible

Choose one potential issues that could come from a clinician's behavior during a video session: - Because they are running short on time, the clinician tells the client that they are going to eat their lunch respectfully while the client is speaking - The client asks the clinician why they have no family photos or personal decorations on their office wall. The clinician forms the client that they prefer to keep their space professional - The clinician is not on call, but they silence their work phone; this could create a liability issues if another client outside of the session is having a psychiatric emergency - The clinician informs the client that a family member is recovering in another part of the home. Though a white noise machine protect the client's confidentiality, the clinician asks whether the client is comfortable with this or not - A client demands that the clinician tells them intimate details about their life. The clinician declines and offers a professionally acceptable answer

- Because they are running short on time, the clinician tells the client that they are going to eat their lunch respectfully while the client is speaking

When developing telemental health services, how should and organization initially select technology? - Start small by selecting technology that fits one special use case for telemental health services - Begin by conducting a needs and readiness assessment, considering their workflow and all of the possible use cases for the technology that they will select - Organizations should begin by using free technology with a pilot group of initial clients before selecting technology that they will have to pay for

- Begin by conducting a needs and readiness assessment, considering their workflow and all of the possible use cases for the technology that they will select

Which statement best describes the process of screening for fit? - Clinician ought to have an initial same-location session during which they and the client jointly determine whether the client is a fit for telemental health services. - Beginning with the initial request for services, the clinician ought to screen for fit based upon several criteria that have been predetermined by the clinician - Clients should determine for themselves whether they are a fit for telemental health based on the information that the clinician provides them.

- Beginning with the initial request for services, the clinician ought to screen for fit based upon several criteria that have been predetermined by the clinician

Which statement is most accurate regarding behavioral health codes of ethics and electronic communication? - Behavioral health clinician are encouraged to use several different types of electronic communication including texting and email in order to provide reasonable access to clients. - Behavioral health clinician ought to use secure means of communication - Behavioral health clinicians ought to use the client's preferred method of electronic communication.

- Behavioral health clinician ought to use secure means of communication

In order to avoid the legal issues of providing mental health services across state lines, a clinician: - can legally serve the client under the umbrella of providing coaching, consultation, or psycho-educational sessions - Cannot legally provide counseling to any client that resides outside of the state in which the clinician is licensed - Can legally be a provider for an online counseling company because they are taking on the responsibility of the counselor practicing across state lines.

- Cannot legally provide counseling to any client that resides outside of the state in which the clinician is licensed

What would an effective pre-session step to take prior to a video session - Check insurance benefits 3-5 days before the session occurs - Do not call the client, as it should be their responsibility to remember the session time - Rely on your clinical experience and prepare to use the intervention you enjoy the most with the new client - Plan to tell the client after the first session that you only offer online or phone sessions - Describe the case to a friend outside of your organization to get a third-party opinion on the appropriateness of the case - Only send the online meeting link once within 12 hours of the session

- Check insurance benefits 3-5 days before the session occurs

A good niche for telemental health would not include: - Clients in nursing homes or those that are homebound - Clients in rural areas - Clients with panic disorder - Clients with suicidal ideation, plan, or intent

- Clients with suicidal ideation, plan, or intent

Which statement is most accurate regarding verifying a client's identity - Since client autonomy is a foundational ethical principle, clinicians are not required to verify the identify of clients who request to remain anonymous. - Clinicians are required to verify the identity of each client. - Verification of identify cannot be reasonably accomplished through the use of technology and therefore, clients are required to have their identify verified in the clinician's office

- Clinicians are required to verify the identity of each client.

Which statement is most accurate? - Clinicians only ought to provide telemental health services to low-risk clients. Therefore, having the client call 911 from their location at the time of an emergency is sufficient. - Clinicians ought to have an emergency management plan specific for each telemental health session - Providing emergency contact information on an informed consent for a telemental health service is sufficient for addressing the possibility of a client emergency.

