NCCHC CCHP Exam, CCHP Final Exam - Quizzes Complete Questions And Actual Detailed Answers.

1. Which of the following best defines a "procedure"? A. Detailed description for carrying out policy B. A measurable objective to be achieved C. Official position on a work-related issue D. Rules and regulations - correct answer A. Detailed description for carrying out policy 2. This standard is based on the basic principle established by the U.S. Supreme Court in the 1976 landmark case Estelle v. Gamble. A. Access to care B. Inmate workers C. Medical autonomy D. Privacy of care - correct answer A. Access to care 3. Which of the following is least important in determining the number of health staff needed to deliver services in a correctional setting? A. Needs of inmate population B. Approved budget C. Delivery system D. Proportion of female inmates - correct answer B. Approved budget 4. The following individuals, in the absence of any written authorization from the adult inmate-patient, may have access to that patient's medical records: A. Inmate's attorney B. Private physician C. U.S. congressman D. None of the above - correct answer D. None of the above 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 - correct answer 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? - correct answer Inmates have access to care for their serious medical, dental, and mental health needs. Define "access to care" (three criteria) - correct answer 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? - correct answer 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? - correct answer Inmates must have access to care to meet their serious health needs. List five examples of unreasonable barriers to inmates' access to health services. - correct answer 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. - correct answer 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? - correct answer access to care which U.S. Supreme Court case set the standard for inmate access to care? - correct answer 1976 Estelle v. Gamble What is the Responsible Health Authority (RHA) standard? - correct answer 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 .... - correct answer 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? - correct answer RHA's responsibilities are documented in a written agreement, contract, or job description. How frequently must the RHA be on-site? - correct answer weekly With whom do final clinical judgments rest? - correct answer A single, designated, licensed *responsible physician* When there is a separate organizational structure for mental health services, what else must there be? - correct answer a designated mental health clinician When there is a separate organizational structure for dental services, what else must there be? - correct answer 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? - correct answer the position's clinical and administrative responsibilities How are all aspects of the RHA standard addressed? - correct answer by written policy and defined procedures Define the Responsible Health Authority - correct answer 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. - correct answer a physician, health services administrator, or agency When the RHA is a state, regional, national, or corporate entity, what also must be designated? - correct answer an individual at the local level who is on-site at least weekly to ensure that policies are carried out How is "health care" defined in the RHA standard? - correct answer Health care is the sum of all actions, preventative and therapeutic, taken for the physical and mental well-being of a population. Health care includes medical, dental, mental health, nutrition, and other ancillary services, as well as maintaining clean and safe environmental conditions. How is "responsible physician" defined in the RHA standard? - correct answer a designated MD or DO who has the final authority at a given facility regarding clinical issues How is "designated mental health clinician" defined in the RHA standard? - correct answer a psychiatrist, psychologist, or psychiatric social worker who is responsible for clinical mental health issues when mental health services at the facility are under a different authority than medical services How is "designated dental clinician" defined in the RHA standard? - correct answer a DMD or DDS who is responsible for dental issues when dental services at the facility are under a different authority than medical services How is "health services administrator" defined in the RHA standard? - correct answer a person who by education, experience, or certification (e.g. MSN, MPH, MHA, FACHE, CCHP) is capable of assuming responsibility for arranging all levels of health care and ensuring quality and accessible health services for inmates True or False: The RHA functions to ensure that health services are organized, adequate, and efficient. - correct answer True True or False: A single designated responsible physician is required and can be filled by an MD, DO, NP, or PA. - correct answer False. A single, designated responsible physician is required and must be an MD or DO. An NP or PA cannot substitute as the responsible physician. What is the Medical Autonomy Standard? - correct answer Health care decisions are made by qualified health care professionals for clinical purposes. The Medical Autonomy Standard requires clinical decisions are determined by whom? - correct answer by qualified health care professionals and implemented in an effective and safe manner How are administrative decisions coordinated with clinical needs? - correct answer so that patient care is not jeopardized Which staff members make health care decisions for clinical purposes? A. administrative staff B. custody staff C. health staff - correct answer C. health staff, qualified health care professionals including physicians, PAs, RNs, NPs, dentists, etc Which staff members support the implementation of clinical decisions? A. administrative staff B. custody staff C. health staff - correct answer B. custody staff Which staff members recognize and follow security regulations? A. administrative staff B. custody staff C. health staff - correct answer C. health staff How are all aspects of the Medical Autonomy Standard addressed? - correct answer by written policy and defined procedures List at least five types of qualified health care professionals who by virtue of their education, credentials, and experience are permitted by law to evaluate and care for patients. - correct answer physicians, physician