[old_tv_nut]

Yep, definitely not your typical "one snap and done" postcard. The fact that the color balance is right for the room light (undoubtedly tungsten), the TV screen, and the outside light also argues for multiple shots stripped in. Note the light leaking onto the ceiling from the window is only a bit bluer than the light circles on the ceiling from the lamps.

Hmmm. Wonder if the photog was sophisticated enough to put blue bulbs in the lamps?

Note there is additional light falling on the near bed.

Edit: I also think the TV image is real. There appears to be a reflection to the right of the woman's head of the lamp in the right corner of the room, which argues that the photo was taken complete as you see it (but that doesn't explain why her image isn't blurred by motion).