- Clinicians ought to have an emergency management plan specific for each telemental health session

Which statement is most accurate in regard to handling technology failures: - Telemental health services are not a fit for all clients. Therefore, when the client has technology failures, clinicians ought to provide same-location sessions to the client. - Clinicians providing telemental health services ought to have backup plans that address technology failures during telemental health sessions - Since repeated technology failure can impose undue stress on a client, clinicians ought to refer clients to a same-location session if a technology failure occurs.

- Clinicians providing telemental health services ought to have backup plans that address technology failures during telemental health sessions

In regard to using email, what are some of the requirements of clinicians considered to be covered entities under HIPAA law? - Covered entities are required to have a business associate agreement from their email provider, to ensure encryption at rest and in transit, and to minimize the amount of PHI that arrives in the client's email - Covered entities are simply required to document a client's request to communicate by unsecured email - Covered entities are required to inform clients that they use unencrypted email before sending appointment reminders

- Covered entities are required to have a business associate agreement from their email provider, to ensure encryption at rest and in transit, and to minimize the amount of PHI that arrives in the client's email

Social media best practices include: - Marketing via Facebook and Twitter in order to reach prospective clients - Preparing for a session by looking up a client prior to a session, but without informing them as not to set them on the defensive - Creating a social media presence that does not allow prospective or current clients to post information on the clinician's page - Setting up a survey for clients to request online feedback

- Creating a social media presence that does not allow prospective or current clients to post information on the clinician's page

Which backup plans are appropriate for clinical video sessions? - If there is a technology failure with video conferencing, the clinician should revert to standard emailing with the client - Depending on the requirements of third-party payers, reverting to a phone session during a technology failure with video conferencing is a useful backup plan - If the video conferencing program selected by the clinician does not work for the client, the clinician should revert to a video conferencing platform that the client is used to using for personal use.

- Depending on the requirements of third-party payers, reverting to a phone session during a technology failure with video conferencing is a useful backup plan

What are the three categories of non-compliance with HIPAA law? - Under review, found compliant, found guilty - Probation, fine, suspension - Did not know, reasonable cause, willful neglect

- Did not know, reasonable cause, willful neglect

In the event of a technological breakdown during a video conferencing session: - Plan with the client to simply try again during the next scheduled session - Try to reconnect, and if that fails, give the client the option to use the phone, and inform the client that the change in mode of delivery may impact insurance coverage - Consider it as a missed appointment and charge the client a fee

- Try to reconnect, and if that fails, give the client the option to use the phone, and inform the client that the change in mode of delivery may impact insurance coverage

All of the following are benefits to providing counseling in a supervised environment expect access to: - Emergency support - Technological support - Financial support - Environmental support

- Financial support

In the USA, practicing counseling across state lines is: - Never legal - Always legal - If the clinician has authorization to practice from the applicable licensing board in the state in which the client is located during the time of the treatment sessions - Legal if the counselor is visiting the state where the client resides

- If the clinician has authorization to practice from the applicable licensing board in the state in which the client is located during the time of the treatment sessions

Which statement is most accurate in regard to interstate telemental health? - Interstate telemental health services throughout the United States are regulated by the federal government. - Interstate telemental health services are regulated by state licensure law - Interstate telemental health services are only regulated by the state in which the clinician is physically located at the time of the session.

- Interstate telemental health services are regulated by state licensure law

In regard to the client securing their own private information: - It is solely the client's responsibility - It is the responsibility of the counselor to inform the client of the potential risk to their privacy and best practices of protecting their health information - As long as the counselor does proper "set up", there is no need of informing the client of the risks to a breach. - Clients are unable to secure their own information

- It is the responsibility of the counselor to inform the client of the potential risk to their privacy and best practices of protecting their health information

What is meant by meaningful use? - Meaningful use is a term referring to the level of utilization of a particular technology - Meaningful use is a term referring to a financial incentive program provided by the federal government to organizations who use electronic health record systems qualified for meaningful use - Meaningful use is a term referring to the positive impact that a technology has on clients

- Meaningful use is a term referring to a financial incentive program provided by the federal government to organizations who use electronic health record systems qualified for meaningful use

Which statement is most accurate? - Most state licensing statues allow for clinicians who are licensed in another state to legally provide services to their client who is only temporarily visiting the licensing board's state without the need of notifying the licensing board - Most states licensing boards require that clinicians receive authorization to provide telemental health services to individuals within the board's state, regardless of any previous healthcare relationship - Most states do not regulate telemental health services in any way

- Most states licensing boards require that clinicians receive authorization to provide telemental health services to individuals within the board's state, regardless of any previous healthcare relationship

Research shows that: - Telemental health is superior to in-person counseling and therefore ought to replace it. - Telemental health should only be used when the client refuses or is unable to utilize in-person counseling. - Most studies show that telemental health is as effective as in-person counseling - Telemental health should be the first choice for clients who pose a risk to themselves or others.

