Download CCHP Final Exam 2025-2026: Questions and Answers on Correctional Healthcare and more Exams Health sciences in PDF only on Docsity!
CCHP FINAL EXAM 2025 - 2026|ACTUAL
140QUESTIONS AND ANSWERS|ALREADY GRADED
A+
Amount of required continuing education for NCCHC re-certification for an indvidual - ANS:-
18 hours per year, 6 related to correctional health care Licensing requirements for staff if an institution wishes to be accredited by NCCHC - ANS:- 12 hours per year of continuing ed, or a current license that meets basic requirements for that state Factors for the amount and type of qualified health care professionals in a facility - ANS:- Size of facility, types and scope of health services delivered, needs of the inmate population, organizational structure Dispensing - ANS:->>Placing of one or more doses of a prescribed medication into containers that are correctly labeled to indicate the name of the patient, the contents, and all other vital information Who maintains documentation that onsite diagnostic services are certified and licensed? - ANS:->>RHA Waiting times - ANS:->>Should not exceed average waiting times in the community Communication with local hospitals or offsite specialty services - ANS:->>Written agreement outlining terms of care to be provided, summary from offsite providers should include assessment/testing and treatment provided/diagnosis/findings/recommended treatment plan
Information about availability of and access to health care services communicated orally and in writing - ANS:->>To inmates on their arrival at the facility, within 24 hours regarding access of emergency and routine medical, dental, MH, fees, and grievance process Medical Clearance - ANS:->>Clinical assessment of physical and mental status before an individual is admitted into a facility Sufficient escorting staff - ANS:->>Provided by facility to ensure that patients can attend scheduled health care appointments Discharge planning - ANS:->>Linkages between facility and community based organizations, discussions with the inmate regarding the importance of aftercare, appointments and discharge medications, timely exchange of information and medication Health hazards of tobacco - ANS:->>Information should be available to inmates Minimum frequency of contacts for outpatients receiving MH services - ANS:->> No less than every 90 days
How often do environment inspections occur of areas where health services are provided? - ANS:->>Monthly, to ensure that the equipment is maintained and inspected, unit is clean, and that is occupationally and environmentally safe How often do correctional officers receive health-related training? - ANS:->> Every 2 years; At least 75% of staff present on each shift are current in their training Basic orientation on first day of on-site service - ANS:->>Addresses relevant security and health services policies and procedures, response to facility emergency situations, functional position description, and inmate-staff relationships Frequency of pharmacy inspections - ANS:->>At least quarterly if there is no onsite staff pharmacist How often is RHA onsite? - ANS:->>Weekly How often do health staff meetings occur? - ANS:->>At least monthly How often are policies and procedures reviewed? - ANS:->>Annually How often are statistical reports made? - ANS:->>At least monthly How often does CQI meet? - ANS:->>Quarterly How many mass disaster drills should occur over a three year period so that each shift has participated? - ANS:->>Annually How often should man down drills occur? - ANS:->>Once a year on each shift
Estelle v Gamble 1976 - ANS:->>Unreasonable barriers to inmate access to health services Examples of unreasonable barriers - ANS:->>Holding sick call at 2am, being understaffed or poorly organized in a way that results in untimely care, assessing excessive fees, or assessing fees for treatments arising from sexual abuse RHA - ANS:->>Responsible Health Authority When should initial assessments (physicals) occur? - ANS:->>Prisons--> within 7 days Jails-->within 14 days if full population assessments are done Juveniles - ANS:->>Need greater opportunity to work large muscles, more food, more rec How long should health records be retained? - ANS:->>According to the legal requirement of the jurisdiction the facility is in Final clinical judgment - ANS:->>Single, designated licensed responsible physician RHA when there is a separate organizational structure for MH services - ANS:-
Designated MH clinician Health Administrator - ANS:->>A person by virtue of education, experience, or certification is capable of assuming responsibility for arranging all levels of health care and ensuring quality and accessible health services for inmates Qualified health care professionals - ANS:->>Physicians, PAs, nurses, NPs, dentists, MHPs, and others who are permitted by law to evaluate and care for patients
Safety concerns, full privacy lacking? - ANS:->>Alternative strategies for partial visual privacy and partial auditory privacy to be considered Primary method of infection control - ANS:->>Standard precautions When can health care professionals father forensic evidence from a victim? - ANS:->>With a sexual abuse victim's permission What type of license is not in compliance with NCCHC credentialing standards? - ANS:-
Restricted license that limits practice to correctional institutions
Minimum frequency for inventories on items subject to abuse, such as syringes - ANS:-
