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

Patients retain the right to refuse treatment; the nurse must ensure informed refusal by assessing understanding and documenting thoroughly.

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

Structured chronic care clinics with standardized protocols ensure continuity even with frequent patient transfers.

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

Blood pressure at this level with end-organ symptoms (headache, blurred vision) constitutes a hypertensive emergency requiring immediate evaluation.

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

Integrated co-occurring disorder treatment addresses both conditions simultaneously, which yields better outcomes than sequential treatment.

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

Abrupt discontinuation of OAT is dangerous; the patient's therapy should continue while a formulary exception is pursued.

(CCHP) Certified Correctional Health Professional Practice Test

(CCHP) Certified Correctional Health Professional Practice Test

CCHP Patient Care and Treatment 2