- Most studies show that telemental health is as effective as in-person counseling

What is PIP or "picture in a picture"? - Allows you to see both yourself and the client at the same time on your screen, which allows making helpful adjustments to your posture, gaze angle, and background - A technical issue creating a blurry image - Stands for Per Incident Payment on insurance policies - Is only available on televisions

Allows you to see both yourself and the client at the same time on your screen, which allows making helpful adjustments to your posture, gaze angle, and background

What are the four main rules in HIPAA law - Protecting patient information, disclosing patient information upon a patient's written request, disclosing patient information in situations of an imminent threat to an individual, informing patients of the limits of confidentiality - Privacy rule, security rule, breach notification rule, and enforcement rule - HIPAA, HITECH, Omnibus rule, state privacy law

- Privacy rule, security rule, breach notification rule, and enforcement rule

How must a clinician store psychotherapy notes in order for psychotherapy notes to have special protection under HIPAA law? - Psychotherapy notes must be kept separate from the medical record - Psychotherapy notes must be kept secure within the medical record - Psychotherapy notes are not allowed to be kept in electronic form and the clinician must inform the client of their existence

- Psychotherapy notes must be kept separate from the medical record

During a video session, which of the following is not appropriate? - Record the session without informing the client - Introduce everyone in the room with you - Obtain informed consent if required - Be warm, respectful, open

- Record the session without informing the client

What is meant by HIPAA compliance in relation to technology? - Clinicians should only use technology that is HIPAA compliant - Technology that is designed properly can help a covered entity or a business associate by HIPAA compliant - Technology that uses encryption and security standards set by the federal government is HIPAA Compliant

- Technology that is designed properly can help a covered entity or a business associate by HIPAA compliant

Chose one example of a potential issues occurring on the clinician's end during a video session: - The clinician enables a voice assistant (Siri) on their phone in case the clinician needs to quickly search for something by voice while their computer screen is being occupied by the telehealth platform - A provider decides to wear a shirt that is a solid, dark color - The clinician informs the client that they need to pause for a moment so the clinician can adjust their audio settings - The client asks the clinician whether there are other devices outside of the client's field of vision. The clinician responds honestly, even if there are multiple devices. - The clinician's room is completely silent, apart from a white noise machine at the door - The client takes and emergency call during the session and asks the clinician to mute the sound on the client's end

- The clinician enables a voice assistant (Siri) on their phone in case the clinician needs to quickly search for something by voice while their computer screen is being occupied by the telehealth platform

To ensure that a clinician is legally authorized to provide telemental health services to a client: - The clinician should verify that they are not prohibited from legally providing the service by their related licensing board in the state in which the clinician is located, the client is located, and in which the clinician received their license to practice. - The clinician only needs to verify that they are legally authorized by the related licensing board of the state in which the client is located during the session. - The clinician only needs to verify that they are authorized by their professional association to provide the service.

- The clinician should verify that they are not prohibited from legally providing the service by their related licensing board in the state in which the clinician is located, the client is located, and in which the clinician received their license to practice.

What is the main foal of the Health Information Technology for Economic and Clinical Health (HITECH) Act? - The main foal of the HITECH Act was to give more authority to patients over what information they want to be retained within their medical record - The main foal of the HITECH Act was to allow healthcare professionals to discuss a patient's healthcare with family members and emergency contacts - The main foal of the HITECH Act was to promote the implementation of electronic health records in healthcare organizations

- The main foal of the HITECH Act was to promote the implementation of electronic health records in healthcare organizations

What are the main requirements of the security rule? - The main requirements of the security rule are for the clinician to ensure the confidentiality, integrity, and availability of all electronic protected health information - The main requirements of the security rule are to use a firewall, a malware program, and encryption on any device that contains protected health information - The main requirements of the security rule are to manage access to client records, use the latest security procedures for electronic data, and track any access to medical records - The main requirements of the security rule are to secure electronic data using passwords and encryption, investigate any possible breaches of patient information, and document security policies and procedures.