Weekly When should a record be reviewed by a qualified health care professional for a new admission to ensure continuity of care? - ANS:->>Within 12 hours of arrival Deadline for an initial mental health screening for a new admission? - ANS:->> 14 days Deadline for oral screening by the dentist or quality health care professionals trained by the dentist? - ANS:->>Within 7 days of admission Frequency of pick up for oral or written requests for health care? - ANS:->>Daily by qualified health care professionals and triaged within 24 hours When does a face to face encounter have to happen between a patient and QHCP after noting that a written/oral request describes clinical symptoms? - ANS:->>Within 48 hours or 72 hours on weekends Who is responsible for identifying and eliminating any barriers to inmates receiving health care? - ANS:->>Responsible Health Authority Access to Care - ANS:->>In a timely manner, a patient can be seen by a clinician, be given a professional clinical judgment,and receive care that is ordered Health care - ANS:->>Sum of all actions, preventive and therapeutic, taken for the physical and mental wellbeing of a population. Includes dental, medical, mental health, nutrition, and
Process CQI - ANS:->>Examines the effectiveness of the health care delivery process. Baseline of facility problem, developing an implementing a CAP, then restudying the problem. Outcome CQI - ANS:->>Examines whether expected outcomes of patient care were achieved by identifying a clinical care problem, conducting a baseline study, developing and implementing a CAP, and restudying the problem Essential element of CQI - ANS:->>Monitoring of high risk, high volume, or problem- prone aspects of health care. Success measured by relevance of study and effectiveness of CAP. NCCHC Performance Measures for evaluating health care programs - ANS:->> Accessibility, Appropriateness of clinical decision making, continuity, timeliness, effectiveness (outcomes), efficiency, quality of clinician-patient satisfaction, and safety Most efficient way of measuring timeliness - ANS:->>Logs/other tracking mechanisms Measuring appropriateness of care - ANS:->>Record license status, credentials, CME/CEUs, required certification Measuring continuity of care - ANS:->>The extent to which pre-existing conditions are identified and addressed during intake, follow up services, and timeliness of follow up Measuring effectiveness of care - ANS:->>Monitor clinical outcomes Measuring efficiency - ANS:->>Cost efficiency
Measuring quality of clinician-patient satisfaction - ANS:->>Surveys, number/type of of grievances, questions about knowledge of their diseases for patients with chronic disease Measuring safety - ANS:->>Inspections to identify safety concerns related to sanitation, trip hazards, and other potential problems. Root Case Analysis for all deaths and adverse events. Emergency Response Plan - ANS:->>Includes responsibilities of health staff, procedures for triage, predetermination of site for care, phone numbers and procedures for calling staff and community responders, procedures for evacuating patients, alternate backups for each of the plan's elements, and time frames for response Table top exercises - ANS:->>Discussion about health staff's projected response to emergencies Examples of special needs inmates - ANS:->>Chronically ill, on dialysis, adolescents in adult facilities, have communicable diseases, physically disabled, pregnant, frail/elderly, terminally ill, mentally ill or suicidal, developmentally disabled, suspected victims of physical or sexual abuse Clinical encounters - ANS:->>Interactions between patients and health care professionals that involve a treatment and/or exchange of confidential information Death procedures - ANS:->>All deaths are reviewed within 30 days, consists of administrative review, clinical mortality review, and psychological autopsy if suicide, treating staff are informed of review and findings, all aspects of the standard are addressed by written policy and defined procedures Administrative review (death procedure) - ANS:->>Assessment of correctional and emergency response actions surrounding a death
Retrospective approach to identify what happened during an adverse event - ANS:->>Root Cause Analysis Preserving physical evidence (sexual abuse) - ANS:->>Evidence is not contaminated or destroyed. Does not mean collecting or handling physical evidence. PREA Victim - ANS:->>Referred to community facility for treatment, or treated in house. History taken by QHCP, examined, prophylactic treatment offered, evaluation by a QMHP, report made to correctional authorities for housing assignment considerations Verification of credentials for new hires - ANS:->>Inquiry regarding sanctions and disciplinary actions of state boards, employers, and the National Practitioner Data Bank Clinical performance enhancement - ANS:->>Evaluates the appropriateness of services delivered by all direct patient care clinicians, RNs, and LPNs. Done at least annually, kept confidential. Peer review. Professional Development - ANS:->>At least 12 hours (or license requirements) annually, CPR certified Mediation Administration Training - ANS:->>Matters of security, accountability, common side effects, documentation. Hoarding, selling, overdoses, adherence to therapeutic regimens. Inmate workers - ANS:->>Do not make treatment decisions or provide patient care, do not distribute or collect sick slips, schedule appointments, or handle medical records, medications, or surgical instruments and sharps.
