CCHP Exams with 100% verified solutions 2024-2025, Exams of Nursing

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CCHP Exams with 100% verified solutions 2024- 2025 141 Q&A In terms of care, clinical encounters should be conducted - CORRECT ANS- In private Who approves health record contents - CORRECT ANS- RHA If health records are being stored separately between disciplines, what is the minimum data that needs to be included and accessible to all health staff - CORRECT ANS- -Current problems -Allergies -Medications Health records should be stored where? - CORRECT ANS- Separate from correctional records and in secure conditions A health record is initiated - CORRECT ANS- when someone receives any type of health screening A clinical mortality review needs to be conducted within what time frame - CORRECT ANS- 30 days A psychological autopsy is preformed on all deaths by suicide, in what time frame? - CORRECT ANS- 30 days What is a clinical mortality review - CORRECT ANS- Assessment of the clinical care provided and the circumstances leading up to a death What is an administrative review - CORRECT ANS- Assessment of correctional and emergency response actions surrounding an inmates death Who conducts a psychological autopsy - CORRECT ANS- Psychologist or other qualified mental health professional All deaths are reviewed to determine, what... - CORRECT ANS- 1. Appropriateness of clinical care - did we do what we could? 2. Determine need for changes to policies, procedures and practices- does something need to be changed 3. Identify issues - are there trends, what went wrong What is a psychological autopsy - CORRECT ANS- A written reconstruction of an individual's life with an emphasis on FACTORS that led up to and may have contributed to death If an inmate dies and they are off-site, is a death review completed - CORRECT ANS- Yes- they are still inmates and the facility is still responsible for them What is a grievance? - CORRECT ANS- The patients right to disagree or question healthcare system Grievances should be reviewed how frequently - CORRECT ANS- At least annually or sooner if a trend is noted RDN stands for - CORRECT ANS- Registered dietitian nutritionist Who reviews the regular diet for nutritional adequacy - CORRECT ANS- RDN or Licensed qualified nutrition professional How often is the regular diet reviewed - CORRECT ANS- At least annually The exposure plan is reviewed and updated - CORRECT ANS- Annually If respiratory isolation is needed inmates are housed where - CORRECT ANS- A functional negative pressure room And environmental inspection is conducted how frequently - CORRECT ANS- Monthly What is an example of a clinical prevention - CORRECT ANS- Flu shot, covid and or periodic screening What is medical surveillance - CORRECT ANS- The prevention-oriented public health assessment and analysis of health information PREA stands for - CORRECT ANS- Prison Rape Elimination Act What year did PREA get put in place - CORRECT ANS- 2003 What does KOP stand for - CORRECT ANS- Keep on-person What is the KOP program - CORRECT ANS- Self medication programs that permit responsible inmates to carry and administer their own medication If an inmate is identified with a clinically significant finding, as the results of a comprehensive screening, they should receive an initial health assessment by when? - CORRECT ANS- As soon as possible but no later than two working days after admission If a health assessment is deferred due to a previous (documented) health assessment being done within the last 12 months. New documentation must confirm what? - CORRECT ANS- The new receiving screening shows no change in health status If an inmate has recently completed a health screening but the new screening shows change in health status what needs to be repeated - CORRECT ANS- And initial health assessment And initial health assessment is performed when - CORRECT ANS- Within 2 days of arrival Violent behavior is defined as - CORRECT ANS- Expressive violence Oral screenings are performed when - CORRECT ANS- As soon as possible but no later than 14 calendar days And initial oral examination is performed by a dentist when - CORRECT ANS- Within 12 months of admission What is an oral screening - CORRECT ANS- Visual observation of teeth and gums notation of any obvious or gross abnormalities requiring immediate referral to a dentist Oral and dental care is based on? And generally focuses on? - CORRECT ANS- Patient need urgent or emergent needs Discharge planning should include - CORRECT ANS- 1.Formal linkages between facility and community based organizations 2. List of community health professionals 3. Discussions of follow up care 4. Appointments and medications 5. Timely exchange of health information For discharge- Patients with communicable diseases or other serious medical conditions are given - CORRECT ANS- Referrals to specialists or if appropriate direct admission to a community hospital At discharge, patients with an opioid addiction history are at a higher risk for - CORRECT ANS- Overdose If an inmate has a history of opioid use they should be referred to - CORRECT ANS- A medication assisted treatment program prior to release If starting an addiction treatment program prior to release is not available what is recommended - CORRECT ANS- Connecting with the community partnership to have inmates enroll in opioid treatment programs immediately after release Where are chronic illnesses and other special needs requiring a treatment plan listed - CORRECT ANS- A master problem list Special needs patients are those with.... - CORRECT ANS- Health conditions that require the development of an individualized treatment plan for optimum care Patients with chronic diseases and other special needs, benefit from what? - CORRECT ANS- Regular clinic visits and management by qualified healthcare professional Inmates with Intellectual limitations are at risk of and may need - CORRECT ANS- -Victimization -Specialized housing Inmates whose health needs require more protective environments than that in general housing would be placed where - CORRECT ANS- Sheltered housing The primary method of infection control is - CORRECT ANS- Standard precautions The immediate objective of mental health treatment is to... - CORRECT ANS- Alleviate symptoms of mental disorders and to prevent relapse is in order to sustain patient's ability to function safely in their environment Treatment goals