- The main requirements of the security rule are for the clinician to ensure the confidentiality, integrity, and availability of all electronic protected health information

What are three items required by the Privacy Rule? - The privacy rule requires that a clinician ensures the integrity, availability, and confidentiality of all patient information - The privacy rule requires that clinician provide clients a notice of privacy policies that they designate a privacy officer, and that they retain an accounting of disclosures - The privacy rule requires that clinicians obtain written consent from clients before disclosing healthcare information, that they verify the identify of the client, and that they use encryption on all electrical devices

- The privacy rule requires that clinician provide clients a notice of privacy policies that they designate a privacy officer, and that they retain an accounting of disclosures

What are the steps of conducting a risk analysis? - The steps to conducting a risk analysis are to determine the scope of PHI, the threats, and likelihood of PHI being compromised, and the impact of PHI being compromised. - The steps of conducting a risk analysis are to identify the technology used within an organization, conduct a pilot study of using that technology, and evaluate the results of the pilot study - The steps of conducting a risk analysis are to research the breach notification submitted to the Department of Health and Human Services from other behavioral health professionals and to determine if those same risks exist within the provider's organization

- The steps to conducting a risk analysis are to determine the scope of PHI, the threats, and likelihood of PHI being compromised, and the impact of PHI being compromised.

What are the three main categories of risk identified within the security rule? - The three main categories of risk are an organization's network, and organization's devices, and an organization's workforce - The three main categories of risk are malicious intent, careless mistakes, and the lack of security protocol - The three main categories of risk are administrative, physical, and technical

- The three main categories of risk are administrative, physical, and technical

Which statement is most accurate regarding boundaries of competence? - A clinician who is familiar with using email in their personal life is likely to be competent in using email with clients - A clinician who is familiar with using their personal smartphone is likely to be competent in using their smartphone for their clinical practice - The use of technology in a clinician's personal life likely does not equate to being competent in using that same technology in healthcare

- The use of technology in a clinician's personal life likely does not equate to being competent in using that same technology in healthcare

Regarding exclusionary criteria for telemental health: - Research has identified client symptoms that exclude client from being a fit to receive telemental health services. - Clinicians ought to be aware of the clearly defined therapy styles that their code of ethics prohibits from being used by means of telemental health. - There is no agreed-upon professional standard that rules out the use of telemental health with any specific client symptom.

- There is no agreed-upon professional standard that rules out the use of telemental health with any specific client symptom.

The benefits of telemental health counseling include: - Clients can receive psychotherapy from multiple therapists at the same time - Clients often have a greater sense of control - Clients do not have to travel as much to receive services - Online tools are available to engage the client - Clients who want to remain anonymous are able to - B, c, and d - B, c, and e

B, c, and d

How do phone sessions possibly increase privacy risks? - A research study recently revealed that computers were 80% more secure than cell phones for maintaining client-sensitive data - Because the clinician cannot see the client in their environment, there is an increased privacy risk - Security risks are the same for video, phone, and same-location sessions - Phone sessions require therapists to use fewer clinical skills, so this often results in careless mistakes that impact client privacy - HIPAA has eliminated privacy risks for phone sessions - Since the clinician cannot see the client during phone sessions, risks to client privacy are minimal

Because the clinician cannot see the client in their environment, there is an increased privacy risk

Which laws must be considered when selecting technology for healthcare: - HIPAA law encompasses all of the laws necessary for a clinician to consider when choosing technology for healthcare. - Clinicians ought to consider both federal and state laws pertaining to the privacy and security of healthcare information - Clinician ought to consider the laws set by their professional association and their licensing board.

