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?

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.