CCHP Patient Care and Treatment 2

Question 1

A correctional nurse encounters a patient who refuses insulin for their diabetes, citing personal reasons. What is the most appropriate first action?

Accepted Answer

Assess the patient's understanding of the consequences and document informed refusal

Answer

Document the refusal and administer insulin anyway

Answer

Notify the court immediately

Answer

Discontinue the diabetes care plan

Question 2

Which chronic disease management strategy is most effective in a correctional setting with high patient turnover?

Accepted Answer

Standardized chronic care clinics with structured follow-up protocols

Answer

Relying solely on specialist referrals

Answer

Treating chronic conditions only during acute episodes

Answer

Delegating all chronic care to custody staff

Question 3

A patient with hypertension reports headache and blurred vision. Blood pressure reads 190/120 mmHg. What is the priority action?

Accepted Answer

Treat as a hypertensive emergency and arrange immediate medical evaluation

Answer

Schedule a follow-up appointment for the next week

Answer

Administer the scheduled antihypertensive and recheck in 4 hours

Answer

Reassure the patient and document findings

Question 4

When developing a treatment plan for a patient with both a substance use disorder and a serious mental illness, the most effective approach is:

Accepted Answer

Use an integrated co-occurring disorder treatment model

Answer

Treat the mental illness first, then address substance use

Answer

Treat the substance use disorder only until stable

Answer

Refer exclusively to an outside psychiatric facility

Question 5

A patient on opioid agonist therapy (OAT) is transferred from another facility. The receiving facility does not have OAT in its formulary. What should occur?

Accepted Answer

Continue OAT and initiate a formulary exception process

Answer

Discontinue OAT immediately upon arrival

Answer

Switch the patient to a benzodiazepine for withdrawal management

Answer

Reduce the dose by 50% as a precaution

Question 6

Which of the following best describes the standard of care for wound management in a correctional facility?

Accepted Answer

Wound care should follow evidence-based protocols consistent with community standards

Answer

Wounds should only be treated in outside hospital settings

Answer

Custody staff should perform routine wound dressing changes

Answer

Wound care is optional for minor injuries

Question 7

A patient with HIV is prescribed antiretroviral therapy (ART). Which monitoring parameter is most critical for assessing treatment efficacy?

Accepted Answer

Viral load and CD4 count at scheduled intervals

Answer

Complete blood count monthly

Answer

Daily blood pressure measurement

Answer

Weekly liver function tests