NCCHC CCHP COMPREHENSIVE 2026 EXAM QUESTIONS
AND SOLUTIONS GRADED A+
✔✔5. 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 - ✔✔C.
Assuming all patients present a potential for transmission of infectious disease and
adopting the same protective techniques with every patient
✔✔What is the Access to Care standard? - ✔✔Inmates have access to care for their
serious medical, dental, and mental health needs.
✔✔Define "access to care" (three criteria) - ✔✔1. In a timely manner, a patient is seen
by a qualified health care professional,
2. is rendered a clinical judgment,
3. and receives care that is ordered
✔✔What is the basic principle established by the U.S. Supreme Court landmark case in
1976 Estelle v. Gamble? - ✔✔Inmates must have access to care to meet their serious
health needs.
✔✔What is the fundamental principle on which all National Commission on Correctional
Health Care standards based? - ✔✔Inmates must have access to care to meet their
serious health needs.
✔✔List five examples of unreasonable barriers to inmates' access to health services. -
✔✔1. punishing inmates for seeking care for their health needs
2. assessing excessive fees that prevent or deter inmates from seeking care
3. deterring inmates from seeking care, such as holding sick call at 2AM
4. having understaffed, underfunded, poorly organized system resulting in inability to
provide appropriate and timely access to care
5. having a utilization review process that delays or denies necessary care
✔✔List 5 unreasonable barriers to inmates' access to health services. - ✔✔1. punishing
2. excessive fines
3. deterring
4. understaffed, underfunded, poorly organized system
5. utilization review that delays or denies care
, ✔✔What Standard is defined as: in a timely manner, a patient is seen by a qualified
health care professional, is rendered a clinical judgment, and receives care that is
ordered? - ✔✔access to care
✔✔which U.S. Supreme Court case set the standard for inmate access to care? -
✔✔1976 Estelle v. Gamble
✔✔What is the Responsible Health Authority (RHA) standard? - ✔✔The responsible
health authority (RHA) ensures that the facility maintains a coordinated system for
health care delivery.
✔✔Responsible Health Authority compliance indicators include that the RHA arranges
for .... - ✔✔RHA arranges for all levels of health care and ensures quality, accessible,
and timely health services for inmates.
✔✔The RHA's responsibilities are documented where? - ✔✔RHA's responsibilities are
documented in a written agreement, contract, or job description.
✔✔How frequently must the RHA be on-site? - ✔✔weekly
✔✔With whom do final clinical judgments rest? - ✔✔A single, designated, licensed
*responsible physician*
✔✔When there is a separate organizational structure for mental health services, what
else must there be? - ✔✔a designated mental health clinician
✔✔When there is a separate organizational structure for dental services, what else
must there be? - ✔✔a designated dental clinician
✔✔The responsible physician (and designated mental health clinician and dental
clinician, if applicable) is available to the facility frequently enough to fulfill what two
responsibilities? - ✔✔the position's clinical and administrative responsibilities
✔✔How are all aspects of the RHA standard addressed? - ✔✔by written policy and
defined procedures
✔✔Define the Responsible Health Authority - ✔✔a designated individual or entity that is
tasked with ensuring the organization and delivery of all health care in the facility
✔✔List three entities that can fill the role of responsible health authority. - ✔✔a
physician, health services administrator, or agency
AND SOLUTIONS GRADED A+
✔✔5. 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 - ✔✔C.
Assuming all patients present a potential for transmission of infectious disease and
adopting the same protective techniques with every patient
✔✔What is the Access to Care standard? - ✔✔Inmates have access to care for their
serious medical, dental, and mental health needs.
✔✔Define "access to care" (three criteria) - ✔✔1. In a timely manner, a patient is seen
by a qualified health care professional,
2. is rendered a clinical judgment,
3. and receives care that is ordered
✔✔What is the basic principle established by the U.S. Supreme Court landmark case in
1976 Estelle v. Gamble? - ✔✔Inmates must have access to care to meet their serious
health needs.
✔✔What is the fundamental principle on which all National Commission on Correctional
Health Care standards based? - ✔✔Inmates must have access to care to meet their
serious health needs.
✔✔List five examples of unreasonable barriers to inmates' access to health services. -
✔✔1. punishing inmates for seeking care for their health needs
2. assessing excessive fees that prevent or deter inmates from seeking care
3. deterring inmates from seeking care, such as holding sick call at 2AM
4. having understaffed, underfunded, poorly organized system resulting in inability to
provide appropriate and timely access to care
5. having a utilization review process that delays or denies necessary care
✔✔List 5 unreasonable barriers to inmates' access to health services. - ✔✔1. punishing
2. excessive fines
3. deterring
4. understaffed, underfunded, poorly organized system
5. utilization review that delays or denies care
, ✔✔What Standard is defined as: in a timely manner, a patient is seen by a qualified
health care professional, is rendered a clinical judgment, and receives care that is
ordered? - ✔✔access to care
✔✔which U.S. Supreme Court case set the standard for inmate access to care? -
✔✔1976 Estelle v. Gamble
✔✔What is the Responsible Health Authority (RHA) standard? - ✔✔The responsible
health authority (RHA) ensures that the facility maintains a coordinated system for
health care delivery.
✔✔Responsible Health Authority compliance indicators include that the RHA arranges
for .... - ✔✔RHA arranges for all levels of health care and ensures quality, accessible,
and timely health services for inmates.
✔✔The RHA's responsibilities are documented where? - ✔✔RHA's responsibilities are
documented in a written agreement, contract, or job description.
✔✔How frequently must the RHA be on-site? - ✔✔weekly
✔✔With whom do final clinical judgments rest? - ✔✔A single, designated, licensed
*responsible physician*
✔✔When there is a separate organizational structure for mental health services, what
else must there be? - ✔✔a designated mental health clinician
✔✔When there is a separate organizational structure for dental services, what else
must there be? - ✔✔a designated dental clinician
✔✔The responsible physician (and designated mental health clinician and dental
clinician, if applicable) is available to the facility frequently enough to fulfill what two
responsibilities? - ✔✔the position's clinical and administrative responsibilities
✔✔How are all aspects of the RHA standard addressed? - ✔✔by written policy and
defined procedures
✔✔Define the Responsible Health Authority - ✔✔a designated individual or entity that is
tasked with ensuring the organization and delivery of all health care in the facility
✔✔List three entities that can fill the role of responsible health authority. - ✔✔a
physician, health services administrator, or agency