Psychotropic and behavior-modifying medications are NOT used for? - ANS:->> Disciplinary purposes Provisions for patients taking medications with potential phototoxic effects - ANS:-
Sunscreen and/or shading How do personnel working in radiology monitor levels of exposure? - ANS:->> Dosimeters Female admissions reporting opiate use - ANS:->>Immediately offered a pregnancy test to avoid opiate withdrawal risks to the fetus Receiving screening - ANS:->>Process of structured inquiry and observation intended to identify potential emergency situations among new arrivals and to ensure that patients with known illnesses and those on medications are identified for further assessment and continued treatment Comprehensive health summaries - ANS:->>Documents containing relevant health information, regarding medical, dental, MH diagnosis, medications, significant chronic conditions, and pending health referrals Full population assessment - ANS:->>Assessment on 100% of population When do inmates receive education on oral hygiene and preventive oral education? - ANS:- Within 30 days of admission Oral care - ANS:->>Instruction on oral hygiene, examination, and treatment of dental problems, to include information on plaque control and proper brushing of teeth
that restrict the types, preparation, and/or amounts of food. Health staff receive training on food/drug interactions and instruct patients accordingly Decision to stop medical diets - ANS:->>Counseled, not disciplined. Decision is therapeutic. Smoking in patients who are chronically mentally ill - ANS:->>Special management to include more frequent outdoor cigarette breaks or the use of nicotine replacements Chronic disease program - ANS:->>Incorporates a treatment plan and regular clinic visits. Progress monitored by clinician, includes patient education Treatment Plans - ANS:->>Frequency of follow up for medical evaluation and adjustment of treatment modality, type and frequency of diagnostic testing and therapeutic regimens, instructions about diet/exercise/adaptation when appropriate Documentation of special needs patients - ANS:->>Documented on problem list Facility maintains a list of these patients Infirmary Care - ANS:->>Patients are always within sight or hearing of a QHCP; Illness or 0 Frequency of supervising nurse onsite for infirmary - ANS:->>Once every 24 hours Who signs off on admissions/discharges for infirmary? - ANS:->>Physician Complete inpatient health record for infirmary patients - ANS:->>Admitting order with diagnosis, medication, diete, activity restrictions, diagnostic tests required, frequency of VS monitoring; Complete documentation of treatment and care; MAR; Discharge plan and notes
Chronic Disease Program - ANS:->>Treatment plan, regular clinic visits, patient education Chronic diseases - ANS:->>Asthma, diabetes, high blood cholesterol, HIV, HTN, Seizure disorder, TB, Sickle cell, major mental illness Acutely suicidal inmates - ANS:->>Constant observation Nonacutely suicidal inmates - ANS:->>Unpredictable schedule for monitoring, no more than 15 minutes between checks When should a psychological autopsy be completed? - ANS:->>Within 30 days of the event Early release - ANS:->>Release before the end of his or her sentence because of the inmate's terminal condition Clinical restraint - ANS:->>Therapeutic intervention initiated by medical or MH staff to use devices designed to safely limit a patient's mobility; Not to exceed 12 hours, monitor for circulation and nerve damage Clinical seclusion - ANS:->>Therapeutic intervention initiated by medical or mental health staff to safely Advance Directives - ANS:->>Written protocols that specify end of life decisions
