CCHP Pharmacy and Medication Management

Question 1

Which of the following BEST describes the purpose of a formulary in a correctional healthcare setting?

Accepted Answer

An approved list of medications available within the facility to guide prescribing and control costs

Answer

A formulary standardizes drug selection within a correctional facility, promoting cost-effectiveness and appropriate prescribing.

Question 2

What does 'directly observed therapy' (DOT) mean in the context of correctional medication administration?

Accepted Answer

Health staff physically watch the patient swallow the medication and check for cheeking

Answer

DOT requires staff to observe ingestion and verify the medication is swallowed to prevent diversion, cheeking, or stockpiling.

Question 3

Which regulatory body governs the prescribing, dispensing, and storage of controlled substances in correctional facilities?

Accepted Answer

Drug Enforcement Administration (DEA)

Answer

The DEA regulates controlled substances under the Controlled Substances Act, and correctional facilities must comply with DEA requirements.

Question 4

What is the MOST appropriate action when a nurse discovers a discrepancy in the controlled substance count during a shift change?

Accepted Answer

Document and immediately report the discrepancy to the supervisor and investigate per facility protocol

Answer

Controlled substance discrepancies must be immediately reported and investigated, as they may indicate diversion or theft.

Question 5

Which medication administration route requires the MOST caution regarding inmate diversion in a correctional setting?

Accepted Answer

Sublingual or crushed oral tablets

Answer

Sublingual tablets and crushed oral medications can be cheeked (held in the mouth) and later diverted, requiring careful DOT observation.

(CCHP) Certified Correctional Health Professional Practice Test