A PMHNP is working at a community mental health clinic during the time of the COVID-19 shutdown. Many of her clients are of low socioeconomic status and do not have access to the necessary equipment for videoconferencing and are only available for appointments via telephone. How will the NP best ensure the clients receive high-quality care when she can only use the telephone?
Standards of care have been relaxed during the pandemic.
She must document every effort she has made to attempt a video conference.
She will insist the clients find a way to utilize a video system when necessary, for example when she is conducting the periodic abnormal involuntary movement scale (AIMS) testing.
She will conduct phone calls as needed because the clients need their medicine; these are unprecedented times.
The Correct Answer is B
Choice A reason: While some regulatory flexibilities were introduced during the pandemic, standards of care were not “relaxed.” Providers are still expected to deliver safe, ethical, and evidence-based care, regardless of modality.
Choice B reason: Documenting every effort to conduct video conferencing is essential for maintaining clinical accountability and regulatory compliance. It demonstrates that the PMHNP attempted to meet the highest standard of care and provides justification for using telephone-based services when video was not feasible.
Choice C reason: Insisting that clients find a way to use video may be unrealistic and inequitable, especially for those with limited resources. It may create barriers to care and violate principles of justice and accessibility.
Choice D reason: While conducting phone calls may be necessary, this approach lacks the documentation and accountability required in clinical practice. It does not ensure high-quality care unless accompanied by efforts to meet best practices and regulatory standards.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: These questions align with validated alcohol screening tools such as the AUDIT and NIAAA guidelines. They quantify drinking patterns and help identify risky behaviors, making them appropriate for the SBIRT framework.
Choice B reason: While these questions may provide insight into drinking habits, they are not part of standardized screening tools and lack the specificity needed for clinical assessment under SBIRT.
Choice C reason: These questions are more appropriate for assessing readiness to change or dependence severity but are not primary screening questions in SBIRT.
Choice D reason: These questions explore social consequences and polysubstance use but are not standard initial screening items in SBIRT. They may be useful in follow-up assessments.
Correct Answer is C
Explanation
Choice A reason: While the PMHNP may not have a formal relationship with the company, her close friendship with a representative creates a potential for bias. Personal relationships can influence prescribing behavior, even unconsciously.
Choice B reason: Disclosure to patients is not typically required unless there is a direct financial relationship or incentive. However, the ethical concern lies in the potential for bias, not necessarily the need for patient disclosure in this context.
Choice C reason: This is the most accurate answer. A close friendship with a pharmaceutical representative can create a conflict of interest, even if no incentives are offered. The emotional connection may unconsciously influence prescribing decisions, which raises ethical concerns about impartiality.
Choice D reason: While indirect financial gain is possible, the core issue is the influence of personal relationships on professional decisions. Gifts may contribute to bias, but the friendship itself is the primary concern.
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