include - CORRECT ANS- -Self understanding -self-improvement -development of skills to cope with and overcome mental health issues Acute mental health residential units are for who - CORRECT ANS- Patients who are psychotic, mentally unstable or suicidal Acute mental health residential units should have continuous what - CORRECT ANS- 1. Coverage by mental health staff 2. Orientation and training for correctional officers assigned to the unit 3. Daily evaluation by mental health staff 4.Programming or appropriate therapies Factors for the amount and type of qualified healthcare professionals in a facility - CORRECT ANS- 1. Size of facility 2. Types and scope of services delivered 3. Needs of inmate population 4. Organizational structure Treatment plans may include what to reinforce positive behavior - CORRECT ANS- Behavior contracts Overdose risks can be reduced by continuing or initiating what - CORRECT ANS- MAT Encouraging and/or facilitating engagement in treatment post release can reduce what - CORRECT ANS- Recidivism and mortality If a pregnant inmate is released prior to delivery Effort should be made to ensure what - CORRECT ANS- Community prenatal care When restraints are used for custody stuff for security reasons who is notified and for what - CORRECT ANS- A qualified healthcare professional is notified for a health record review for contradictions or accommodations required What is an emergency restraint chair used for Other than to limit mobility - CORRECT ANS- A chair design to transport a subject or restraining arms legs shoulders and chest Solitary confinement inmates are monitored by medical staff how frequently - CORRECT ANS- Daily Solitary confinement inmates are monitored by mental health staff how frequently - CORRECT ANS- At least weekly Inmates in segregation are seeing how frequently and by who - CORRECT ANS- Quite at least three days a week by mental health or medical staff 1. Which of the following best defines a "procedure"? - CORRECT ANS- Detailed description for carrying out policy This standard is based on the basic principle established by the U.S. Supreme Court in the 1976 landmark case Estelle v. Gamble - CORRECT ANS- Access to care Which of the following is least important in determining the number of health staff needed to deliver services in a correctional setting? A. Needs of inmate population B. Approved budget C. Delivery system D. Proportion of female inmates - CORRECT ANS- B. Approved budget The following individuals, in the absence of any written authorization from the adult inmate-patient, may have access to that patient's medical records: A. Inmate's attorney B. Private physician C. U.S. congressman D. None of the above - CORRECT ANS- D. None of the above Which statement below best describes universal precautions? A. Adhering to advisories published by the Centers for Disease Control and Prevention for disposing of infectious waste B. Taking protective steps with patients known to have infectious diseases so as to minimize exposure of workers and others to contagious disease C. Assuming all patients present a potential for transmission of infectious disease and adopting the same protective techniques with every patient D. Using masks, gowns and gloves for protection from infectious disease - CORRECT ANS- C. Assuming all patients present a potential for transmission of infectious disease and adopting the same protective techniques with every patient In terms of needs of adolescents and exercise in jail what should exercise focus on - CORRECT ANS- Major muscle groups What is clinical mortality review? - CORRECT ANS- assessment of the clinical care provided and the circumstances leading up to a death What is an adverse clinical event? - CORRECT ANS- injury or death caused by medical management rather than by patient's disease or condition What is procuring? - CORRECT ANS- the act of ordering medications for the facility What is a formulary? - CORRECT ANS- a written list of prescription and nonprescription medications that are ordinarily available to authorized prescribers, including consultants, working for the facility. The facility has, at a minimum, the following equipment: - CORRECT ANS- Ophthalmoscope, Oxygen What is maintained during transport? - CORRECT ANS- Patient Confidentiality Mass disaster drills are: - CORRECT ANS- conducted so that each shift has participated over a 3-year period, including satellites. A health emergency man-down drill is: - CORRECT ANS- practiced once a year on each shift where health staff are regularly assigned, including satellites. When transferred to the hospital or clinic, RHA must ensure: - CORRECT ANS- the patient is transferred to the hospital or clinic with a summary of the health record, and that a summary of the specialty care is received and added to the patient's health record in the facility. Examples of special needs population: - CORRECT ANS- developmental disability, serious mental health needs, or physical disability, along with the frail and elderly and juvenile populations. Who requires infirmary-level of care? - CORRECT ANS- patients who require more intensive care than can be provided in general population and for a period of 24 hours or more. When an inmate is pregnant, what type of counseling and care do they receive? - CORRECT ANS- in accordance with the pregnant inmate's expressed desires regarding her pregnancy, whether she elects to keep the child, use adoptive services, or have an abortion. Solitary Confinement (little to no contact) - CORRECT ANS- monitored daily by medical staff and at least once a week by mental health staff Segregated (limited contact) - CORRECT ANS- monitored by 3 days a week by medical or mental health staff Emergency Psychotropic meds can be used when? - CORRECT ANS- -The inmate is imminently dangerous to self or others due to mental illness -All less restrictive or intrusive measures have been employed or have been judged by the treating provider to be inadequate -The provider clearly documents in the health record the inmate's condition, the threat posed, and the reason for the proposed forcing of medication, including other treatments attempted TB patients are housed where? - CORRECT ANS- Airborne infection isolation rooms until a provider determines that they post no risk to public health. Clinical Mortality Review asks three questions: - CORRECT ANS- 1. Could the medical response at the time of the death be improved?