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Quiz 2 - Course 3TMH



Note: If you have a printer, you are welcome to print out this quiz.

Under the July 2020 Revision of 42 CFR Part 2, when an SUD patient sends an incidental message to the personal device of an employee of a Part 2 program, the employee will be able to fulfill the Part 2 requirement for 'sanitizing' the device by deleting that message.
True False
Under the July 2020 revision of 42 CFR Part 2, what is NOT a change that has been made in order to improve service delivery and lift some problematic restrictions?
Both OTPs (opioid treatment programs) and non-OTPs are permitted to enroll in and query a state prescription drug monitoring program and permitted to report data into the PDMP when prescribing or dispensing medications on Schedules II to V, consistent with State Law.
Treatment records created by non-Part 2 providers based on their own patient encounter(s) are explicitly not covered by Part 2, unless any SUD records previously received from a Part 2 program are incorporated into such records.
Disclosures for research under Part 2 are permitted by a HIPAA- covered entity or business associate to individuals and organizations who are neither HIPAA covered entities, nor subject to the Common Rule (re: Research on Human Subjects).
Court-ordered placement of an undercover agent or informant within a Part 2 program is extended to a period of 8 months to address law enforcement concerns that current policy is overly restrictive.
Declared emergencies resulting from natural disasters (e.g., hurricanes) that disrupt treatment facilities and services are considered a “bona fide medical emergency,” for the purpose of disclosing SUD records without patient consent under Part 2.
Although the therapeutic techniques to treat PTSD have not changed with the advent of remote telemental health, some internal procedures, policies, documentation, internet technology, and interaction with clients will need to undergo adaptive change to ensure client safety, privacy, and HIPAA-based confidentiality.
True False
CONSENTS: Which statement about obtaining CONSENT from the client to participate in a Telemental Health session is not accurate?
The purpose of consent forms in Telemental Health is to document that a discussion took place and that the patient was informed and was able to understand the information provided.
Offer to read the form aloud to all patients, e.g., I’d like to read aloud a summary of our talk about telehealth.
If possible, send a copy of the Consent Form in advance to the client by mail or through the patient portal so that they can review it ahead of time.
Before asking the client if they agree to a telehealth visit, ask them, 'Do you have any questions?' and 'Do you understand?'
After the consent discussion, ask the client to 'teach back' the information to you.
When providing remote telehealth services, you do not need to wait to get a consent form signed. You can have telehealth visits with your clients based on their giving their consent verbally, which you need to document in their treatment record.
True False
PATIENT SAFETY AND PRIVACY: Prior to the beginning of each telemental health session _________,
ask the individual to identify the address where they are physically located so you can call an emergency contact, crisis team or 911 if needed.
ask the individual who else is in the room with them.
develop a 'safety phrase' the individual can use to let you know that now is not good time to talk, e.g., like, 'The grocery stores have been really busy this week,' and a phrase to let you know that you need to send help.
do all of the above.
When a remote Clinical Videotape Teleconference (CVT) is occurring, it is not ethical for a third party to observe, assess, and document the quality of the Telemental Health communication between the clinician and the client.
True False
You may record and upload remote Telemental Health sessions to review prior to the next session.
True False
Since the client's and provider's faces are visible on the screen during a video telemental health session, communication and understanding should not be any more challenging than if they were sitting face-to-face in the same room.
True False
TEACH-BACK: The 'Teach-Back' method is a way of checking understanding by asking patients to state in their own words what they need to know or do about their health.
True False
The Teach-Back method is to be used with the client after you have completed the discussion about Consent for Telehealth Services, and after the treatment session has been concluded.
True False
If teach-back uncovers a misunderstanding, _____________.
explain things again using a different approach.
ask the client to teach-back again until they are able to correctly describe the information in their own words.
do both of these things.
Which choice below is NOT one of the ways to ensure effective use of Teach-Back?
Understand that Teach-Back is a way to make sure you — the health care provider — have explained information clearly.
Emphasize to the client that the responsibility to explain clearly is on you, the provider, and that this is not a 'test' of the client's intelligence or knowledge.
To avoid confusing the client, ask questions that can be answered with a simple yes or no.
Studies have shown that _____% of the medical information patients are told during face-to-face office visits is forgotten immediately, and nearly half of the information retained is incorrect. Therefore, the use of Teach-Back during Telemental Health visits is essential to ensure comprehension of important information.
In the Teach-Back method, the reference to the provider needing to 'chunk and check' frequently during remote Telemental Health treatment sessions refers to _____.
a need for the provider to stop discussion of topics that upset the client or seem difficult for the client to understand, and revisit the issue or instructions at the next telehealth session.
chunking out information in small segments and having your client 'teach it back' to you - repeating several times during a visit until it is clear that the client understands..
The Teach-Back procedure can be considered a 'success' if the client can repeat back to you the same words you used to explain the concept or instruction.
True False
Which of the following does not pertain to TCAT?
It means 'Telehealth Capacity Assessment Tool'
It is the first step in determining an organization's readiness to implement telehealth technology services.
It means 'Transfer of Client to Alternative Treatment' - a tool that assesses a client's readiness to transfer from Telehealth to an alternative treatment modality.
TCAT contains six domains which help organizations to plan, design, and monitor the implementation of Telehealth Technology services.
'TCAT' Domains are six categories of knowledge and activity that enable an organization to work toward and implement its telehealth technology goals. Which of the TCAT Domains ensures that the chosen telehealth technology practices conform to patient health protection laws (HIPAA; 42 CFR-Part II)?
Domain 1
Domain 2
Domain 3
Domain 4
Domain 6


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