CCHP Patient Care and Treatment 3

Question 1

A patient post-operative from an appendectomy returns from an outside hospital. Which assessment is the highest priority upon return to the correctional facility?

Accepted Answer

Conducting a comprehensive post-hospitalization health assessment

Answer

Reviewing the patient's disciplinary history

Answer

Updating the patient's housing assignment

Answer

Obtaining signatures on release of information forms

Question 2

Which ethical principle is most directly applied when a healthcare provider ensures a patient fully understands treatment options before agreeing to care?

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Justice

Answer

Non-maleficence

Question 3

Which sign is an early indicator of sepsis that correctional health staff should recognize and escalate promptly?

Accepted Answer

Fever or hypothermia with altered mental status and tachycardia

Answer

Mild constipation and fatigue

Answer

Localized skin rash without systemic symptoms

Answer

Blood pressure of 130/85 mmHg with no other symptoms

Question 4

When managing a patient with active tuberculosis (TB) in a correctional setting, which intervention is most critical to prevent transmission?

Accepted Answer

Initiating airborne infection isolation and directly observed therapy (DOT)

Answer

Placing the patient in a standard dormitory

Answer

Administering prophylactic antibiotics to all housing unit inmates

Answer

Delaying treatment until culture results confirm TB

Question 5

A patient with epilepsy is found post-ictal in their cell. After confirming safety, what is the nurse's next priority assessment?

Accepted Answer

Assess airway, breathing, circulation, and neurological status

Answer

Ask the patient to complete a questionnaire

Answer

Administer a sedative to prevent another seizure

Answer

Transfer the patient to administrative segregation for monitoring

Question 6

A patient with Type 2 diabetes is consistently missing chronic care clinic appointments due to work assignment conflicts. What is the best corrective approach?

Accepted Answer

Coordinate with custody staff to reschedule appointments around work assignments

Answer

Discharge the patient from the chronic care program

Answer

Document non-compliance and take no further action

Answer

Report the patient to the warden

Question 7

Which medication class requires particular caution in correctional facilities due to high abuse and diversion potential while still being clinically necessary?

Accepted Answer

Controlled substances such as benzodiazepines and opioids

Answer

ACE inhibitors

Answer

Thyroid hormone replacements

Answer

Proton pump inhibitors