Clinicians ought to consider both federal and state laws pertaining to the privacy and security of healthcare information

To prepare yourself for engaging in effective video session, it is a good idea to do which of the following? - Get physically git - Purchase movie-quality make up - Practice yodeling so your voice is loud - Engage in simulated encounters to hone your webside manner

Engage in simulated encounters to hone your webside manner

Which statement describes best practice when using texting with clients? - Clinicians should use SMS texting with clients because it is the most convenient at this time - If clinicians text with clients, they should use a texting app that is designed for healthcare and provides a business associate agreement. - Clinicians should never use texting with clients because it diminishes the therapeutic impact of the scheduled sessions.

If clinicians text with clients, they should use a texting app that is designed for healthcare and provides a business associate agreement.

Which is the best strategy when selecting technology for various aspects of an organization's workflow? - In order to reduce the risk and impact of a technology vulnerability, organizations should use separate technology for each aspect of their workflow - It is recommended that organizations select technology that both can be utilized for multiple aspects of their workflow and can be integrated with existing technology It is recommended that organizations select technology that is most utilized by other

It is recommended that organizations select technology that both can be utilized for multiple aspects of their workflow and can be integrated with existing technology

Which statement is most accurate: - Providing telemental health services requires additional statements in the informed consent - Providing telemental health services does not require any additional statements in the informed consent document. However, the clinician has a responsibility to assist clients with accessing their telemental health sessions. - A statement regarding the limitations of telemental health is the only additional statement needed on an informed consent document when telemental health services are provided

Providing telemental health services requires additional statements in the informed consent

Select one etiquette recommendation for video sessions: - Speak much louder than you usually would as a clinician, since the client may have a hearing impairment. - Use the first 10 minutes of the session to test the video and sound making sure everything is operational - As a provider, if you need to complete another task off-screen, ensure that you can do this quietly without disturbing the client - Showing your office space is recommended in online therapy sessions, even if the client is not on site. - If you, the provider, cannot hear the client well enough, it is best to pretend that you can to maintain the flow of the online session. - Turning your camera on, welcoming the client, and stepping off screen momentarily so that the client sees your empty chair without alerting them to this sudden movement is acceptable online etiquette.

Showing your office space is recommended in online therapy sessions, even if the client is not on site.

Select one appropriate backup plan for a technological issue that may arise during a phone session: - Inform the client that once a phone session is initiated, the therapist cannot meet with the client through a video call- even if there is a problem with technology. - Remind the client that technological issues happen and that they might not hear from you for a while if the problem is significant - Tell the client to keep trying to reach you on your work phone since it is the only option you have available - Use a backup phone that you have nearby - Borrow a colleague's phone, even if that means that your co-worker would not have access to their phone for 24 hours. - Explain to the client that you cannot foresee every technological issue that may occur, so there's no reason to spend time planning for scenarios

Use a backup phone that you have nearby

How does vision-only, voice-only, and multisense communication compare in relation to empathic accuracy? - Voice-only communication elicits higher rates of empathic accuracy relative to vision-only and multisense communication both while engaging in interactions and perceiving emotions in recorded interactions of strangers - Providers often become distracted by verbal cues during voice-only communication, and this has a negative effect on empathic accuracy - Vision-only sessions increase provider empathy for the client due to a heightened reliance on nonverbal information - There is no significant difference in empathic accuracy when using different communication mediums - Vision-only and voice-only sessions limit the provider's full use of clinical skills, resulting in less empathetic responses - Having more information through different communication channels all contribute to greater provider empathy

Voice-only communication elicits higher rates of empathic accuracy relative to vision-only and multisense communication both while engaging in interactions and perceiving emotions in recorded interactions of strangers

What expectations should a provider clarify prior to the beginning of a phone session? - Who will call who - Will payment be made before or after the session - Is the client concerned that they could have a psychiatric crisis, and how likely was the client to utilize this resource in the past - How many phone sessions has the client had with other therapists, and how many sessions does the client intend to have with the current therapist - Explain that you'll leave voice messages with further information when needed - You tell the client that you don't normally gather emergency contact information for phone clients. You ask if they are comfortable with this preference

Who will call who